Title
Choice and quality in home-based and community-based aged care: Insights from two rapid evidence reviews
Date Issued
01 April 2021
Access level
metadata only access
Resource Type
review
Author(s)
La Trobe University
Publisher(s)
Cambridge University Press
Abstract
As consumer-directed care programmes become increasingly common in aged care provision, there is a heightened requirement for literature summarising the experience and perspectives of recipients. We conducted rapid evidence reviews on two components of consumer experience of home-and community-based aged care: (a) drivers of choice when looking for a service (Question 1 (Q1)); and (b) perceptions of quality of services (Question 2 (Q2)). We systematically searched MEDLINE and EMBASE databases, and conducted manual (non-systematic) searches of primary and grey literature (e.g. government reports) across CINAHL, Scopus, PsychINFO, and Web of Science, Trove and OpenGrey databases. Articles deemed eligible after abstract/full-Text screening subsequently underwent risk-of-bias assessment to ensure their quality. The final included studies (Q1: N = 21; Q2: N = 19) comprised both quantitative and qualitative articles, which highlighted that consumer choices of services are driven by a combination of: desire for flexibility in service provision; optimising mobility; need for personal assistance, security and safety, interaction, and social/leisure activities; and to target and address previously unmet needs. Similarly, consumer perspectives of quality include control and autonomy, interpersonal interactions, flexibility of choice, and safety and affordability. Our reviews suggest that future model development should take into account consumers' freedom to choose services in a flexible manner, and the value they place on interpersonal relationships and social interaction.
Start page
875
End page
916
Volume
41
Issue
4
Language
English
OCDE Knowledge area
GeriatrÃa, GerontologÃa
Subjects
Scopus EID
2-s2.0-85076467188
Source
Ageing and Society
ISSN of the container
0144686X
Sources of information:
Directorio de Producción CientÃfica
Scopus