Residential Aged Care Policy in Australia – Are We Learning from Evidence?

Baldwin, Richard; Chenoweth, Lynn; Rama, Marie dela

doi:10.1111/1467-8500.12131

Cited by 38 publications

(41 citation statements)

References 30 publications

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“…This paper complements previous studies that evaluate the efficiency of the Australian aged care system using a unique dataset. The analysis reported in this paper is drawn from unpublished data from private residential aged care facilities, which are operated by members of the Aged Care Guild (a group of large for‐profit providers).…”

Section: Resultsmentioning

confidence: 70%

Accommodation payment plans in residential aged care: The impact of consumer choice

Abiona

Woods

et al. 2019

Australas J Ageing

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Objective To examine changes in accommodation payments to residential aged care facilities following the introduction of consumer choice reforms in 2014. These reforms have allowed residents to choose between making lump sum refundable deposits and/or rental‐style payments. Methods Quantitative analysis was undertaken for facility‐level quarterly data of 136 separate facilities, which were operated by six providers over the period under study. Results While the total pool of payments has grown strongly, consumers have increasingly favoured rental‐style payments over lump sum refundable deposits. Conclusion Consumer choice has changed the landscape of accommodation payment receipts in the provision of residential aged care services. Greater understanding is needed on how consumer preferences impact on the financial risk borne by providers and their ability to invest in future capacity.

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Section: Resultsmentioning

confidence: 70%

Accommodation payment plans in residential aged care: The impact of consumer choice

Abiona

Woods

et al. 2019

Australas J Ageing

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“…Previously Baldwin et al. (, p. 139) and Xu et al. () found that NFP providers delivered higher quality of care when compared with FP organisations, and the findings suggest that the underlying hidden ingredient may be the quality of carer support in place.…”

Section: Discussionmentioning

confidence: 95%

“…Perhaps that is the reason why after an extensive review of predominantly international literature, Baldwin et al. (, p. 139) found that NFP providers delivered higher quality of care. Similarly, Xu, Kane, and Shamliyan () found that NFP organisations delivered better quality care compared with FPs in Canada and the United States.…”

Section: Introductionmentioning

confidence: 99%

Support for aged care workers and quality care in Australia: A case of contract failure?

2019

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This paper is guided by Conservation of Resources theory and aims to investigate the impact of personal and organisational support on the quality of clinical care given to aged care residents in for‐profit (FP) and not‐for‐profit (NFP) facilities. Broadly, the paper addresses challenges faced by governments in designing contract specifications that ensure quality outcomes from aged care providers. The argument is that the present accreditation standards that are used to assess the status of aged care providers are too narrow to capture the complexity in delivering social services. Data were collected from 442 aged care workers from aged care facilities in NSW, QLD and WA. The results show that carer support (personal and organisational support) explained half of the variance in quality of clinical care in NFP facilities, and a third of the variance in FP facilities. In particular, the findings suggest support for carers is important for carer retention, and ultimately the clinical care of residents. The findings provide supporting evidence to widen the required contract specifications for aged care provider accreditation to include organisational and personal support for carers.

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“…More routine and transparent data collection is essential for meaningful policy development (Baldwin et al. ). Within government, multi‐agency involvement will also assist in sharing data and learning from prior policy experience (Adams et al.…”

Section: Resultsmentioning

confidence: 99%

The Ageing Workforce: Policy Dilemmas and Choices

et al. 2016

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Population ageing is profoundly challenging the institutions and systems that organise paid work, healthcare, and retirement. A major response to these challenges has been to encourage older workers to remain longer in employment, thereby extending the period of ‘productive life’ in which they are net contributors to government revenue. Yet this strategy depends on a range of micro‐level adjustments, about which relatively little is known. These include how willingly older workers and employers adjust their attitudes and practices, and what types of policies facilitate these adjustments. In this paper, we critique the major policy responses to workforce ageing in Australia to date, and consider further measures to improve recruitment and retention of older workers. We argue that a more holistic policy response will require better evidence about ageist employment barriers, late‐career transitions, and older workers’ job performance. We outline a research agenda to improve evidence and policy in these areas.

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Residential Aged Care Policy in Australia – Are We Learning from Evidence?

Cited by 38 publications

References 30 publications

Accommodation payment plans in residential aged care: The impact of consumer choice

Accommodation payment plans in residential aged care: The impact of consumer choice

Support for aged care workers and quality care in Australia: A case of contract failure?

The Ageing Workforce: Policy Dilemmas and Choices

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