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  • Subject Name : Healthcare Operations/Quality

Report- Aged care service

Aged care services with primary health care approach

Health care is the support given to the elderly at home or in an old-age (nursing) hospital. Support for everyday life, health care, housing and amenities such as walking aids or ramps can be included. Sixty-five years of age or older 50 years of age or older if identified as Torres Strait Islander or Aboriginal need help in with daily living activities (Greenfield, et al., 2016). Australian government is the regulator and funder for aged care in Australia. The aged care principles are followed pursuant to the "Aged care act 1997".

Department of health of Australian government is accountable for the aged care services (Grove, 2016). Australian government made a care strategy for aged care. It aims at improving the interface between primary care and aged care. According to McPake & Mahal, (2017), the integration of primary healthcare approaches to aged care has found to improve the burden of noncommunicable diseases. The primacy care approach is funded by the public sector and has the provision to provide prevention, treatment, and management of chronic disorders. Older medical care funded by the government is accessible to qualifying people. 

Government structures 

Aged care is funded by two types by the government and publically funded services. The Australian health system is a mixture of two system with a compulsory publicly funded level, defined as Medicare, that subsidizes primary care and provides full support for hospital care, and an optional private health insurance tier providing coverage for private hospital care and secondary health services (Carlisle, et al., 2018). The Government of Australia subsidizes most kinds of elderly care for eligible individuals. Also, Australian respondents have accessibility problems to these services mainly because of costs. In addition to this evidence indicates that the distribution and accessibility of services is uneven Australia. In contrast to this Laver, et al (2016), puts forth that a study conducted in primary care showed that 80% of primary care practitioners recorded being well-prepared for multi-chronic cases. Less than 50 percent, however, stated to be prepared to maintain the requirements of patients in need of long-term home care and that only 45% confirmed coordinating care with community care providers (RCIACQS, 2019).

 The framework and funding processes of the Australian program shows a lot of difficulties in providing efficient facilities to the demands of the aged population. The unit of primary care into its three components state-funded community services, independent allied health services and general practice poses a problem to assimilation and primary care team integration (RCIACQS, 2019). One of the factors of this new initiative was the aim of achieving the involvement of the private sector in primary care management, and most primary care systems are given to consortia with Medicare Locals or private health insurers. 


"Consumer Directed Care (CDC) is both a concept and an emphasis on the provision and scheduling of care services." CDC's main aim is to provide consumers with flexibility and adequate options regarding the forms of care and facilities they obtain, how they are implemented, by whom and when. This is bound to enhance the wellbeing and health of the aging population (Gill, et al., 2018). This strategy is found to be preventive health strategy by delaying or minimizing admission into hospital or residential aged care, and gives empowerment to the aged people as the person remains in the place of their preference, typically their house, while getting proper support services and evidence shows that the health outcomes are positive for such circumstances (Gill, et al., 2018). 

Many positive strategies have emerged for the benefit and engagement of the aged people. The first strategy is the Commonwealth home support strategy that provides home people for the people. It aims at providing personal care, transport, social support, nursing care and allied health services (Grove, 2016). Next strategy is residential care that includes care along with accommodation. Flexible care is another positive approach that aims at providing transition care, innovative care programs, multipurpose services, and short term restorative care. These services are from weeks to months and also rehabilitation. In addition to this Australian also have programs for the aged people with specific needs they are termed as support programs (Grove, 2016). This includes aboriginals, LGBTI, linguistically and culturally diverse backgrounds. Australian history is an unfortunate reality that most aboriginal people do not reach' old age.' Low life expectancy statistics are also illustrated by the fact as about 12% of the overall Australian community is over 65 years of age, while only 3% of the indigenous populations are comparable (Dwyer, Craswell, Rossi & Holzberger, 2017). 

Also, it has been found that people under health services do not get adequate treatment mainly because of the expenses and also due to accessibility, mainly for people living in remote areas (Dwyer, Craswell, Rossi & Holzberger, 2017). Old age people are encouraged by the acre providers they get social support and person-centered care. Participation in the educational and care activities enhances the quality of life and well being of the aged people. It also encourages activity and independence for the old age groups. They also get community support and government initiatives like pension support, subsidies and programs.


Carlisle, K., Farmer, J., Taylor, J., Larkins, S., & Evans, R. (2018). Evaluating community participation: A comparison of participatory approaches in the planning and implementation of new primary health‐care services in northern Australia. The International Journal Of Health Planning And Management, 33(3), 704-722.

Dwyer, T., Craswell, A., Rossi, D., & Holzberger, D. (2017). Evaluation of an aged care nurse practitioner service: quality of care within a residential aged care facility hospital avoidance service. BMC Health Services Research, 17(1), 33. https://bmchealthservres.biomedcentral.com/articles/10.1186/s12913-017-1977-x

Gill, L., Bradley, S. L., Cameron, I. D., & Ratcliffe, J. (2018). How do clients in Australia experience Consumer Directed Care?. BMC Geriatrics, 18(1), 148. https://bmcgeriatr.biomedcentral.com/articles/10.1186/s12877-018-0838-8

Greenfield, D., Hinchcliff, R., Hogden, A., Mumford, V., Debono, D., Pawsey, M., ... & Braithwaite, J. (2016). A hybrid health service accreditation program model incorporating mandated standards and continuous improvement: interview study of multiple stakeholders in Australian health care. The International Journal of Health Planning and Management, 31(3), e116-e130.

Grove, A. (2016). Aged care: a quick guide. Retrieved from: https://www.aph.gov.au/About_Parliament/Parliamentary_Departments/Parliamentary_Library/pubs/rp/rp1617/Quick_Guides/Aged_Care_a_quick_guide

Laver, K., Cumming, R., Dyer, S., Agar, M., Anstey, K., Beattie, E., ... & Dietz, M. (2016). Clinical practice guidelines for dementia in Australia. Retrieved from: https://openresearch-repository.anu.edu.au/bitstream/1885/103099/2/01_Laver_Clinical_practice_guidelines_2016.pdf

McPake, B., & Mahal, A. (2017). Addressing the needs of an aging population in the health system: the Australian Case. Health Systems & Reform, 3(3), 236-247. DOI: 10.1080/23288604.2017.1358796 

Royal Commission into aged care quality and safety. (2019). NAVIGATING THE MAZE: AN OVERVIEW OF AUSTRALIA'S CURRENT AGED CARE SYSTEM. Retrieved from: file:///C:/Users/User/AppData/Local/Temp/Rar$DIa0.640/20191019200026PM-2098957493-849315-1776335309.pdf


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