Health Policy, vol.96, 2010, p. 143-153
Over recent decades, the Australian government has implemented various policies to ensure that only frail older people with high care needs access subsidised nursing home services. The general intent of the policies has been to target the services on those with high care needs by discouraging those with relatively low care needs from using the services. This paper derives annual estimates of aggregate dependency of the nursing home population in Australia, and uses the data to consider the impact of the government's policies. The estimates support the effectiveness of the government's targeting policies, but causal relationships were not estimated.
M. Redsell and M. Nycyk
Working with Older People, vol. 14, June 2010, p. 38-42
In a world where more and more information is only available through the Internet, older people struggle with using computers. The key for older people to overcome this issue lies in affordable and relevant teaching of computer and Internet skills. This is achievable through community centres offering training and supportive tuition. This article suggests successful ways of teaching older people to use computers through a case study of the Skylarkers 60 and Better Program in Brisbane, Queensland.
M. Hodgins and V. McKenna
Quality in Ageing and Older Adults, vol.11, June 2010, p. 19-28
This paper presents a review of current social welfare, housing and health policies in Ireland relevant to older people and of policy areas that are of particular relevance to the determinants of quality of life identified in the research literature. It finds that government failure to raise the state pension and other cash benefits in line with inflation has left older people living on the margins of society. Housing policy has not resulted in addressing the real needs of older people in relation to the maintenance and comfort of their homes. Since 1988, a preference for community over institutional care has persisted in health policy, but there is a gap between aspiration and implementation. Future policy needs to focus on the creation of enabling environments for social participation and on the optimisation of opportunities for physical, social and mental well-being.
L. Gill, L. White and I. Cameron
Quality in Ageing and Older Adults, vol. 11, June 2010, p. 5-18
This paper reviews the health and service literature on quality from the perspective of the patients, evidencing how the patient's perception impacts on service results. It then discusses Transitional Aged Care, an initiative that aims to provide tailored services that support the older person's move from acute hospital to the community-based aged care sector. It identifies that the older patient is the consistent participant across the care continuum, and presents criteria relevant to transitional aged care that could be used to measure service quality. It argues that the success of this programme hinges on meeting patient needs through the quality of the service they perceive they have received, and therefore that it offers an ideal vehicle to test an instrument to measure the patient's perception of service quality. Based on the literature findings, a tool to measure the patient's view of the quality of this programme is then proposed.