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Person-centred quality indicators for Australian aged care assessment services: a mixed methods study
Sandra Smith1, Catherine Travers2, Melinda Martin-Khan3,4
1The University of Queensland, Centre for Health Services Research, Brisbane, Australia. sandra.smith@uqconnect.edu.au.
Research Involvement and Engagement
|August 14, 2024
Summary
Older Australians identified 24 person-centred quality indicators (PC-QIs) for aged care assessment services. These indicators are crucial for evaluating service quality from the user
Area of Science:
- Gerontology and Health Services Research
- Consumer-Directed Care Models
- Quality Measurement in Healthcare
Background:
- Aged Care Assessment Teams (ACATs) in Australia determine eligibility for Commonwealth-funded aged care services.
- Existing quality measures in aged care settings do not incorporate the perspectives of service users.
- There is a need for person-centred quality indicators (PC-QIs) for aged care assessment services.
Purpose of the Study:
- To address the gap in person-centred quality measures for aged care assessment services.
- To determine the importance of 24 pre-identified PC-QIs from the perspective of current and future service users.
- To establish a consensus on essential quality indicators for aged care assessment.
Main Methods:
- A mixed-methods study employing the RAND/UCLA Appropriateness Method.
- Twenty-five community-dwelling older adults in Brisbane, Australia, voted on the importance of 24 PC-QIs using a five-point Likert scale.
- Individual voting sessions (face-to-face or telephone) were audio-recorded, transcribed, and analyzed quantitatively and qualitatively.
Main Results:
- No PC-QIs were eliminated during the voting process, indicating consensus on all 24 indicators.
- Significant variation was observed in participants' importance ratings for individual PC-QIs.
- Five PC-QIs were identified as being of highest importance, characterized by high median scores and low variation in ratings.
Conclusions:
- Participants reached consensus on 24 evidence-based PC-QIs for aged care assessment services.
- These PC-QIs represent crucial measures of quality from the viewpoint of aged care service users.
- The findings provide a foundation for developing and implementing person-centred quality measures in aged care assessment.
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