Public Mixed Funding for Residential Aged Care Facilities Residents’ Needs in the Asia–Pacific Region: A Scoping Review

Lim, D; Grady, A; Liu, K

Public Mixed Funding for Residential Aged Care Facilities Residents’ Needs in the Asia–Pacific Region: A Scoping Review

Lim, D Grady, A Liu, K

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Publisher:: MDPI AG
Publication Type:: Journal Article
Citation:: International Journal of Environmental Research and Public Health, 2023, 20, (21)
Issue Date:: 2023-11-01

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Field	Value	Language
dc.contributor.author	Lim, D
dc.contributor.author	Grady, A
dc.contributor.author	Liu, K
dc.date.accessioned	2023-11-02T00:14:13Z
dc.date.available	2023-10-30
dc.date.available	2023-11-02T00:14:13Z
dc.date.issued	2023-11-01
dc.identifier.citation	International Journal of Environmental Research and Public Health, 2023, 20, (21)
dc.identifier.issn	1660-4601
dc.identifier.uri	http://hdl.handle.net/10453/172949
dc.description.abstract	Due to population aging and sociodemographic change, there is an increasing reliance on residential aged care facilities in the Asia–Pacific region. Most countries have adopted taxation as the primary means to levy capital for funding universal health services and means-testing of benefits may be further incorporated as a policy balance between horizontal equity and fiscal sustainability. It was hypothesized that residential care needs are evaluated by assessments relating to funding; this scoping review seeks to synthesize how such assessments relate to the care needs of residents. Searches were conducted in concordance with a priori protocol for English-language literature published since 2008 in Embase, CINAHL, PubMed, Scopus, JBI, TROVE, and four peak international organizations for studies and reports that describe the assessment of residents’ needs in Asia–Pacific countries that used a mixture of taxation and means-testing to publicly fund residential aged care. One paper and 47 reports were included. Australia, New Zealand, and Singapore utilize a taxation and means-tested user charge approach to fund residential aged care needs. The common care needs assessed include health conditions, daily activities, cognition, psychiatric, and behavioral needs. While essential care needs are publicly funded, other holistic care needs, such as spirituality and autonomy-based needs, still need to be covered for meaningful occupation by the residents.
dc.language	en
dc.publisher	MDPI AG
dc.relation.ispartof	International Journal of Environmental Research and Public Health
dc.relation.isbasedon	10.3390/ijerph20217007
dc.rights	info:eu-repo/semantics/restrictedAccess
dc.rights	Copyright: © 2023 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https:// creativecommons.org/licenses/by/ 4.0/).
dc.subject.classification	Toxicology
dc.title	Public Mixed Funding for Residential Aged Care Facilities Residents’ Needs in the Asia–Pacific Region: A Scoping Review
dc.type	Journal Article
utslib.citation.volume	20
utslib.location.activity	Australia
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/IMPACCT
utslib.copyright.status	open_access	*
pubs.consider-herdc	false
dc.date.updated	2023-11-02T00:14:12Z
pubs.issue	21
pubs.publication-status	Published online
pubs.volume	20
utslib.citation.issue	21

Abstract:

Due to population aging and sociodemographic change, there is an increasing reliance on residential aged care facilities in the Asia–Pacific region. Most countries have adopted taxation as the primary means to levy capital for funding universal health services and means-testing of benefits may be further incorporated as a policy balance between horizontal equity and fiscal sustainability. It was hypothesized that residential care needs are evaluated by assessments relating to funding; this scoping review seeks to synthesize how such assessments relate to the care needs of residents. Searches were conducted in concordance with a priori protocol for English-language literature published since 2008 in Embase, CINAHL, PubMed, Scopus, JBI, TROVE, and four peak international organizations for studies and reports that describe the assessment of residents’ needs in Asia–Pacific countries that used a mixture of taxation and means-testing to publicly fund residential aged care. One paper and 47 reports were included. Australia, New Zealand, and Singapore utilize a taxation and means-tested user charge approach to fund residential aged care needs. The common care needs assessed include health conditions, daily activities, cognition, psychiatric, and behavioral needs. While essential care needs are publicly funded, other holistic care needs, such as spirituality and autonomy-based needs, still need to be covered for meaningful occupation by the residents.

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http://hdl.handle.net/10453/172949