Journal articles: 'Aged care policy'

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Fine, Micharl. "Aged care, ethics and public policy." Contemporary Nurse 11, no. 2-3 (December 2001): 109–12. http://dx.doi.org/10.5172/conu.11.2-3.109.

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Dethlefs, Noriko, and Brian Martin. "Japanese technology policy for aged care." Science and Public Policy 33, no. 1 (February 1, 2006): 47–57. http://dx.doi.org/10.3152/147154306781779163.

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Reymond, Liz, Fiona J. Israel, and Margaret A. Charles. "A residential aged care end-of-life care pathway (RAC EoLCP) for Australian aged care facilities." Australian Health Review 35, no. 3 (2011): 350. http://dx.doi.org/10.1071/ah10899.

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The objective of this study was to develop, implement and evaluate an end-of-life (terminal) care pathway and associated infrastructure suitable for Australian residential aged care facilities that improves resident and health system outcomes. The residential aged care end-of-life care pathway was developed by a multidisciplinary collaboration of government and non-government professionals and incorporated best clinical management for dying residents to guide care and increase palliative care capacity of generalist staff. Implementation included identifying and up-skilling Link Nurses to champion the pathway, networking facilities with specialist palliative care services, delivering education to generalists and commencing a Palliative Care Medication Imprest System in each facility. The primary outcome measure for evaluation was transfer to hospital; secondary measures included staff perceived changes in quality of palliative care provided and family satisfaction with care. Results indicated that the pathway, delivered within a care framework that guides provision of palliative care, resulted in improved resident outcomes and decreased inappropriate transfers to acute care settings. What is known about the topic? Residential aged care facilities (RACFs) are the hospices of today. Many RACF staff are not confident in the delivery of high quality palliative care, resulting in inappropriate transfers of dying residents to acute care facilities. Needs-based palliative care pathways are being used increasingly to direct care in a variety of healthcare environments. What does this paper add? Provides the first evidence in Australia that a residential aged care end-of-life care pathway (RAC EoLCP) improves outcomes of care for dying residents and results in fewer residents being inappropriately transferred to acute care facilities. What are the implications for practitioners? Use of the RAC EoLCP will improve resident and health system outcomes by guiding the delivery of high quality palliative care and improving the palliative care capacity of generalist health providers.

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Barnett, Kate. "AGED CARE POLICY FOR A MULTICULTURAL SOCIETY." Australian Journal on Ageing 7, no. 4 (November 1988): 3–21. http://dx.doi.org/10.1111/j.1741-6612.1988.tb00334.x.

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Short, Leonie M. "Patient leadership in aged care." Australian Health Review 46, no. 4 (August 4, 2022): 387. http://dx.doi.org/10.1071/ah22162.

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Tin Ng, Guat. "Learning from Japanese Experience in Aged Care Policy." Asian Social Work and Policy Review 1, no. 1 (September 2007): 36–51. http://dx.doi.org/10.1111/j.1753-1411.2007.00004.x.

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Howe, Anna L. "Recent Developments in Aged Care Policy in Australia." Journal of Aging & Social Policy 13, no. 2-3 (July 25, 2002): 101–16. http://dx.doi.org/10.1300/j031v13n02_08.

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Fisher, Karen R., Xiaoyi Zhang, and Max Alston. "Shanghai aged care and Confucian welfare." International Journal of Sociology and Social Policy 38, no. 9/10 (September 10, 2018): 722–35. http://dx.doi.org/10.1108/ijssp-01-2018-0003.

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Purpose Some social policy theorists assert that East Asia has a distinct social welfare regime that due to the influence of Confucian values relies on families more than in other countries. This theorisation has been questioned, partly because it is a static, reductive generalisation. The purpose of this paper is to ask whether this characterisation is relevant to aged care services in Shanghai. Design/methodology/approach This study uses data from ageing profile statistics, policy documents and ethnographic fieldwork to examine Shanghai aged care services. Findings These data show a growing reliance and preference for state aged care service provision to complement family care. It finds that changes in Shanghai aged care services in the last ten years have moved towards a model with similar patterns in high-income countries. It suggests that differences in the service system that were attributed to Confucian values were more likely due to the degree of economic development and internationalisation. Originality/value This paper contributes to the literature by re-examining the structure of Shanghai’s welfare regime in the context of the dynamic nature of aged care services and preferences of older people.

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Lowe, Julia, and Draginja Kasap. "Reorganisation of an ailing aged care service." Australian Health Review 25, no. 6 (2002): 156. http://dx.doi.org/10.1071/ah020156a.

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This paper evaluates the impact of reorganisation of geriatric and general medical services in a tertiary referral hospital. The patients involved were predominantly elderly with multiple medical problems. We used an iterative process of bed utilisation review, stakeholder consultation and service remodelling to improve bed management. Reduced length of stay and increased throughput allowed closure of between 22 and 30 beds and generated recurrent cost savings of $900,000 annually. Even under pressure it is possible to describe and evaluate the process of change. Such description and evaluation may help to avoid expensive mistakes.

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Wise, Sarah. "Staffing policy in aged care must look beyond the numbers." Australian Health Review 44, no. 6 (2020): 829. http://dx.doi.org/10.1071/ah20312.

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The COVID-19 pandemic has highlighted an aged care system struggling to meet the needs of vulnerable Australians. Staffing levels and skill mix in aged care have declined, whereas the health and social needs of an older and more clinically complex population have risen. Increasing staff and improving personal care workers’ skills and education are essential steps to quality aged care in Australia, but it will not be possible without funding models that foster secure employment, development opportunities and long-term career pathways.

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Hearn, Lydia, and Linda Slack-Smith. "Oral health care in residential aged care services: barriers to engaging health-care providers." Australian Journal of Primary Health 21, no. 2 (2015): 148. http://dx.doi.org/10.1071/py14029.

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The oral health of older people living in residential aged care facilities has been widely recognised as inadequate. The aim of this paper is to identify barriers to effective engagement of health-care providers in oral care in residential aged care facilities. A literature review was conducted using MEDline, CINAHL, Web of Science, Academic Search Complete and PsychInfo between 2000 and 2013, with a grey literature search of government and non-government organisation policy papers, conference proceedings and theses. Keywords included: dental/oral care, residential aged care, health-care providers, barriers, constraints, and limitations. A thematic framework was used to synthesise the literature according to a series of oral health-care provision barriers, health-care provider barriers, and cross-sector collaborative barriers. A range of system, service and practitioner level barriers were identified that could impede effective communication/collaboration between different health-care providers, residents and carers regarding oral care, and these were further impeded by internal barriers at each level. Findings indicated several areas for investigation and consideration regarding policy and practice improvements. While further research is required, some key areas should be addressed if oral health care in residential aged care services is to be improved.

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Walker, Beverly, and Tim Haslett. "System dynamics and action research in aged care." Australian Health Review 24, no. 1 (2001): 183. http://dx.doi.org/10.1071/ah010183.

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This paper documents an Action Research project undertaken to implement a Continuity of Care Model in anExtended Care Centre. System Dynamics modelling and group-modelling techniques were used to examine andimprove patient length of stay (LOS). Several indicators of success of the project are noted. They included thereduction of LOS, improvements in teamwork and staff morale, and various systemic adaptations in other parts ofthe health care sector. Upstream providers responded to the reductions in patient numbers by swamping the Centrewith intractable patients. This effectively reduced up-stream providers' LOS, and returned the Centre's LOS to pre-interventionlevels.

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Gibson, Diane. "The interface between hospital and residential aged care." Australian Health Review 25, no. 5 (2002): 132. http://dx.doi.org/10.1071/ah020132a.

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The last 15 years have seen substantial changes in both the aged care and the acute hospital sectors. This article focuses on the impact of those changes on the interface between hospital and residential care. It examines trends in expenditure, supply and patterns of service use in the two sectors.Despite good national databases on hospitals and aged care services, there is little national information on the interface of the two sectors.The material presented here is based on work being undertaken at the Australian Institute of Health and Welfare, as part of a project aimed at developing a national database linking residential aged care and hospital morbidity data.

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Borotkanics, Robert, Cassandra Rowe, Andrew Georgiou, Heather Douglas, Meredith Makeham, and Johanna Westbrook. "Changes in the profile of Australians in 77 residential aged care facilities across New South Wales and the Australian Capital Territory." Australian Health Review 41, no. 6 (2017): 613. http://dx.doi.org/10.1071/ah16125.

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Objective Government expenditure on and the number of aged care facilities in Australia have increased consistently since 1995. As a result, a range of aged care policy changes have been implemented. Data on demographics and utilisation are important in determining the effects of policy on residential aged care services. Yet, there are surprisingly few statistical summaries in the peer-reviewed literature on the profile of Australian aged care residents or trends in service utilisation. Therefore, the aim of the present study was to characterise the demographic profile and utilisation of a large cohort of residential aged care residents, including trends over a 3-year period. Methods We collected 3 years of data (2011–14) from 77 residential aged care facilities and assessed trends and differences across five demographic and three service utilisation variables. Results The median age at admission over the 3-year period remained constant at 86 years. There were statistically significant decreases in separations to home (z = 2.62, P = 0.009) and a 1.35% increase in low care admissions. Widowed females made up the majority (44.75%) of permanent residents, were the oldest and had the longest lengths of stay. One-third of permanent residents had resided in aged care for 3 years or longer. Approximately 30% of residents were not born in Australia. Aboriginal residents made up less than 1% of the studied population, were younger and had shorter stays than non-Aboriginal residents. Conclusion The analyses revealed a clear demographic profile and consistent pattern of utilisation of aged care facilities. There have been several changes in aged care policy over the decades. The analyses outlined herein illustrate how community, health services and public health data can be used to inform policy, monitor progress and assess whether intended policy has had the desired effects on aged care services. What is known about the topic? Characterisation of permanent residents and their utilisation of residential aged care facilities is poorly described in the peer-reviewed literature. Further, publicly available government reports are incomplete or characterised using incomplete methods. What does this paper add? The analyses in the present study revealed a clear demographic profile and consistent pattern of utilisation of aged care facilities. The most significant finding of the study is that one-third of permanent residents had resided in an aged care facility for ≥3 years. These findings add to the overall picture of residential aged care utilisation in Australia. What are the implications for practitioners? The analyses outlined herein illustrate how community, health services and public health data can be utilised to inform policy, monitor progress and assess whether or not intended policy has had the desired effects on aged care services.

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McAuliffe, Linda, Deirdre Fetherstonhaugh, and Michael Bauer. "Sexuality and sexual health: Policy in Australian residential aged care." Australasian Journal on Ageing 39, S1 (December 5, 2018): 59–64. http://dx.doi.org/10.1111/ajag.12602.

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McDonald, Tracey. "Building capacity for aged care policy reform: Aspirations and issues." Journal of Care Services Management 4, no. 2 (January 2010): 157–66. http://dx.doi.org/10.1179/175016810x12670238442066.

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Howe, Anna L. "Extending the Pillars of Social Policy Financing to Aged Care." Social Policy and Administration 33, no. 5 (December 1999): 534–51. http://dx.doi.org/10.1111/1467-9515.00169.

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Lippert, Noela. "AGED CARE REFORMS: POLICY IMPLICATIONS FOR RURAL AND REMOTE AUSTRALIA." Australian Journal of Rural Health 6, no. 3 (August 1998): 161–64. http://dx.doi.org/10.1111/j.1440-1584.1998.tb00304.x.

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Clark, Michele J. "Implementation of Aged Care Policy in the Australian Federal System." Australian Journal of Public Administration 56, no. 3 (September 1997): 53–64. http://dx.doi.org/10.1111/j.1467-8500.1997.tb01265.x.

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Winkler, Dianne, Louise Farnworth, and Sue Sloan. "People under 60living in aged care facilities in Victoria." Australian Health Review 30, no. 1 (2006): 100. http://dx.doi.org/10.1071/ah060100.

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Objective: To describe the characteristics of people under 60 years of age living in residential aged care in Victoria and to examine the occupational participation of younger residents in aged care facilities by measuring their social contact, participation in recreation and community access. Methods: A survey was sent to the Directors of Nursing at all 803 Commonwealth Department of Health and Aged Care registered aged care facilities in Victoria. Results: The survey had a 78% response rate and information was provided about the characteristics of 330 people under 60 years with high clinical needs residing in aged care facilities. This sample was extremely isolated from peers, with 44% receiving a visit from a friend less often than once per year. Sixteen per cent of residents participated in a recreation activity less than once per month and 21% went outside less than once per month. Of the sample, 34% almost never participated in any community-based activities such as shopping, leisure or visiting friends and family. Conclusion: Over one third of younger people in aged care are effectively excluded from life in our community. Most younger residents are socially isolated and have limited opportunities for recreation. Placement of younger people in aged care facilities is inappropriate, and alternative care models and settings are required.

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Nakayama, Naomi. "Important of nutritional care in super aged society." World Nutrition Journal 6, S1 (October 31, 2022): 7. http://dx.doi.org/10.25220/wnj.v06.s1.0005.

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Japan has been facing serious aged society ahead of the world as seniors’ population has exceeded 27%. In this background, governmental policy of medical reformation has released in which expansion of home care and hospital beds reduction have promoted.

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Kroemer, Dawn J., Geoffrey Bloor, and Jeff Fiebig. "Acute Transition Allliance: rehabilitation at the acute/aged care interface." Australian Health Review 28, no. 3 (2004): 266. http://dx.doi.org/10.1071/ah040266.

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The acute/aged care interface has presented many challenges to funders, providers and planners in the health and aged care sectors. Concerns have long been expressed in the aged care sector about the changing needs of clients admitted permanently into residential aged care from hospitals where the decision for placement would often have been made in a crisis situation, without the opportunity to explore appropriate options. This article describes the process and outcomes to date of a collaborative effort between the acute care and aged care sectors in South Australia to develop a more integrated approach to discharge opportunities for older people. The program involves both residential and community care elements and seeks to provide rehabilitation, to restore function and to avoid inappropriate permanent residential care for older Australians following acute admissions to a public hospital. Interim outcomes are promising and show only 17% of those admitted to the program are discharged to long-term residential care.

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Giles, Lynne C., Julie A. Halbert, Maria Crotty, Ian D. Cameron, and Len C. Gray. "The distribution of health services for older people in Australia: where does transition care fit?" Australian Health Review 33, no. 4 (2009): 572. http://dx.doi.org/10.1071/ah090572.

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Introduction: The purpose of this study was to describe the distribution of hospital and aged care services for older people, with a particular focus on transition care places, across Australia and to determine the relationships between the provision of these services. Methods: Aggregation of health and aged care service indicators by Aged Care Assessment Team (ACAT) region including: public and private acute and subacute (rehabilitation and geriatric evaluation and management) hospital beds, flexible and mainstream aged care places as at 30 June 2006. Results: There was marked variation in the distribution of acute and subacute hospital beds among the 79 ACAT regions. Aged care places were more evenly distributed. However, the distribution of transition care places was uneven. Rural areas had poorer provision of all beds. There was no evidence of coordination in the allocation of hospital and aged care services between the Commonwealth and state/territory governments. There was a weak relationship between the allocation of transition care places and the distribution of health and aged care services. Discussion: Overall, the distribution of services available to older persons is uneven across Australia. While the Transition Care Program is flexible and is providing rural communities with access to rehabilitation, it will not be adequate to address the increasing needs associated with the ageing of the Australian population. An integrated national plan for aged care and rehabilitation services should be considered.

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Moore, Corey B. "Consumer directed care aged care reforms in Australia since 2009: A retrospective policy analysis." Health Policy 125, no. 5 (May 2021): 577–81. http://dx.doi.org/10.1016/j.healthpol.2021.03.012.

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Lyon, Cheryl. "Advance care planning for residents in aged care facilities." International Journal of Evidence-Based Healthcare 5, no. 4 (December 2007): 450–57. http://dx.doi.org/10.1097/01258363-200712000-00006.

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Gray, Leonard C., Gerald A. Broe, Stephen J. Duckett, Diane M. Gibson, Catherine Travers, and Geoff McDonnell. "Developing a policy simulator at the acute–aged care interface." Australian Health Review 30, no. 4 (2006): 450. http://dx.doi.org/10.1071/ah060450.

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This paper describes the development of a computer simulation of the interactions between the acute and aged care systems in Australia, using system dynamics modeling enhanced by agentbased techniques. National and regional simulations will be developed, enabling the impact of a variety of policy scenarios to be forecast over the next 10 years. The paper includes a description of the relevant policy environment and some of the associated key policy issues.

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Leventhal, Leib. "The role of understanding customer expectations in aged care." International Journal of Health Care Quality Assurance 21, no. 1 (February 8, 2008): 50–59. http://dx.doi.org/10.1108/09526860810841156.

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Andrews-Hall, Sharon, Anna Howe, and Andrew Robinson. "The dynamics of residential aged care in Australia: 8-year trends in admission, separations and dependency." Australian Health Review 31, no. 4 (2007): 611. http://dx.doi.org/10.1071/ah070611.

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The aims of this paper are to analyse changes in dependency of residents in residential aged care homes consequent upon the passing of the Commonwealth Aged Care Act in late 1997, and to establish the extent of resultant changes in the dynamics of residential aged care. The paper outlines the major changes brought by the Aged Care Act, and evidence for the effects of these changes is examined to test the hypothesis that changes in dependency generated changes in turnover and length of stay. The findings show that the proportion of admissions classified at higher categories of the Resident Classification Scale has increased over time, and that the trend to higher classification is even more pronounced by the time residents separate. As funding of residential aged care is based on resident dependency, change in dependency and in the dynamics of the aged care system have potentially significant consequences for Commonwealth funding of providers to ensure care can be provided commensurate with resident needs. The conclusions take up a number of implications of the findings for future policy in relation to planning and funding of residential aged care as a new resident funding system based on the Aged Care Funding Instrument (ACFI) is phased in from mid 2007.

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Alexander, Gregory L., Andrew Georgiou, Joyce Siette, Richard Madsen, Anne Livingstone, Johanna Westbrook, and Chelsea Deroche. "Exploring information technology (IT) sophistication in New South Wales residential aged care facilities." Australian Health Review 44, no. 2 (2020): 288. http://dx.doi.org/10.1071/ah18260.

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Objective The aim of this study was to determine baseline information technology (IT) sophistication in New South Wales (NSW), Australia, residential aged care facilities. Method IT sophistication measures IT capabilities, extent of IT use and IT integration in two domains, resident care and clinical support. A survey was administered to all NSW residential aged care facilities (n = 876) between February and May 2017. A 15% response rate was achieved (130/876). Facilities were organised by organisational type, total residential places and remoteness. Using post-stratification weights, estimates of IT sophistication scores for NSW were determined. Regression was used to examine whether there was a linear relationship between IT sophistication and the ratio of residents receiving high care. Results Participating facilities were similar to other NSW facilities in residential places and remoteness, but different in organisational type. IT sophistication was highest in IT capabilities and integration in resident care. IT sophistication was lowest in clinical support. Respondents had a mean of 1.2 years of IT experience. IT sophistication varied among aged care facilities. There was a linear relationship (P < 0.05) with the proportion of high-care residents and total IT sophistication Conclusion Routine reports of IT sophistication in aged care are not available. If data were available, determining the influence of IT sophistication on the quality care for residential aged care would be possible. What is known about the topic? Aged care settings that deliver care to the older population need to be contemporary in their approach to delivering high-quality and safe care. Health IT holds great potential for improving the quality and safety of care of older residents in aged care facilities. What does this paper add? This report provides a baseline assessment of IT capabilities, extent of IT use and IT integration, called IT sophistication, among aged care facilities with variable characteristics. What are implications for practitioners? Increasing IT sophistication has the potential to improve the quality of care delivered by aged care staff.

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Davis, Jenny, Amee Morgans, and Stephen Burgess. "Information management in the Australian aged care setting." Health Information Management Journal 46, no. 1 (July 26, 2016): 3–14. http://dx.doi.org/10.1177/1833358316639434.

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Background: Information management systems and processes have an impact on quality and safety of care in any setting and particularly in the complex care setting of aged care. Few studies have comprehensively examined information management in the Australian aged care setting. Objective: To (i) critically analyse and synthesize evidence related to information management in aged care, (ii) identify aged care data collection frameworks and (iii) identify factors impacting information management. Methods: An integrative review of Australian literature published between March 2008 and August 2014 and data collection frameworks concerning information management in aged care were carried out. Results: There is limited research investigating the information-rich setting of aged care in Australia. Electronic systems featured strongly in the review. Existing research focuses on residential settings with community aged care largely absent. Information systems and processes in the setting of aged care in Australia are underdeveloped and poorly integrated. Conclusions: Data quality and access are more problematic within community aged care than residential care settings. The results of this review represent an argument for a national approach to information management in aged care to address multiple stakeholder information needs and more effectively support client care.

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McInnes, Judith A., and Joseph E. Ibrahim. "Preparation of residential aged care services for extreme hot weather in Victoria, Australia." Australian Health Review 37, no. 4 (2013): 442. http://dx.doi.org/10.1071/ah13001.

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Objectives. The purpose of this study was to describe preparations for extreme hot weather at Victorian public sector residential aged care services for the 2010−11 summer, and to examine the role of the Residential Aged Care Services Heatwave Ready Resource in this process. Method. Qualitative data was collected through semi-structured interviews of senior staff of Victorian public sector residential aged care services. Interviews were conducted at monthly intervals from November 2010 to March 2011, and data were analysed thematically. Results. All interviewees described pre-summer preparations for hot weather undertaken at the health services they represented. Staff awareness and experience, and having a heatwave plan, were reported to have facilitated heat preparedness, whereas challenges to preparations mainly concerned air conditioning. The Residential Aged Care Services Heatwave Ready Resource was used to inform heatwave plans, for staff and family education, and as an audit tool. Conclusions. An extensive and well-considered approach to minimisation of harm from extreme heat by a sample of residential aged care services is described, and the Residential Aged Care Services Heatwave Ready Resource is reported to have supported the heatwave preparedness process. What is known about the topic? Heatwaves cause illness and death and are likely to become more frequent and severe in the future. Residents of aged care services are particularly vulnerable to harm from heatwaves. The Residential Aged Care Services Heatwave Ready Resource has been developed to support staff of residential aged care services in Victoria to prepare for heatwaves. What does this paper add? This exploratory study provides insight into the types of preparations for extreme hot weather that are undertaken at Victorian residential aged care services before and during summer. What are the implications for practitioners? A combination of staff knowledge and experience, and having a heatwave plan, supported by a publication that includes educational resources and a checklist is reported to facilitate the preparedness of Victorian residential aged care services for extreme hot weather.

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Solly, Kane Norman, and Yvonne Wells. "What predicts consumer experience in residential aged care? An analysis of consumer experience report data." Australian Health Review 45, no. 4 (2021): 485. http://dx.doi.org/10.1071/ah20270.

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ObjectivesThis study explored whether consumer experience report (CER) data from residential aged care services (RACSs) could be combined into a general factor and determined whether poor experience in RACSs could be predicted by known resident or home characteristics or sampling procedures. MethodsCER data collected by structured interviews in 2018 and early 2019 were analysed using structural equation modelling and linear regression analysis. ResultsData were available from 17194 interviews undertaken at 1159 RACSs. The 10 CER items loaded onto two independent factors. Bifactorial modelling indicated that items could be combined into a general factor. Controlling for state or territory, consumer experience was best predicted by home size: those in large facilities reported poorer experience than those in smaller facilities. Other significant negative predictors with small effect sizes included not being independently mobile, being male and not being randomly selected. Dementia did not predict total CER score. ConclusionsThe results of this study support the inclusion of people with dementia and exclusion of volunteer participants from published CERs. Further research is needed to explore why a relatively poor consumer experience is reported by people in larger homes, men and those with mobility issues. What is known about the topic?Poor experience in aged care is a persistent concern for government, individuals and aged care services. The recent Royal Commission into Aged Care Quality and Safety has identified systemic failure. Although many organisational features and processes have previously been identified as important in determining the quality of care, few studies have explored the characteristics that predict the consumer experience of residents in aged care. What does this paper add?This paper provides empirical evidence that several variables influence consumer experience in aged care, including facility size and resident sex and mobility. There is evidence that smaller facilities provide care that is perceived better by residents, and that men and people with mobility issues have worse experiences in aged care. There is a lack of clarity as to what other influences, such as facility ethos, facility location and staffing levels, may contribute to resident experience. Such clarity is important, because Australian aged care is currently facing comprehensive scrutiny, and governments are looking to ensure the safety and quality of aged care services. What are the implications for practitioners?Identifying and addressing inequities in aged care services and mitigating risks must be a priority in Australia to ensure aged care services provide safe and high-quality care. The results of this study challenge current funding structures that encourage the development of larger aged care homes, and instead suggest that better funding for smaller-sized facilities may be able to improve the experience of residents in aged care. The results also suggest that facilities and governments should attend to the experiences of specific groups, such as men and people with mobility issues.

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Choi, In-Kyu. "Analysis of Causal Structure of Aged-Friendly-Care Industry Activation Policy." Journal of Digital Convergence 15, no. 2 (February 28, 2017): 519–25. http://dx.doi.org/10.14400/jdc.2017.15.2.519.

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Baldwin, Richard, Lynn Chenoweth, and Marie dela Rama. "Residential Aged Care Policy in Australia - Are We Learning from Evidence?" Australian Journal of Public Administration 74, no. 2 (February 5, 2015): 128–41. http://dx.doi.org/10.1111/1467-8500.12131.

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Sellars, M., W. Silvester, R. Fullam, R. Sjanta, L. Jackson, D. Mawren, and R. Mountjoy. "CPR POLICY AND PRACTICE IN AUSTRALIAN RESIDENTIAL AGED CARE FACILITIES (RACFS)." BMJ Supportive & Palliative Care 3, no. 2 (June 2013): 268.3–269. http://dx.doi.org/10.1136/bmjspcare-2013-000491.111.

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Bergin, Anne, Sandra G. Leggat, David Webb, and Koh Ai Lane. "A case study on easing an institutional bottleneck in aged care." Australian Health Review 29, no. 3 (2005): 327. http://dx.doi.org/10.1071/ah050327.

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This is a case study about a cross-sector Interim Health Care Strategy (IHCS) developed by a Victorian metropolitan health service in partnership with a private residential facility and a community agency to provide a range of transitional or interim care initiatives for public hospital patients awaiting permanent residential care after completing acute or subacute treatment. The aims were to improve access to emergency and acute inpatient services, while meeting the needs of residential care clients in the metropolitan suburbs. The components included care within a residential care facility, communitybased interim care and a subsequent Extended Rehabilitation Program. This IHCS has shown how a cross-sector initiative can improve care and outcomes of patients awaiting residential care placement. The case study shows how a multifaceted strategy that built upon existing relationships with strong planning, organisational commitment and a facilitating structure was successful in improving care integration.

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Winkler, Dianne F., Louise J. Farnworth, Sue M. Sloan, and Ted Brown. "Young people in aged care: progress of the current national program." Australian Health Review 35, no. 3 (2011): 320. http://dx.doi.org/10.1071/ah10889.

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Objective. The aim of this paper is to examine the progress and effect of the current 5-year $244 million national Young People in Residential Aged Care program on the reduction of young people in aged care. Method. Semi-structured telephone interviews with 20 service providers, 10 advocacy organisations and 6 public servants across Australia actively involved in the implementation of the program. Results. The development of new accommodation options has been slow. The 5-year program aims to move 689 young people out of nursing homes; in the first 4 years of the initiative only 139 people had moved out. The lives of those who have been helped by the program have been enormously improved. Conclusions. This study highlights the challenges of achieving a long-term reduction in the number of young people in residential aged care, including the challenge of achieving systemic change to prevent new admissions. Implications. The accommodation options currently being developed for this target group will soon be at capacity. Without sustained investment in developing alternative accommodation options and resources to implement systemic change ~250 people under 50 are likely to continue to be admitted to aged care each year in Australia. What is known about the topic? Prior to the current 5-year, $244 million, national Young People in Residential Aged Care program there were more than 1000 Australians under 50 years of age who lived in aged care facilities. Aged care is not designed or resourced to facilitate the active involvement of young people with high clinical needs in everyday activities or support their continued participation in the life of their community. What does this paper add? In the first 4 years of the national program only 139 people moved out of aged care. The lives of those who have been helped by the program have been enormously improved. The program is unlikely to result in a long-term reduction in the number of young people in aged care. What are the implications for practitioners? Systemic change and sustained investment in accommodation options is required to resolve the issue of young people in aged care.

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Gibson, Diane. "Who uses residential aged care now, how has it changed and what does it mean for the future?" Australian Health Review 44, no. 6 (2020): 820. http://dx.doi.org/10.1071/ah20040.

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ObjectiveThis paper presents past trends in resident characteristics and usage patterns in residential aged care and explores implications for the future. MethodsTime series analyses were undertaken of national aged care administrative datasets and the Australian Bureau of Statistics Surveys of Disability, Ageing and Carers. ResultsAlthough the number of people in residential care has continued to increase, resident profiles have changed as a result of higher growth rates in the number of men and of people aged 65–74 years and 90 years and over, and a decline in the number of women aged 75–89 years. Relative to population size, usage rates are declining across all age groups, the average length of stay is shortening, and dependency levels appear to be rising. ConclusionChanging trends in residential aged care use, when combined with key trends in the broader population of older Australians, offer useful insights in planning for the future. What is known about the topic?Trends in the changing characteristics of permanent aged care residents and patterns of use of Australian residential aged care have received sparse attention in scholarly journals. Government reports and databases contain useful statistics, but they do not provide a coherent analysis and interpretation of the implications of these trends or situate them in broader population patterns. What does this paper add?The analyses in this paper demonstrate patterns of change and continuity in the use of residential care over the past decade, and locate those changes in the context of broader trends in the ageing population. Together, this provides useful insights into current and likely future trends, as well as a basis for imagining an improved residential aged care system in the future. What are the implications for practitioners?These analyses illustrate how data on aged care services, demographic trends and disease patterns can be used to consider the challenges that have affected our residential aged care system in the past and how that may be addressed in the future.

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Gibson, Diane. "Corrigendum to: Who uses residential aged care now, how has it changed and what does it mean for the future?" Australian Health Review 44, no. 6 (2020): 983. http://dx.doi.org/10.1071/ah20040_co.

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ObjectiveThis paper presents past trends in resident characteristics and usage patterns in residential aged care and explores implications for the future.MethodsTime series analyses were undertaken of national aged care administrative datasets and the Australian Bureau of Statistics Surveys of Disability, Ageing and Carers.ResultsAlthough the number of people in residential care has continued to increase, resident profiles have changed as a result of higher growth rates in the number of men and of people aged 65–74 years and 90 years and over, and a decline in the number of women aged 75–89 years. Relative to population size, usage rates are declining across all age groups, the average length of stay is shortening, and dependency levels appear to be rising.ConclusionChanging trends in residential aged care use, when combined with key trends in the broader population of older Australians, offer useful insights in planning for the future.What is known about the topic?Trends in the changing characteristics of permanent aged care residents and patterns of use of Australian residential aged care have received sparse attention in scholarly journals. Government reports and databases contain useful statistics, but they do not provide a coherent analysis and interpretation of the implications of these trends or situate them in broader population patterns.What does this paper add?The analyses in this paper demonstrate patterns of change and continuity in the use of residential care over the past decade, and locate those changes in the context of broader trends in the ageing population. Together, this provides useful insights into current and likely future trends, as well as a basis for imagining an improved residential aged care system in the future.What are the implications for practitioners?These analyses illustrate how data on aged care services, demographic trends and disease patterns can be used to consider the challenges that have affected our residential aged care system in the past and how that may be addressed in the future.

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Halcomb, Elizabeth J., Rhonda Griffiths, and Bernadette M. Sheperd. "Perceptions of multidisciplinary case conferencing in residential aged care facilities." Australian Health Review 33, no. 4 (2009): 566. http://dx.doi.org/10.1071/ah090566.

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Objective: To explore the understanding about and perceptions of, multidisciplinary case conferencing in residential aged care from the perspective of residential facility staff, residents, carers and general practitioners. Methods: Focus groups and in-depth interviews were conducted with nurses, residents, carers, allied health workers and general practitioners from two residential aged care facilities during February?March 2008. Conversations were analysed using thematic analysis techniques. Results: Thematic analyses highlighted four key themes. Most notably, respondents identified a degree of confusion regarding the purpose of case conferencing and its role in resident health care. The ad hoc development of the conferencing model led to unclear role descriptions for participants that contributed to role confusion and the lack of a collaborative culture. Underpinning much of the discussion was the need for a framework to support the organisation of the conference process. Conclusions: While the process of multidisciplinary case conferencing in residential aged care has significant potential to improve resident care and health outcomes, the development of an explicit framework is required to support the effective conduct of these meetings. Key stakeholders need to be engaged to develop a team approach to conducting case conferences that facilitates the active participation of providers, residents and their carers.

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Duckett, Stephen. "Election 2022 should address unfinished business in health and aged care." Australian Health Review 46, no. 2 (April 7, 2022): 127–28. http://dx.doi.org/10.1071/ah22054.

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The 2022 federal election is critical for the health and aged care sectors. Both parties need to address the COVID care deficit, oral health care, and commit to fix the aged care mess. The ongoing tragedy of First Nations health should also remain a priority. And a bipartisan acceptance of the need to address climate change is also required.

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Hodgkinson, Brent, and Rhonda Nay. "Effectiveness of topical skin care provided in aged care facilities." International Journal of Evidence-Based Healthcare 3, no. 4 (May 2005): 65–101. http://dx.doi.org/10.1111/j.1479-6988.2005.00022.x.

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Hodgkinson, Brent, and Rhonda Nay. "Effectiveness of topical skin care provided in aged care facilities." International Journal of Evidence-Based Healthcare 3, no. 4 (May 2005): 65–101. http://dx.doi.org/10.1097/01258363-200505010-00001.

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Choy, Sarojni, and Amanda Henderson. "Preferred strategies for workforce development: feedback from aged care workers." Australian Health Review 40, no. 5 (2016): 533. http://dx.doi.org/10.1071/ah15116.

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Objective The aim of the present study was to investigate how aged care workers prefer to learn and be supported in continuing education and training activities. Methods Fifty-one workers in aged care facilities from metropolitan and rural settings across two states of Australia participated in a survey and interviews. Survey responses were analysed for frequencies and interview data provided explanations to the survey findings. Results The three most common ways workers were currently learning and prefer to continue to learn are: (1) everyday learning through work individually; (2) everyday learning through work individually assisted by other workers; and (3) everyday learning plus group training courses at work from the employer. The three most common types of provisions that supported workers in their learning were: (1) working and sharing with another person on the job; (2) direct teaching in a group (e.g. a trainer in a classroom at work); and (3) direct teaching by a workplace expert. Conclusions A wholly practice-based continuing education and training model is best suited for aged care workers. Two variations of this model could be considered: (1) a wholly practice-based model for individual learning; and (2) a wholly practice-based model with guidance from coworkers or other experts. Although the model is preferred by workers and convenient for employers, it needs to be well resourced. What is known about the topic? Learning needs for aged care workers are increasing significantly because of an aging population that demands more care workers. Workforce development is largely ‘episodic’, based on organisational requirements rather than systematic life-long learning. This study is part of a larger 3-year Australian research to investigate models of continuing education training. What does this paper add? Based on an analysis of survey and interview data from 51 workers, the present study suggests effective models of workforce development for aged care workers. What are the implications for practitioners? The effectiveness of the suggested models necessitates a culture where aged care workers’ advancement in the workplace is valued and supported. Those responsible for the development of these workers need to be adequately prepared for mentoring and coaching in the workplace.

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Vang, Johannes, Peter Karlsson, and Stefan Håkansson. "Intensive Care for the Aged in a Swedish Community Hospital." International Journal of Technology Assessment in Health Care 1, no. 4 (October 1985): 893–900. http://dx.doi.org/10.1017/s0266462300001860.

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Eckermann, Simon, Lyn Phillipson, and Richard Fleming. "Re-design of Aged Care Environments is Key to Improved Care Quality and Cost Effective Reform of Aged and Health System Care." Applied Health Economics and Health Policy 17, no. 2 (October 16, 2018): 127–30. http://dx.doi.org/10.1007/s40258-018-0435-1.

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Courtney, Mary, Maria T. O'Reilly, Helen Edwards, and Stacey Hassall. "Benchmarking clinical indicators of quality for Australian residential aged care facilities." Australian Health Review 34, no. 1 (2010): 93. http://dx.doi.org/10.1071/ah09663.

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To undertake exploratory benchmarking of a set of clinical indicators of quality care in residential care in Australia, data were collected from 107 residents within four medium-sized facilities (40–80 beds) in Brisbane, Australia. The proportion of residents in each sample facility with a particular clinical problem was compared with US Minimum Data Set quality indicator thresholds. Results demonstrated variability within and between clinical indicators, suggesting breadth of assessment using various clinical indicators of quality is an important factor when monitoring quality of care. More comprehensive and objective measures of quality of care would be of great assistance in determining and monitoring the effectiveness of residential aged care provision in Australia, particularly as demands for accountability by consumers and their families increase. What is known about the topic?The key to quality improvement is effective quality assessment, and one means of evaluating quality of care is through clinical outcomes. The Minimum Data Set quality indicators have been credited with improving quality in United States nursing homes. What does this paper add?The Clinical Care Indicators Tool was used to collect data on clinical outcomes, enabling comparison of data from a small Australian sample with American quality benchmarks to illustrate the utility of providing guidelines for interpretation. What are the implications for practitioners?Collecting and comparing clinical outcome data would enable practitioners to better understand the quality of care being provided and whether practices required review. The Clinical Care Indicator Tool could provide a comprehensive and systematic means of doing this, thus filling a gap in quality monitoring within Australian residential aged care.

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Flicker, Leon. "Clinical issues in aged care: Managing the interface between acute, subacute, community and residential care." Australian Health Review 25, no. 5 (2002): 136. http://dx.doi.org/10.1071/ah020136a.

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Although there is considerable evidence for the use of geriatric assessment and rehabilitation in many clinical settings, there exists relatively poor access in various regions of Australia. There has been considerable growth of community support services to assist in personal care of older people. Unfortunately, a lack of uniform assessment has hindered prioritization of clients,with the resultant need,and delivery, of post-acute hospital care services.In addition, there has been considerable progress in the clinical management of the age dependent disabling problems,such as dementia, osteoporosis, incontinence and falls, but the appropriate mix of funding between primary, secondary and tertiary interventions has not been determined. The health care needs of older people in residential care have been totally neglected, placing the sector at considerable risk. There need to be a fundamental rethink in managing the interface between acute, subacute,community and residential care.

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Silvester, William, Rachael S. Fullam, Ruth A. Parslow, Virginia J. Lewis, Rebekah Sjanta, Lynne Jackson, Vanessa White, and Jane Gilchrist. "Quality of advance care planning policy and practice in residential aged care facilities in Australia." BMJ Supportive & Palliative Care 3, no. 3 (November 14, 2012): 349–57. http://dx.doi.org/10.1136/bmjspcare-2012-000262.

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Gibson, Diane. "Reforming Aged Care in Australia: Change and Consequence." Journal of Social Policy 25, no. 2 (April 1996): 157–79. http://dx.doi.org/10.1017/s0047279400000295.

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ABSTRACTFor the last ten years, the Australian system of services for frail elderly people has been undergoing significant reforms. Prior to that time, a series of government reviews and inquiries had repeatedly identified the same problems, including the dominance of institutional care, the inadequate supply of home and community based services, the lack of co-ordination, the inefficiency, and the unequal distribution of services by geographical area. Changes since the implementation of the Aged Care Reform Strategy in 1985 have been considerable, particularly with regard to the residential care sector. This article is concerned with the policy responses which emerged under the Strategy, and their impact on aged care service delivery in Australia.

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Journal articles on the topic 'Aged care policy'

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