Has consumer-directed care improved the quality of life of older Australians? An exploratory empirical assessment

Norma B. Bulamu; Billingsley Kaambwa; Liz Gill; Emily Lancsar; Ian D. Cameron; Julie Ratcliffe

doi:10.1111/ajag.12950

Has consumer-directed care improved the quality of life of older Australians? An exploratory empirical assessment

Norma B. Bulamu, Billingsley Kaambwa, Liz Gill, Emily Lancsar, Ian D. Cameron, Julie Ratcliffe

Research output: Contribution to journal › Article › peer-review

1 Citation (Scopus)

Abstract

Objectives: To assess the impact of a Consumer Directed Care (CDC) model of service delivery on the quality of life of older people receiving home care packages. Methods: Quality of life was assessed using validated instruments. The relationship between quality of life and length of time exposed to CDC was examined using descriptive statistical and multivariate regression analyses. Results: Consenting older adults (n = 150) in receipt of home care packages participated. Quality of life and capability scores were higher for older people in receipt of a CDC model of service delivery for <12 months compared to those receiving the model of care for longer, although this difference was not statistically significant. However, older people with more recent exposure to CDC indicated a stronger capability to do things that made them feel valued. Conclusion: Extended longitudinal follow-up is needed to facilitate a detailed examination of the relationship between the evolution of CDC and its longer-term influences on quality of life.

Original language	English
Pages (from-to)	413-422
Number of pages	10
Journal	Australasian Journal on Ageing
Volume	40
Issue number	4
Early online date	4 May 2021
DOIs	https://doi.org/10.1111/ajag.12950
Publication status	Published - Dec 2021

Keywords

aged
aging in place
home care
independent living
quality of life

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10.1111/ajag.12950Licence: In Copyright

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AU - Kaambwa, Billingsley

AU - Gill, Liz

AU - Lancsar, Emily

AU - Cameron, Ian D.

AU - Ratcliffe, Julie

PY - 2021/12

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N2 - Objectives: To assess the impact of a Consumer Directed Care (CDC) model of service delivery on the quality of life of older people receiving home care packages. Methods: Quality of life was assessed using validated instruments. The relationship between quality of life and length of time exposed to CDC was examined using descriptive statistical and multivariate regression analyses. Results: Consenting older adults (n = 150) in receipt of home care packages participated. Quality of life and capability scores were higher for older people in receipt of a CDC model of service delivery for <12 months compared to those receiving the model of care for longer, although this difference was not statistically significant. However, older people with more recent exposure to CDC indicated a stronger capability to do things that made them feel valued. Conclusion: Extended longitudinal follow-up is needed to facilitate a detailed examination of the relationship between the evolution of CDC and its longer-term influences on quality of life.

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KW - aging in place

KW - home care

KW - independent living

KW - quality of life

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Has consumer-directed care improved the quality of life of older Australians? An exploratory empirical assessment

Abstract

Keywords

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