This report presents the results of an evaluation of consumer-directed community aged care.
Consumer-Directed Care (CDC) is central to the aim of rendering community aged care more flexible and responsive. In Australia, it builds on experiences of consumer-directed community-based disability care and is intended to offer greater decisional authority to care recipients over the services they receive.
Since the 1990s, there has been growing interest among Australian community care providers, service users, and policy makers to ‘modernise’ and reform community aged care. A suite of reports were commissioned that highlighted the facts that:
- fragmented programme arrangements in community care create planning and operational difficulties and inefficiencies;
- the service provision model is too complex, making it difficult for lay people to access the services they need or are entitled to;
- funding gaps exist throughout the care pathways;
- the system is inflexible and unresponsive to transitions in people’s lives and/or illness trajectories;
- the needs of a significant minority of care recipients are not sufficiently addressed, resulting in poor quality of care as well as resource wastage.
The People at Centre Stage (PACS) project aimed to address some of these issues. The aim of the project was to—within the limitations of current legislation and guidelines—develop, implement and evaluate a community aged care model that gives care recipients with more complex needs the option to have as much control of their own care as they aspire to and feel comfortable with. The project intended to offer a continuum of care ranging from customary case management to CDC.
This summary report provides a brief outline of the results of this evaluation. It is structured in two parts: following a brief overview of the PACS model, Part 1 outlines the key findings from the quantitative analysis, while Part 2 offers an overview of the qualitative findings. Part 2 deals exclusively with the experience of people participating in the intervention group.