Experiences of older people following the introduction of consumer-directed care to home care packages: A qualitative descriptive study

Day, J; Thorington Taylor, AC; Hunter, S; Summons, P; van der Riet, P; Harris, M; Maguire, J; Dilworth, S; Jeong, S; Bellchambers, H; Haydon, G; Higgins, I

Experiences of older people following the introduction of consumer-directed care to home care packages: A qualitative descriptive study

Day, J Thorington Taylor, AC Hunter, S Summons, P van der Riet, P Harris, M Maguire, J

Dilworth, S Jeong, S Bellchambers, H Haydon, G Higgins, I

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Publication Type:: Journal Article
Citation:: Australasian Journal on Ageing, 2018, 37 (4), pp. 275 - 282
Issue Date:: 2018-12-01

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Field	Value	Language
dc.contributor.author	Day, J	en_US
dc.contributor.author	Thorington Taylor, AC	en_US
dc.contributor.author	Hunter, S	en_US
dc.contributor.author	Summons, P	en_US
dc.contributor.author	van der Riet, P	en_US
dc.contributor.author	Harris, M	en_US
dc.contributor.author	Maguire, J https://orcid.org/0000-0001-5722-8311	en_US
dc.contributor.author	Dilworth, S	en_US
dc.contributor.author	Jeong, S	en_US
dc.contributor.author	Bellchambers, H	en_US
dc.contributor.author	Haydon, G	en_US
dc.contributor.author	Higgins, I	en_US
dc.date.issued	2018-12-01	en_US
dc.identifier.citation	Australasian Journal on Ageing, 2018, 37 (4), pp. 275 - 282	en_US
dc.identifier.issn	1440-6381	en_US
dc.identifier.uri	http://hdl.handle.net/10453/129221
dc.description.abstract	© 2018 AJA Inc. Objective: To explore the experiences of older people receiving home care package (HCP) support following the introduction of consumer-directed care (CDC) by the Australian government on 1 July 2015. Methods: Thirty-one older people with existing HCP support from two service providers in regional New South Wales, Australia, participated in a face-to-face interview and/or a qualitative survey. Results: Analysis revealed the theme of Choices: Preferences, constraints, balancing and choosing. Participants described choosing to live at home with HCP support; however, they were constrained by poor communication and information about service changes and options, personal budgets and access to future care. HCP services remained largely unchanged during transition to CDC. Conclusion: Many aspects of the initial implementation of CDC were challenging for older people. Clear, relevant and timely communication and information about CDC and its consequences for consumers appear to be needed to enhance CDC.	en_US
dc.relation.ispartof	Australasian Journal on Ageing	en_US
dc.relation.isbasedon	10.1111/ajag.12553	en_US
dc.subject.classification	Gerontology	en_US
dc.subject.mesh	Humans	en_US
dc.subject.mesh	Health Care Surveys	en_US
dc.subject.mesh	Health Knowledge, Attitudes, Practice	en_US
dc.subject.mesh	Communication	en_US
dc.subject.mesh	Interpersonal Relations	en_US
dc.subject.mesh	Geriatrics	en_US
dc.subject.mesh	Age Factors	en_US
dc.subject.mesh	Health Status	en_US
dc.subject.mesh	Aging	en_US
dc.subject.mesh	Qualitative Research	en_US
dc.subject.mesh	Aged	en_US
dc.subject.mesh	Aged, 80 and over	en_US
dc.subject.mesh	Community Health Services	en_US
dc.subject.mesh	Patient Participation	en_US
dc.subject.mesh	Home Care Services	en_US
dc.subject.mesh	Health Services for the Aged	en_US
dc.subject.mesh	Health Care Costs	en_US
dc.subject.mesh	Patient Satisfaction	en_US
dc.subject.mesh	New South Wales	en_US
dc.subject.mesh	Female	en_US
dc.subject.mesh	Male	en_US
dc.subject.mesh	Interviews as Topic	en_US
dc.subject.mesh	Patient Education as Topic	en_US
dc.title	Experiences of older people following the introduction of consumer-directed care to home care packages: A qualitative descriptive study	en_US
dc.type	Journal Article
utslib.citation.volume	4	en_US
utslib.citation.volume	37	en_US
utslib.for	111001 Aged Care Nursing	en_US
utslib.for	11 Medical and Health Sciences	en_US
utslib.for	16 Studies in Human Society	en_US
utslib.for	17 Psychology and Cognitive Sciences	en_US
pubs.embargo.period	Not known	en_US
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Faculty of Health
pubs.organisational-group	/University of Technology Sydney/Faculty of Health/Nursing
utslib.copyright.status	closed_access
pubs.issue	4	en_US
pubs.publication-status	Published	en_US
pubs.volume	37	en_US

Abstract:

© 2018 AJA Inc. Objective: To explore the experiences of older people receiving home care package (HCP) support following the introduction of consumer-directed care (CDC) by the Australian government on 1 July 2015. Methods: Thirty-one older people with existing HCP support from two service providers in regional New South Wales, Australia, participated in a face-to-face interview and/or a qualitative survey. Results: Analysis revealed the theme of Choices: Preferences, constraints, balancing and choosing. Participants described choosing to live at home with HCP support; however, they were constrained by poor communication and information about service changes and options, personal budgets and access to future care. HCP services remained largely unchanged during transition to CDC. Conclusion: Many aspects of the initial implementation of CDC were challenging for older people. Clear, relevant and timely communication and information about CDC and its consequences for consumers appear to be needed to enhance CDC.

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http://hdl.handle.net/10453/129221