1. Mitigating the impact of the 'silos' between the disability and aged‐care sectors in Australia: Development of a Best Practice Framework.
- Author
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Hussain, Rafat, Parmenter, Trevor, Wark, Stuart, Janicki, Matthew, Knox, Marie, and Hayhoe, Nicola
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INSTITUTIONAL cooperation , *STRATEGIC planning , *HEALTH services administration , *ACTIVE aging , *MEDICAL care for older people , *RESEARCH methodology , *PATIENT-centered care , *INTERVIEWING , *REGULATORY approval , *CONCEPTUAL structures , *LABOR supply , *ABILITY , *TRAINING , *QUALITY assurance , *INTERPROFESSIONAL relations , *HEALTH , *QUALITY of life , *MEDICAL practice , *PEOPLE with intellectual disabilities , *PEOPLE with disabilities , *INTEGRATED health care delivery , *MEDICAL needs assessment ,MEDICAL care for people with disabilities - Abstract
Background: Although a 'person‐centred focus' is a legislated objective for both aged‐care and disability services sectors in Australia, evidence suggests limited translation into systems and practices due to entrenched silos. This paper proposes a Best Practice Framework to mitigate these silos. Methods: Mixed‐methods research comprising key informant interviews with major stakeholders across both sectors; a survey of people with/without intellectual disability aged 60+ years; qualitative in‐depth interviews; and survey of health professionals. Results: There is an urgent need to develop inter‐sectoral 'integrated care systems'. Key components include choice in accommodation; regular assessment of health and well‐being indicators; development and adoption of nationally consistent policies/standards across integrated aged‐ and disability‐care sectors; improved strategies for workforce planning; and upskilling of existing staff including place‐based collaboration. Conclusions: An integrated service model requires collaboration on broader public policy instruments, appropriate planning and resourcing. A strategic shift is required to ensure better quality person‐centred support systems. [ABSTRACT FROM AUTHOR]
- Published
- 2021
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