Volume 40, Issue 4 pp. 413-422
RESEARCH ARTICLE

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

Norma B. Bulamu

Corresponding Author

Norma B. Bulamu

Flinders Health and Medical Research Institute, College of Medicine and Public Health, Flinders University, Adelaide, SA, Australia

Correspondence

Norma B. Bulamu, Flinders Health and Medical Research Institute, College of Medicine and Public Health, Flinders University, Adelaide, SA, Australia.

Email: [email protected]

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Billingsley Kaambwa

Billingsley Kaambwa

Flinders Health and Medical Research Institute, College of Medicine and Public Health, Flinders University, Adelaide, SA, Australia

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Liz Gill

Liz Gill

John Walsh Centre for Rehabilitation Research, University of Sydney, Sydney, NSW, Australia

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Emily Lancsar

Emily Lancsar

Department of Health Services Research and Policy, Research School of Population Health, Australian National University, Canberra, ACT, Australia

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Ian D. Cameron

Ian D. Cameron

John Walsh Centre for Rehabilitation Research, University of Sydney, Sydney, NSW, Australia

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Julie Ratcliffe

Julie Ratcliffe

Health and Social Care Economics Group, College of Nursing and Health Sciences, Flinders University, Adelaide, SA, Australia

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First published: 04 May 2021
Citations: 1

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.

CONFLICT OF INTEREST

No conflicts of interest declared.

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