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Issues And Trends In Healthcare Delivery System01:29

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The issues and trends in healthcare delivery are constantly changing. The COVID-19 pandemic is one recent issue that wreaked havoc on healthcare systems, causing a shortage of healthcare workers, high demand for medicines and supplies, and increased medical expenditure due to a lack of insurance. Other issues include rising healthcare costs and care fragmentation.
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Innovation and Consumer Directed Care: Identifying the challenges.

Liz Gill1, Ian D Cameron1

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Australasian Journal on Ageing
|December 9, 2015
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Summary

Implementing Consumer Directed Care (CDC) faces practical challenges in Australia's aged care sector. Existing structures and culture may hinder the necessary innovative changes for effective CDC delivery.

Keywords:
Consumer Directed Carecommunity servicesimplementationlimitations

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Area of Science:

  • Gerontology
  • Health Services Research
  • Public Health Policy

Background:

  • The implementation of Consumer Directed Care (CDC) aims to enhance autonomy for older individuals receiving community-based home services.
  • Existing community services sectors face challenges in adapting to the principles and practicalities of CDC.

Purpose of the Study:

  • To report clinician and researcher observations on the practical difficulties encountered in achieving Consumer Directed Care objectives.
  • To identify barriers to the effective implementation of CDC within the Australian aged care system.

Main Methods:

  • Qualitative data analysis from a PhD project to identify key client community services issues.
  • Expert review and verification of identified issues with clinicians and senior community service providers.

Main Results:

  • Anecdotal evidence suggests current CDC implementation in aged care is hindered by existing sector structures.
  • The established culture and philosophies within community-based home services may not support the required innovative changes for CDC.

Conclusions:

  • The current approach to overlaying Consumer Directed Care onto existing aged care services is likely to impede its effective implementation.
  • Further research is essential to determine how CDC objectives can be successfully achieved and managed in Australia.