Consumer Directed Care in Australia: early perceptions and experiences of staff, clients and carers

Liz Gill, Nikki McCaffrey, Ian Cameron, Julie Ratcliffe, Billingsley Kaambwa, megan corlis, jeff fiebig, meredith gresham

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    32 Citations (Scopus)


    The study aimed to identify the shared issues and challenges being experienced by staff, their clients and informal carers, with the introduction of Consumer Directed Care (CDC). Secondary analysis was undertaken of data that had been initially collected, via semi-structured in-depth interviews, to inform the development of a discrete choice experiment. The raw staff and client/carer data were re-examined using an iterative inductive process. The analysis focused on locating the shared themes and differences between the participant groups based on their CDC experience. The data were also assessed for difficulties or barriers that impacted on the service. Four broad shared themes were derived: culture, role change, operational systems and resourcing, but with a range of diverse and sometimes conflicting sub-themes between the different participant groups. Differences can be linked to participant role in the service chain, with discordance emerging between what has been traditionally offered and what might be possible. This investigation occurred during the period in which services were transitioning from a traditional aged care service model to a new model of service provision requiring considerable industry change. We conclude that existing industry regulation, culture and practice supports an established service model in Australia that arguably makes translation of the objectives of CDC difficult.

    Original languageEnglish
    Pages (from-to)478-491
    Number of pages14
    JournalHealth and Social Care in The Community
    Issue number2
    Early online date2016
    Publication statusPublished - 1 Mar 2017


    • challenges
    • Consumer directed care (CDC)
    • culture
    • operational systems
    • resourcing
    • role change


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