A “toolkit” for rural aged care? Global insights from a scoping review

Vaughan, G; Carson, DB; Preston, R; Mude, W; Holt, AM

A “toolkit” for rural aged care? Global insights from a scoping review

Vaughan, G

Carson, DB Preston, R Mude, W Holt, AM

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Publisher:: Frontiers
Publication Type:: Journal Article
Citation:: Frontiers in Political Science, 2022, 4, pp. 885636
Issue Date:: 2022-10-17

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Field	Value	Language
dc.contributor.author	Vaughan, G https://orcid.org/0000-0002-0132-9946
dc.contributor.author	Carson, DB
dc.contributor.author	Preston, R
dc.contributor.author	Mude, W
dc.contributor.author	Holt, AM
dc.date.accessioned	2023-01-27T04:01:28Z
dc.date.available	2023-01-27T04:01:28Z
dc.date.issued	2022-10-17
dc.identifier.citation	Frontiers in Political Science, 2022, 4, pp. 885636
dc.identifier.issn	2673-3145
dc.identifier.issn	2673-3145
dc.identifier.uri	http://hdl.handle.net/10453/165527
dc.description.abstract	Community-based social models of care for seniors promote better outcomes in terms of quality of life, managing chronic illness and life expectancy than institutional care. However, small rural areas in high income countries face an ongoing crisis in coordinating care related to service mix, workforce and access. A scoping review was conducted to examine initiatives that promoted integrated models of multisectoral, collaborative aged care in rural settings which could help respond to this ongoing crisis and improve responses to emergencies such as the COVID-19 pandemic. A systematic database search, screening and a two-stage full text review was followed by a case study critical appraisal. A content analysis of extracted data from included papers was undertaken. Integrated care services, activities and facilities were identified that helped guide the review process and data synthesis. The three included case studies all emphasized key principles that crucially underpinned the models related to collaboration, cooperation and innovation. Challenges to effective care included fiscal and structural constraints, with underlying social determinant impacts. Based on these findings, we describe the genesis of a “toolkit” with components of integrated models of care. Effective care requires aging to be addressed as a complex, interconnected social issue rather than solely a health problem. It demands a series of coordinated system-based responses that consider the complex and heterogeneous contexts (and needs) of communities. Such models are underpinned by leadership and political will, working with a wide breadth of stakeholders across family, community and clinical domains in private and public sectors.
dc.language	en
dc.publisher	Frontiers
dc.relation.ispartof	Frontiers in Political Science
dc.relation.isbasedon	10.3389/fpos.2022.885636
dc.rights	info:eu-repo/semantics/openAccess
dc.title	A “toolkit” for rural aged care? Global insights from a scoping review
dc.type	Journal Article
utslib.citation.volume	4
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Faculty of Health
utslib.copyright.status	open_access	*
dc.date.updated	2023-01-27T04:01:08Z
pubs.publication-status	Published
pubs.volume	4

Abstract:

Community-based social models of care for seniors promote better outcomes in terms of quality of life, managing chronic illness and life expectancy than institutional care. However, small rural areas in high income countries face an ongoing crisis in coordinating care related to service mix, workforce and access. A scoping review was conducted to examine initiatives that promoted integrated models of multisectoral, collaborative aged care in rural settings which could help respond to this ongoing crisis and improve responses to emergencies such as the COVID-19 pandemic. A systematic database search, screening and a two-stage full text review was followed by a case study critical appraisal. A content analysis of extracted data from included papers was undertaken. Integrated care services, activities and facilities were identified that helped guide the review process and data synthesis. The three included case studies all emphasized key principles that crucially underpinned the models related to collaboration, cooperation and innovation. Challenges to effective care included fiscal and structural constraints, with underlying social determinant impacts. Based on these findings, we describe the genesis of a “toolkit” with components of integrated models of care. Effective care requires aging to be addressed as a complex, interconnected social issue rather than solely a health problem. It demands a series of coordinated system-based responses that consider the complex and heterogeneous contexts (and needs) of communities. Such models are underpinned by leadership and political will, working with a wide breadth of stakeholders across family, community and clinical domains in private and public sectors.

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http://hdl.handle.net/10453/165527