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Towards equity in long-term care.

L J Mykyta1, A D Loan, R Thompson

  • 1Western Domiciliary Care and Rehabilitation Service.

Australian Health Review : a Publication of the Australian Hospital Association
|December 8, 1996
PubMed
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Home-based long-term care clients show similar disability levels to residential care, yet receive significantly less government funding. This study advocates for funding parity and a casemix model for home care services.

Area of Science:

  • Health Services Research
  • Gerontology
  • Public Health Policy

Background:

  • Long-term care services are provided through home-based and residential settings.
  • Clients in both settings often exhibit comparable levels of disability and dependency.
  • Existing government funding models show significant discrepancies between these care types.

Purpose of the Study:

  • To analyze the similarities in disability and dependency between home-based and residential long-term care recipients.
  • To highlight the funding disparities in government support for different long-term care modalities.
  • To propose principles for a casemix model for home-based care, drawing parallels with existing nursing home models.

Main Methods:

  • Analysis of client data from the Western Domiciliary Care and Rehabilitation Service.

Related Experiment Videos

  • Costing of services provided to home-based care clients.
  • Comparison of government support levels for home-based care versus subsidized residential care.

    • Main Results:

    • Significant overlap in disability and dependency levels was observed between home-based and residential care clients.
    • A substantial discrepancy exists in government funding allocated to home-based care compared to subsidized residential care.
    • Current funding structures do not reflect the comparable needs of individuals receiving different forms of long-term care.

    Conclusions:

    • There is a need for equitable funding across different long-term care settings to reflect client needs.
    • Recognition of the economic value of informal carers is essential for comprehensive long-term care policy.
    • Developing a casemix model for home-based care is crucial for fair resource allocation and service planning.