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One and the same or different? An empirical comparison of aged care recipient and non-aged care recipient preferences for quality of aged care amongst older Australians

Bibliographic Data

ID4593026
AuthorsSong Jia (0000-0003-4796-3456, Flinders University, corresponding author), Gang Chen (0000-0002-8385-5965, Monash University), Jyoti Khadka (0000-0003-1012-2119, Flinders University), Rachel Milte (0000-0001-7533-6260, Flinders University), Julie Ratcliffe (0000-0001-7365-1988, Flinders University)
Year2024
Volume353
Pages117054
Publication date2024-07-01
Open AccessYes
TypeARTICLE
VenueSocial Science & Medicine (JOURNAL)
Journal identifiersISSN: 0277-9536 • E-ISSN: 1873-5347
PublisherElsevier BV (PUBLISHER)
DOI10.1016/j.socscimed.2024.117054
PMID38908090
OpenAlexW4399661948
LanguageEN
Citations received1
References cited28

The Quality of Care Experience Aged Care Consumers (QCE-ACC) is a new preference-based instrument recently adopted by the Australian government nationally as a new quality indicator for aged care. This study employed a discrete choice experiment (DCE) approach to develop an aged care user-specific value set for the QCE-ACC instrument. This is crucial for establishing the relative importance of key QCE-ACC dimensions for informing quality assessment and economic evaluation in aged care. We further empirically compared the preferences of aged care recipients and non-aged care recipients amongst the older Australian population (65 years and above) for quality of care experience using the QCE-ACC. A total of 201 older people (age 74.2 ± 6.2; 59.7% female) receiving aged care services completed the DCE survey between August and September 2022. The comparison of relative importance indicated some divergence in the preferences between the aged care recipients and non-aged care recipients. Amongst aged care recipients, being treated with "Respect & Dignity" was the most important quality of care experience defining dimension, with "Health & Wellbeing" ranked second and "Skills & Training" (of staff) ranked third. However, within non-aged care recipients, "Skills Training" (of staff) was considered the most important quality of care dimension. Distinction in the QCE-ACC utility weights distributions and mean values were also observed, suggesting that aged care recipients may have different opinions about the quality of aged care compared to those who have not accessed aged care services. The findings shed light on the unique preferences of aged care recipients, indicating that aged care recipients and non-aged care recipients' preferences for quality of aged care are not interchangeable. The value set developed in this study is specifically tailored for assessing the quality of aged care using the QCE-ACC instrument from the perspective of aged care users in Australia

Aged care · Dignity · Environmental health · Family medicine · Government (linguistics · Health care · Population · Quality (philosophy · Demography · Economic and Environmental Valuation · Health Systems, Economic Evaluations, Quality of Life · Medicine · Patient Satisfaction in Healthcare · Gerontology

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Citations per year1
Citation span2025 - 2025 (1)
Highly citedNo

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