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Australian rural community aged care services: Precarity and capacity
Australian Journal of Public Administration ( IF 2.140 ) Pub Date : 2021-05-03 , DOI: 10.1111/1467-8500.12480
Pauline Savy 1 , Suzanne Hodgkin 2
Affiliation  

In Australia, the precarity of the aged care sector has been well documented over several decades. During this time, policy reforms have ultimately landed care, and the business of providing it, within a market model. Following recent evidence produced by the Royal Commission into Aged Care and Safety and the COVID-19 Senate Committee, this model and the sector's incapacity to consistently deliver appropriate care has been the subject of intense public scrutiny and debate. The many COVID-19-related deaths of aged care residents have added to demands for urgent action to redress the sector's weaknesses, particularly those relating to workforce adequacy. This paper presents findings from a recent mixed methods study of community aged care provision by five providers who operate across a large rural part of regional Victoria. It utilises data to illustrate the impact of rural location on care provision, and significantly, on local capacity to maintain an appropriately skilled workforce. Demographic factors and funding shortfalls for consumers with multiple, complex care needs underscore the need for strategic planning to ensure workforce adequacy into the future. Encouragingly, our data showcase the many capacities of community aged services in this rural area and the opportunity to develop effective strategies relative to the recruitment and retention of direct care workers and the design of best practice models for meeting complex care needs.

中文翻译:

澳大利亚农村社区老年护理服务:不稳定和能力

在澳大利亚,老年护理部门的不稳定已经有几十年的记录。在此期间,政策改革最终将医疗服务和提供医疗服务的业务纳入市场模式。根据皇家老年护理与安全委员会和 COVID-19 参议院委员会最近提供的证据,这种模式以及该行业无法始终如一地提供适当护理,一直是公众密切关注和辩论的主题。许多与 COVID-19 相关的老年护理居民死亡增加了采取紧急行动纠正该部门弱点的要求,特别是与劳动力充足率相关的弱点。本文介绍了最近由五家在维多利亚州偏远农村地区经营的提供社区老年护理的混合方法研究的结果。它利用数据来说明农村地区对护理提供的影响,尤其是对当地维持适当技能劳动力的能力的影响。具有多种复杂护理需求的消费者的人口因素和资金短缺强调了制定战略规划以确保未来劳动力充足的必要性。令人鼓舞的是,我们的数据展示了该农村地区社区老年服务的多种能力,以及制定与直接护理人员的招聘和保留相关的有效策略以及满足复杂护理需求的最佳实践模型设计的机会。复杂的护理需求强调了战略规划的必要性,以确保未来劳动力充足。令人鼓舞的是,我们的数据展示了该农村地区社区老年服务的多种能力,以及制定与直接护理人员的招聘和保留相关的有效策略以及满足复杂护理需求的最佳实践模型设计的机会。复杂的护理需求强调了战略规划的必要性,以确保未来劳动力充足。令人鼓舞的是,我们的数据展示了该农村地区社区老年服务的多种能力,以及制定与直接护理人员的招聘和保留相关的有效策略以及满足复杂护理需求的最佳实践模型设计的机会。
更新日期:2021-06-05
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