Australasian Journal on Ageing最新文献

{"title":"The Big Bang: How Does Indoor Noise Affect Lifestyle Choices of Older Community-Dwelling Adults? An Exploratory Mixed Methods Study.","authors":"Alison Short, Danielle Ní Chróinín, Heavenlia Rajendran, Christopher Poulos, Anne Hogden","doi":"10.1111/ajag.70226","DOIUrl":"10.1111/ajag.70226","url":null,"abstract":"<p><strong>Objectives: </strong>To examine self-reported noise sensitivity and how older community-dwelling adults subjectively experience noise in community-based venues encountered in day-to-day life.</p><p><strong>Methods: </strong>This exploratory mixed method study included older adults residing in an independent living community in New South Wales, Australia. It comprised a voluntary anonymised paper-based survey that included questions/statements from the Noise Sensitivity Scale (3-NS) and Noise Sensitivity Questionnaire (NoiSeQ), plus four focus groups exploring participants' experience of indoor auditory environments.</p><p><strong>Results: </strong>Participants (n = 50) reported a moderately high sensitivity to noise (median 9/15 on 3-NS, IQR 8-10). Those with hearing aids (23/50) were more likely to score higher in total sum of NoiSeQ questions (OR 1.15, 95% CI 1.01-1.30, p = 0.03). Shopping venues (32/50), food courts (32/50) and clubs (24/50) were commonly identified as noisy environments. Key themes identified in focus groups (n = 20) encompassed: (1) 'noise' versus 'music'; (2) acceptance of sound; and (3) coping strategies. Factors affecting the perception of sound as 'noise' included the self-perceived health of the listener, and qualities, familiarity and perceived necessity of the sound. Older adults employed a range of coping strategies, including adjustment of hearing aids and avoidance strategies, such as online shopping and shopping at non-peak times.</p><p><strong>Conclusions: </strong>Older adults may be highly sensitive to indoor noise and demonstrate a range of coping strategies to deal with noise in community-based venues. Greater engagement with consumers to determine their noise-related needs is necessary in order to support ongoing lifestyle activity and engagement in the community.</p>","PeriodicalId":55431,"journal":{"name":"Australasian Journal on Ageing","volume":"45 3","pages":"e70226"},"PeriodicalIF":1.8,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13548338/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148901546","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Global, Regional, and National Burden, Trends, and Health Disparities of Older People Living With HIV From 1990 to 2021.","authors":"Ruohan Sun, Yantao Jin, Qiujia Kang, Huangchao Jia, Yan Wang, Zichen He, Runyu Zhu, Siyu Wang, Huijun Guo, Qianlei Xu","doi":"10.1111/ajag.70236","DOIUrl":"https://doi.org/10.1111/ajag.70236","url":null,"abstract":"<p><strong>Objective: </strong>Utilizing Global Burden of Disease Study (GBD 2021) data, this study aims to illustrate trends of older people living with HIV (PLHIV) from 1990 to 2021 and explore the phenomenon of health inequality.</p><p><strong>Methods: </strong>This research extracted core indicators, including incidence, prevalence, deaths, and disability-adjusted life years (DALYs). The age-standardized rates (ASRs) for these measures were calculated. Decomposition analysis was employed to explore factors associated with PLHIV burden fluctuation. Inequality analysis and frontier analysis were applied to describe the temporal and spatial trends of the disease burden.</p><p><strong>Results: </strong>The age-standardized incidence rate (ASIR), age-standardized prevalence rate (ASPR), age-standardized deaths rate (ASDR), and age-standardized DALY rate were all at the highest levels in low SDI regions. Decomposition analysis uncovered epidemiological changes as the main driver of the global burden. In 2021, the heaviest burden was seen in the 50-69 age group in global and five SDI regions. Compared to 1990, the absolute value of the index of inequality (SII) decreased for ASIR in 2021 but increased for ASPR, ASDR, and age-standardized DALY rate. The absolute values of the concentration index (CI) of ASRs for all indicators showed a trend of gradual decrease from 1990 to 2021. Frontier analysis indicated that countries with higher effective difference (EF) are predominantly from sub-Saharan Africa.</p><p><strong>Conclusions: </strong>Compared to 1990, the disease burden of ASIR among older PLHIV decreased in 2021. Meanwhile, relative health inequality showed an improving trend. In high-burden areas, especially in sub-Saharan Africa, there is a need to adopt targeted public health strategies.</p>","PeriodicalId":55431,"journal":{"name":"Australasian Journal on Ageing","volume":"45 3","pages":"e70236"},"PeriodicalIF":1.8,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149031743","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Recommendation Déjà Vu? A Review of Australian Reports, Inquiries and Commissions Around Preventing Elder Abuse.","authors":"Emily Moir, Emma Barker","doi":"10.1111/ajag.70229","DOIUrl":"10.1111/ajag.70229","url":null,"abstract":"<p><strong>Objectives: </strong>There has been growing attention to understanding and preventing the abuse of older adults in Australia. Several inquiries, commissions and research reports have been undertaken to understand the prevalence and characteristics of elder abuse in community and institutional settings, and to develop recommendations to alleviate and prevent this problem. This study sought to map the recommendations regarding the prevention of the abuse of older adults from the last 15 years.</p><p><strong>Methods: </strong>This research project reviewed 22 Australian federal and state-based elder abuse inquiries, reports and commissions.</p><p><strong>Results: </strong>Three hundred and eighty-one recommendations around elder abuse were identified across eight themes. Consistent recommendations were made around financial abuse, legal responses and staff training.</p><p><strong>Conclusions: </strong>The utility of new inquiries on elder abuse may be questionable given consistent findings across existing inquiries. These consistent recommendations provide direction for government action, identify gaps that require further attention and necessitate follow-through on implementation.</p>","PeriodicalId":55431,"journal":{"name":"Australasian Journal on Ageing","volume":"45 3","pages":"e70229"},"PeriodicalIF":1.8,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13534893/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148876778","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Exposing Deficit Discourse in Aboriginal and Torres Strait Islander Peoples' Ageing Policy: Promoting Healthy Ageing for Our Elders","authors":"Naomi Howell,&nbsp;Eora/Wiradjuri Woman,&nbsp;Lynne Stuart,&nbsp;Mandandanji Woman","doi":"10.1111/ajag.70222","DOIUrl":"https://doi.org/10.1111/ajag.70222","url":null,"abstract":"&lt;p&gt;In Australia, aged-care access is partly organised through age-based eligibility thresholds. For the general population, aged-care assessment and support generally begins from age 65. For Aboriginal and Torres Strait Islander Peoples (hereafter, Indigenous Peoples), eligibility begins from age 50. This threshold has a long policy history. Earlier aged-care planning and reporting under the &lt;i&gt;Aged Care Act 1997&lt;/i&gt; justified the use of age 50 on the basis that ‘conditions associated with ageing generally affect Indigenous Peoples substantially earlier than other Australians’ [&lt;span&gt;1&lt;/span&gt;]. Aged-care planning recognises the earlier onset of age-related health decline among Indigenous Peoples by applying the age threshold of 50 years and over, compared with 70 years and over for non-Indigenous Australians [&lt;span&gt;2, 3&lt;/span&gt;]. This distinction continues in contemporary aged-care law and service-planning [&lt;span&gt;4, 5&lt;/span&gt;]. Although this threshold was introduced to improve access for people who experience chronic illness, disability or care needs earlier than non-Indigenous Australians, it can unintentionally reinforce deficit discourse. Additionally, this policy position cannot be separated from the ongoing impacts of colonisation, dispossession, segregation, forced removals and racist laws, which have disrupted Indigenous Peoples' families, languages, economies and connections to Country. These structural harms accumulate across generations and shape health and well-being throughout life. When policy operationalises 50 years as the threshold for ‘old age’, it risks turning inequity into identity, implying that being ‘old at 50’ is natural or inevitable [&lt;span&gt;3&lt;/span&gt;]. Earlier care needs reflect preventable, long-term structural disadvantage, not Indigenous identity or biology.&lt;/p&gt;&lt;p&gt;The issue is not early access to aged-care services; there is broad agreement that Indigenous Peoples should receive earlier support when needed. The concern is the policy implication that Indigenous Peoples are ‘old at 50’ or ‘age prematurely’. Current aged-care guidance identifies Indigenous Peoples aged 50 years and over as ‘older’ for eligibility purposes, thereby linking age 50 with ‘older’ in service-access language [&lt;span&gt;5&lt;/span&gt;]. This framing embodies the risk of normalising the impacts of inequity as both personal and biological decline [&lt;span&gt;3&lt;/span&gt;]. Policy language can reinforce deficit discourse when it positions Indigenous Peoples' ageing primarily in terms of decline, disease and dependency [&lt;span&gt;3, 6, 7&lt;/span&gt;]. A more accurate and culturally respectful view recognises that earlier onset of chronic disease, disability and care needs is shaped by cumulative social, historical, political and healthcare inequities, not Indigenous Peoples' identity, biology or ageing itself [&lt;span&gt;3, 8&lt;/span&gt;].&lt;/p&gt;&lt;p&gt;Furthermore, policy language positioning Indigenous Peoples as ‘old’ from age 50 is not evidence-based. The assumption that Indigenous Peoples aged","PeriodicalId":55431,"journal":{"name":"Australasian Journal on Ageing","volume":"45 3","pages":""},"PeriodicalIF":1.8,"publicationDate":"2026-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/ajag.70222","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148784153","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Integrating Pharmacists Into Aged Care Vaccination: Strengthening Public Health Immunisation Systems Through the Aged Care on-Site Pharmacist Program (ACOP) in Australia","authors":"Jennifer White,&nbsp;Megan Vidler,&nbsp;Peter Murray,&nbsp;Amanda Fairjones,&nbsp;Bill Wallace,&nbsp;Carolyn Hullick,&nbsp;Sonya Ennis,&nbsp;Michelle Butler,&nbsp;David N. Durrheim","doi":"10.1111/ajag.70223","DOIUrl":"10.1111/ajag.70223","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>To examine system-level changes in influenza vaccination coverage in residential aged care homes (RACHs) following the introduction of the Aged Care On-site Pharmacist (ACOP) funding initiative, and to explore the experiences of RACH managers and pharmacist immunizers.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A convergent mixed methods study was conducted in the Hunter New England Local Health District (HNELHD), Australia. Publicly available Australian Immunization Register (AIR) influenza vaccination coverage data for RACH residents were compared at baseline (June 2024) and one-year post-ACOP implementation (August 2025). Semi-structured interviews with RACH managers (<i>n</i> = 10) and pharmacist immunizers (<i>n</i> = 12) explored experiences of vaccination delivery and ACOP implementation. Quantitative and qualitative data were analyzed separately and integrated during interpretation.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The proportion of RACHs achieving ≥ 80% influenza vaccination coverage increased from 29% in 2024 to 64% in 2025. However, attribution to ACOP alone was not possible, and variability in implementation was evident. Five key themes were identified in the semi-structured interviews: (1) strengthening partnerships to improve vaccination in aged care, (2) enhancing workflow and vaccination through access to an on-site pharmacist, (3) overcoming operational and logistical barriers, (4) access to comprehensive data, and (5) funding issues impacts sustainability.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>A system-level increase in influenza vaccination coverage occurred following introduction of funding to ACOPs providing immunization services in RACHs. Qualitative findings suggest embedded pharmacists may strengthen vaccination coordination, data monitoring, and multidisciplinary collaboration within aged care. Sustainable funding, role clarity and improved data systems are essential to maintain these gains.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55431,"journal":{"name":"Australasian Journal on Ageing","volume":"45 3","pages":""},"PeriodicalIF":1.8,"publicationDate":"2026-08-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148763590","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"An Embedded Model of Care to Address Depression in the In-Home Aged Care Setting","authors":"Tanya E. Davison,&nbsp;Marissa Dickins,&nbsp;Julie Kelly,&nbsp;Sunil Bhar,&nbsp;Karen Smith","doi":"10.1111/ajag.70220","DOIUrl":"10.1111/ajag.70220","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>Depression is increasingly common among older Australians receiving home care, yet symptoms are often under-recognised and access to evidence-based psychological treatment remains limited. This paper introduces EMBED, a new model of care designed to improve detection, escalation and management of depression within routine home care service delivery.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>We describe the development of an evidence-informed model of care for the Australian home care setting. The model draws on clinical guidelines, published evidence on late-life depression and psychological treatment, implementation evidence from aged care and consultation with frontline staff, managers, senior leaders and consumer representatives.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The EMBED model comprises four integrated components: (i) workforce training to improve the knowledge, attitudes and self-efficacy of home care workers; (ii) routine screening to support early identification of symptoms and deterioration; (iii) structured clinical assessment to guide escalation and treatment planning; and (iv) tailored psychological intervention using lifestyle therapy and behavioural activation. The intervention was designed to be stratified according to symptom severity, responsive to older people's preferences and feasible for delivery within aged care services and through health service collaboration.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>The EMBED model offers a practical approach to addressing a major gap in current home care practice by embedding mental health capability into usual aged care service delivery. Further research is required to determine its effectiveness and cost-effectiveness, as well as implementation requirements in the Australian home care context to enable providers to better support the growing population of older people with symptoms of depression.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55431,"journal":{"name":"Australasian Journal on Ageing","volume":"45 3","pages":""},"PeriodicalIF":1.8,"publicationDate":"2026-08-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/ajag.70220","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148726571","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Insights From Older People With Dementia and Mild Cognitive Impairment on the Management of Driving Cessation by Health Professionals: A Qualitative Study","authors":"Claire Spargo,&nbsp;Kate Laver,&nbsp;Zoe Adey-Wakeling,&nbsp;Angela Berndt,&nbsp;Stacey George","doi":"10.1111/ajag.70215","DOIUrl":"10.1111/ajag.70215","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>To obtain insights into the needs and experiences of older people with dementia or mild cognitive impairment (MCI) regarding health professionals' management of driving cessation.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A qualitative descriptive approach within an interpretive paradigm was used to study people in their own context. Semi-structured interviews with 12 people aged 65 years or older with dementia/MCI were conducted, recruited from a memory clinic at a South Australian tertiary hospital. Data were analysed using reflexive thematic analysis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Themes identified driving cessation as a process involving four potential phases: (1) Preparation: Value of early and ongoing discussions about driving cessation, (2) Navigating fitness to drive decisions: Desire for information, options and guidance, (3) Receiving a driving cessation recommendation: Importance of clear and compassionate communication, and (4) Adjusting to life without driving: Feelings of loss of independence and loneliness. Participants identified specific communication needs from health professionals across the first three phases. In the fourth, post-cessation phase, all who had ceased driving received emotional and/or practical support from family; however, none reported receiving support from health professionals.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Findings highlighted the need for a structured and comprehensive communication approach over phases, from preparation to driving cessation, and increased post-cessation support for people with dementia/MCI and their families.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55431,"journal":{"name":"Australasian Journal on Ageing","volume":"45 3","pages":""},"PeriodicalIF":1.8,"publicationDate":"2026-08-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/ajag.70215","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148708553","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Co-Designing a Fall Prevention Exercise Website to Meet Aged Care Community Needs","authors":"Rik Dawson,&nbsp;Lauren Cameron,&nbsp;Marin B. Pinheiro,&nbsp;Katrina Jarratt,&nbsp;Catherine Sherrington,&nbsp;Abby Haynes","doi":"10.1111/ajag.70216","DOIUrl":"10.1111/ajag.70216","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>Falls among older people are a significant health issue. Exercise reduces falls, yet many older people do not meet physical activity guidelines. Digital health platforms may improve access to fall prevention programs, but limited research has explored how these platforms meet older people's needs. This study aimed to use co-design principles to develop a website supporting delivery of the TOP UP program in aged care. A secondary aim explored older people's experiences of participating in the co-design process.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A three-phase co-design study was conducted. Phase 1 used interviews, focus groups and heuristic evaluation to inform development of a prototype website. Participants included 14 older people receiving aged care services (median age 84 years), 10 care staff and six physiotherapists. Phase 2 used think-aloud usability interviews with 11 older people, including Likert scale ratings, to assess navigation, clarity and functionality and refine the prototype. Phase 3 explored participants' experiences of the co-design process.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Thematic analysis identified eight design themes highlighting priorities related to simplicity, accessibility, relatability, safety, customisation and engaging features that supported motivation while minimising staff burden. Feedback on the website was positive and informed improvements in readability, navigation and credibility. Participants reported positive co-design experiences and valued contributing to the development of a digital fall prevention resource.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Co-design is valuable in developing user-centred digital health solutions for aged care. Findings highlight the importance of aligning digital platforms with older people's needs to improve accessibility, engagement and scalability, supporting implementation of programs such as TOP UP.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55431,"journal":{"name":"Australasian Journal on Ageing","volume":"45 3","pages":""},"PeriodicalIF":1.8,"publicationDate":"2026-08-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13449867/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148686877","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Meeting Current and Future Aged Care Needs of Regional and Rural Communities Through the Multipurpose Service Model - A Scoping Review","authors":"Linda Deravin,&nbsp;Melissa Hanson,&nbsp;Sarah Stenson,&nbsp;Catelyn Richards,&nbsp;Judith Anderson","doi":"10.1111/ajag.70217","DOIUrl":"10.1111/ajag.70217","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>Despite more than two decades of implementation, there is limited peer-reviewed evidence evaluating whether the multipurpose service (MPS) model effectively meets the contemporary health and aged care needs of rural and regional communities. This gap is particularly significant given recent government inquiries highlighting persistent inequities in rural health service access. The objective of this scoping review was to examine whether the key recommendations of the Royal Commission into Aged Care Quality and Safety and the New South Wales Parliamentary inquiry into Health outcomes for rural, regional and remote New South Wales support whether the multipurpose service model (MPS) is effective as a model of care for service delivery.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A scoping review of five databases was undertaken. The first stage included title and abstract review followed by full text reviews. A thematic analysis was undertaken, informed by Braun and Clarke.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Nine articles met the criteria for review. Themes that were derived from the data that aligned with the two independent government reports were: MPS model and its infrastructure; funding; staffing and skill mix; and community engagement and needs.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Overall, this scoping review established that the MPS model of care is an appropriate model to meet the recommendations of the two government reports. However, there needs to be further investment in staff development to extend scopes of practice when working in rural, regional and remote New South Wales.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55431,"journal":{"name":"Australasian Journal on Ageing","volume":"45 3","pages":""},"PeriodicalIF":1.8,"publicationDate":"2026-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13448403/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148686917","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Understanding Patient and Clinician Perspectives in the HITH4Hips Trial: A Qualitative Study","authors":"Jananee Myooran,&nbsp;Justine Naylor,&nbsp;Marie K. March,&nbsp;Danielle Ní Chróinín,&nbsp;Thuy Anh Bui,&nbsp;Nicholas Bednorz,&nbsp;Shu-Hsuan Chen,&nbsp;Bernadette Brady","doi":"10.1111/ajag.70214","DOIUrl":"10.1111/ajag.70214","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>Early-discharge models for hip fracture care are increasingly used to reduce hospital length of stay and healthcare burden, but stakeholder experiences remain underexplored. This study aimed to explore the experiences of patients, carers and healthcare providers (HCPs) involved in a multidisciplinary Hospital In The Home (HITH4Hips) program for low-trauma hip fractures, and to identify factors influencing its implementation.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Guided by the RE-AIM QuEST (REach, Adoption, Implementation and Maintenance Qualitative Evaluation for Systematic Translation) framework, semi-structured interviews were conducted with stakeholders involved in the HITH4Hips program at a metropolitan trauma hospital in Sydney, Australia. Interviews were transcribed verbatim and analysed using a rapid assessment approach with hybrid inductive–deductive coding. Themes were developed through interpretive analysis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Nineteen interviews were completed, including 14 patients/carers (10 HITH4Hips participants; four usual care who declined HITH4Hips, mean age 75 years, 64% women, 86% from culturally and linguistically diverse background) and five HCPs. Four themes were developed: (1) Suitability for HITH: patients preferred home-based recovery, whereas HCPs were more risk-averse; (2) Perceptions of program effectiveness: patients prioritised emotional well-being and functional progress, while HCPs emphasised measurable outcomes; (3) HCP mindset and orientation: role ambiguity and variable staff engagement limited program adoption; and (4) Realising program value: siloed communication and weak inpatient–community linkages hindered implementation.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>The HITH4Hips program was acceptable and has the potential to reduce healthcare system burden. Successful implementation will require tailored communication strategies and coordinated care pathways to align patient and provider priorities.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55431,"journal":{"name":"Australasian Journal on Ageing","volume":"45 3","pages":""},"PeriodicalIF":1.8,"publicationDate":"2026-08-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13430131/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148665140","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}