SEARCHSYSTEMATIC_REVIEWgeriatrics, public health

systematic_review·geriatrics, public health, epidemiology, systematic review, family medicine·PMC10087212

What constitutes a quality community aged care service—client perspectives: An international scoping study

Health & Social Care in the Community · 3 authors, 2 centres

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TL;DR

This international scoping review of 62 articles systematically identified what clients view as important attributes of quality in community aged care services.

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A scoping review searched MEDLINE, CINAHL, PubMed, and PsychINFO for articles published between July 2000 and April 2022 on client perspectives regarding quality of community aged care services. Thematic analysis using the four-step Miles and Huberman model was applied. Six of the 62 included articles engaged clients in phases such as study design or questionnaire development. The authors note this is the first scoping review focusing specifically on what clients report as important qualities of community aged care services. The identified domains could inform development of client-centred quality indicators for community aged care services.

STUDY TYPE

systematic_review

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geriatrics

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AI pipeline

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100% · A

ORIGINAL PAPER

PMC10087212

What constitutes a quality community aged care service—client perspectives: An international scoping study

Health & Social Care in the Community

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ABSTRACT

Abstract Overwhelmingly, older Australians (people aged 65 years and older or 50 years and older for Aboriginal and Torres Strait Islander people) prefer to remain living in their own home rather than moving into residential care. To enable older Australians who require assistance to remain living at home, the Federal Government provides a wide range of community care services, the provision of which has increased substantially over the last 15 years. The importance of client preferences, prefaced by the introduction of consumer directed care across community aged care services, has gathered momentum in Australia following legislation in 2015. Older peoples' preferences differ in comparison to younger people with disability and those with mental health concerns. Older people focus more on the provision of services rather than the notion of independent living itself. This scoping review aimed to explore what aspects people aged 65 years and older consider to be important qualities of aged care services delivered in the community. A computerised search in MEDLINE, CINAHL, PubMed and PsychINFO and hand searches of the Cochrane database and Google Scholar were completed in May 2022. Sixty‐two articles met the selection criteria and were included in the review. Data were extracted using a fit‐for‐purpose protocol and analysed using the Miles and Huberman Model for thematic analysis. Results identified five themes representing quality domains that describe features that are important to clients: staff knowledge, respect for clients, a person‐centred approach, a collaborative partnership with clients and clear communication. When providers of community aged care services are planning to assess the quality of their services, these findings could be used to guide their evaluation. This will ensure that future services delivered accommodate the needs and preferences of clients who receive them. Keywords: community services for the elderly, community‐based research, home care, older people's services, patient preferences, patient satisfaction

CITATION EXPORT

Sandra Smith, Melinda Martin‐Khan, Catherine Travers. What constitutes a quality community aged care service—client perspectives: An international scoping study. Health & Social Care in the Community. (2022). https://doi.org/10.1111/hsc.13998

AUTHORS

3 · 2 CENTRES

Sandra Smith, Melinda Martin‐Khan, Catherine Travers

1 Centre for Health Services Research, The University of Queensland, Brisbane, Queensland, Australia
2 School of Health and Rehabilitation Sciences, The University of Queensland, Brisbane, Queensland, Australia