The existing system is failing to deliver the care that Australia expects
Australia's aged care has changed considerably in recent decades. In response to consumer demand, old institutional‐style nursing homes have been progressively phased out in favour of better facilities. Home‐like furnishings and decor and single bedrooms personalised with residents’ own belongings have increasingly become the norm. In the process, they have become residential aged care facilities (RACFs), and there is no longer a distinction between low and high care.1
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- 1. Eagar K, Westera A, Snoek M, et al. How Australian residential aged care staffing levels compare with international and national benchmarks. Centre for Health Service Development, Australian Health Services Research Institute, University of Wollongong; 2019. https://agedcare.royalcommission.gov.au/publications/Documents/research-paper-1.pdf (viewed Oct 2019).
- 2. Eagar K, McNamee J, Gordon R, et al. AN‐ACC: A national classification and funding model for residential aged care: synthesis and consolidated recommendations. The resource utilisation and classification study: report 6. Australian Health Services Research Institute, University of Wollongong; 2019. https://www.health.gov.au/sites/default/files/documents/2019/12/resource-utilisation-and-classification-study-rucs-reports-report-6-an-acc-a-national-classification-and-funding-model-for-residential-aged-care-synthesis-and-consolidated-recommendations_0.pdf (viewed Oct 2019).
- 3. Eagar K, McNamee J, Gordon R, et al. The Australian National Aged Care Classification (AN‐ACC). The resource utilisation and classification study: report 1. Australian Health Services Research Institute, University of Wollongong; 2019. https://www.health.gov.au/sites/default/files/documents/2019/12/resource-utilisation-and-classification-study-rucs-reports-report-1-the-australian-national-aged-care-classification-an-acc_0.pdf (viewed Oct 2019).
- 4. Australian Institute of Health and Welfare. 2018–19 Report on the operation of the Aged Care Act 1997. Canberra: Commonwealth of Australia, 2019. https://www.gen-agedcaredata.gov.au/www_aihwgen/media/ROACA/2018-19-ROACA.pdf (viewed Oct 2019).
- 5. Australian Institute of Health and Welfare. GEN Aged Care Data: people leaving aged care [website]. Canberra: Commonwealth of Australia, 2019. https://www.gen-agedcaredata.gov.au/Topics/People-leaving-aged-care (viewed Oct 2019).
- 6. Australian Institute of Health and Welfare. GEN Aged Care Data: admissions into aged care [website]. Canberra: Commonwealth of Australia, 2019. https://www.gen-agedcaredata.gov.au/Topics/Admissions-into-aged-care (viewed Oct 2019).
- 7. Royal Commission into Aged Care Quality and Safety. Neglect: interim report; volume 1. Canberra: Commonwealth of Australia, 2019; p. 5. https://agedcare.royalcommission.gov.au/publications/Pages/interim-report.aspx (viewed Oct 2019).
- 8. Ludlow K, Churruca K, Mumford V, et al. Unfinished care in residential aged care facilities: an integrative review. Gerontologist 2019;. https://doi.org/gnz145;10.1093/geront/gnz145.
- 9. Spilsbury K, Hewitt C, Stirk L, Bowman C. The relationship between nurse staffing and quality of care in nursing homes: a systematic review. Int J Nurs Stud 2011; 48: 732–750.
- 10. Howe CL. Staffing ratios in nursing homes. Ariz Geriatr Soc J 2009; 15: 23–25.
- 11. Harrington C, Schnelle JF, McGregor M, Simmons SF. Article commentary: the need for higher minimum staffing standards in US nursing homes. Health Services Insights 2016;. https://doi.org/10.4137/HSI.S38994.
- 12. Feuerberg M. Appropriateness of minimum nurse staffing ratios in nursing homes, report to Congress: phase II final. Centers for Medicare and Medicaid Services (CMS), 2001. USA. https://phinational.org/wp-content/uploads/legacy/clearinghouse/PhaseIIVolumeIofIII.pdf (viewed Oct 2019).
- 13. Aged Care Workforce Strategy Taskforce. A matter of care: Australia's aged care workforce strategy. Canberra: Commonwealth of Australia, 2018. https://www.health.gov.au/sites/default/files/a-matter-of-care-australia-s-aged-care-workforce-strategy.pdf (viewed Oct 2019).
- 14. Leading Aged Services Australia. Proposal for a new residential aged care funding model. LASA, 2019. https://lasa.asn.au/wp-content/uploads/2019/06/20190530-LASA-submission-to-proposed-AN-ACC-funding-model-FINAL.pdf (viewed Oct 2019).
- 15. Aged and Community Services Australia. Proposal for a new residential aged care funding model. ACSA; 2019. https://www.acsa.asn.au/ACSA/media/General/Documents/ACSA-Submission-RUCS-Jun-2019.pdf (viewed Oct 2019).
The research summarised in this article was funded by the Royal Commission into Aged Care Quality and Safety. This funding was paid to the university and not the authors. The Royal Commission into Aged Care Quality and Safety had no role in the research or in the preparation of the manuscript.
None declared.