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|Title:||An early investigation of individual budget expenditures in the era of consumer-directed care|
|Citation:||Australasian Journal on Ageing, 2020; 39(1):e145-e152|
|Publisher:||Wiley Online Library|
|Norma B. Bulamu, Billingsley Kaambwa, Liz Gill, Ian D. Cameron, Julie Ratcliffe|
|Abstract:||OBJECTIVES:To identify the key categories of consumer expenditures following the introduction of consumer-directed care (CDC) in the Australian community aged care sector. METHODS:Income and expenditure data were extracted from monthly budget statements and categorised. Expenditures by category were examined by home care package level, length of time receiving CDC and socio-demographic characteristics. RESULTS:A total of 150 older people in receipt of CDC in South Australia and New South Wales were approached, of whom 95 (63%) consented to participate. Hours of formal care support received was a key driver of expenditure. On average, approximately 53% of total expenditure was allocated to care services, 20% to administration and 17% to case management. CONCLUSIONS:This study was undertaken during the initial stages of the transition to CDC. Further research should investigate the longer-term budgetary impacts of the transition to CDC for consumers and the sector.|
|Keywords:||Consumer‐directed care; expenditure; home care; older people|
|Description:||First published: 09 August 2019|
|Rights:||© 2019 AJA Inc.|
|Appears in Collections:||Public Health publications|
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