Public Attitudes for Quality and Funding of Long-Term Care: Findings from an Australian Survey

IF 2 4区 医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Rachel Milte, Julie Ratcliffe, Sheela Kumaran, Claire Hutchinson, Gang Chen, Billingsley Kaambwa, Jyoti Khadka
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Abstract

There has been growing interest in exploring factors that influence the success or otherwise of welfare policies in democratic countries, such as the interrelationships between the proposed policy and the context it will be introduced into, such as the sociodemographic characteristics of the population and the population’s previous experience with welfare policies. However, there has been little exploration of factors that could influence general population support for long-term care for older people. The aim of this study was to investigate the general population’s attitudes for determinants of high-quality aged care and different mechanisms for funding and any impact of individual characteristics on these. A representative sample of the Australian general population aged 18 years and over (N = 10,315, 52% female, 22% aged 65 years and over) drawn via quota sampling participated in the survey online. Participants were asked to rate the importance of a list of 10 determinants of quality care and their support for four models of funding, both using a five-point Likert scale. We identified consistently high expectations for long-term care services across the general population, especially among older people, females, those with a family member in care, and those living in rural or regional areas. In terms of how governments practically fund a high-quality long-term care system, we also identified broad support among the general population for both payment of a co-contribution towards the cost of care by older people using services and increased government funding for the system. Over 40% of participants said they would be willing to pay additional tax to improve access and quality of aged care services. While often neglected by governments in the past who assumed voter apathy on the topic, by comparison, our findings indicate that there is currently a strong appetite among the general population for improvements to the quality of care provided and that they are willing to consider changes to the funding model.

公众对长期护理质量和资金的态度:澳大利亚调查的结果
人们越来越有兴趣探讨影响民主国家福利政策成功与否的因素,如拟议政策与将引入政策的环境之间的相互关系,如人口的社会人口特征和人口以往在福利政策方面的经验。然而,对于可能影响普通民众对老年人长期护理的支持的因素却鲜有探讨。本研究旨在调查普通民众对高质量老年护理的决定因素和不同资助机制的态度,以及个人特征对这些因素的影响。通过配额抽样法从澳大利亚 18 岁及以上的普通人群中抽取了一个具有代表性的样本(样本数 = 10,315 人,52% 为女性,22% 为 65 岁及以上的老年人)参与了在线调查。调查要求参与者对高质量护理的 10 项决定因素的重要性以及对四种资助模式的支持程度进行评分,评分均采用李克特五点量表。我们发现,普通人群对长期护理服务的期望值一直很高,尤其是老年人、女性、有家人需要护理的人群以及居住在农村或地区的人群。在政府如何为高质量的长期护理系统提供实际资金方面,我们也发现普通民众普遍支持由使用服务的老年人共同承担护理费用,以及增加政府对该系统的资金投入。超过 40% 的参与者表示,他们愿意支付额外的税款来改善老年护理服务的可及性和质量。过去,政府往往认为选民对这一问题漠不关心,因而忽视了这一问题,但相比之下,我们的调查结果表明,目前普通民众对改善护理质量有着强烈的愿望,并且愿意考虑改变供资模式。
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来源期刊
CiteScore
4.50
自引率
8.30%
发文量
423
期刊介绍: Health and Social Care in the community is an essential journal for anyone involved in nursing, social work, physiotherapy, occupational therapy, general practice, health psychology, health economy, primary health care and the promotion of health. It is an international peer-reviewed journal supporting interdisciplinary collaboration on policy and practice within health and social care in the community. The journal publishes: - Original research papers in all areas of health and social care - Topical health and social care review articles - Policy and practice evaluations - Book reviews - Special issues
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