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Impact of transition to an individualised funding model on allied health support of participation opportunities.
- Source :
- Disability & Rehabilitation; Oct 2021, Vol. 43 Issue 21, p3021-3030, 10p
- Publication Year :
- 2021
-
Abstract
- The National Disability Insurance Scheme is the new consumer-controlled funding system for people with disability in Australia, and is expected to enhance participation outcomes of people with disability. This research explored participation opportunities for people with disability during the formative period of transition to the scheme, through stakeholder accounts of changes in allied health service contexts. Qualitative data were generated during interviews, workshops and meetings with industry, policy, practice and education stakeholders involved in scheme services. Inductive coding explored key themes within the data. The International Classification of Functioning model was then applied as a deductive coding framework to illuminate how the scheme was perceived to be impacting participation opportunities for recipients of scheme funding. Using the International Classification of Functioning helped us illuminate whether changes resulting from scheme transition posed participation opportunities or barriers for scheme recipients. Research participants often framed these changes negatively, even when examples suggested that changes had removed participation barriers for scheme recipients. Some participants viewed changes as obstructing equitable and quality professional practice. We explore potential opportunities to resolve tensions that also optimise the participation outcomes of individuals who receive services through individualised funding. The introduction of individualised funding has removed barriers to participation for many National Disability Insurance Scheme recipients. Efforts must be made to build the trust of stakeholders involved in National Disability Insurance Scheme service provision regarding how fee-for-service funding can lead to good participation outcomes for scheme recipients. Transparency around the shared processes of clinical governance and equitable service access operating in Australia's individualized disability funding scheme are suggested to build trust. A visible commitment to maintaining a broad range of services is also indicated to build trust for stakeholders involved in the scheme. [ABSTRACT FROM AUTHOR]
- Subjects :
- MEETINGS
PATIENT participation
NOSOLOGY
RESEARCH methodology
MEDICAL care
INTERVIEWING
HUMAN services programs
HEALTH care reform
QUALITATIVE research
CONCEPTUAL structures
GOVERNMENT policy
ACTION research
RESEARCH funding
PEOPLE with disabilities
THEMATIC analysis
DATA analysis software
INSURANCE
ALLIED health personnel
MEDICAL specialties & specialists
ADULT education workshops
SECONDARY analysis
Subjects
Details
- Language :
- English
- ISSN :
- 09638288
- Volume :
- 43
- Issue :
- 21
- Database :
- Complementary Index
- Journal :
- Disability & Rehabilitation
- Publication Type :
- Academic Journal
- Accession number :
- 153153433
- Full Text :
- https://doi.org/10.1080/09638288.2020.1725157