1. Self-directed community services for older Australians: a stepped capacity-building approach
- Author
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Goetz Ottmann and Mohammedreza Mohebbi
- Subjects
Male ,Gerontology ,Capacity Building ,Sociology and Political Science ,Psychological intervention ,Personal Satisfaction ,Standard of living ,Affect (psychology) ,Surveys and Questionnaires ,Intervention (counseling) ,Humans ,Medicine ,Attrition ,Community Health Services ,Longitudinal Studies ,Aged ,Aged, 80 and over ,business.industry ,Health Policy ,Australia ,Public Health, Environmental and Occupational Health ,Capacity building ,medicine.disease ,Self Care ,Voucher ,Caregivers ,Female ,business ,Social Welfare ,Social Sciences (miscellaneous) ,Cohort study - Abstract
Consumer-directed care (CDC) is increasingly widespread among aged care service options in Organisation for Economic Co-operation and Development (OECD) countries. However, the evidence base regarding the programmatic and contextual factors that affect the outcome of CDC interventions is surprisingly small. This paper reports on a self-directed care approach for older Australians with complex care needs. A multi-methods longitudinal comparative cohort study was employed comprising 4 survey tools and 56 semi-structured interviews. Participation rates were around 20%. A total of 185 (98 in the intervention and 87 in the control group) older people and carers were recruited at baseline. Eleven months later, 109 participants (59 in the intervention and 50 in the control group) completed the repeat measure. Attrition rates were around 40%. Data collection occurred between July 2010 and April 2012. The data suggest that intervention group participants were likely to be more satisfied with the way they were treated (P = 0.013), their care options (P = 0.014), the ‘say’ they had in their care (P
- Published
- 2014
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