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Can a Home Care Package deliver a meaningful life? challenges for rural home care delivery

Marsh, P ORCID: 0000-0002-4371-2628, Fuller, A and Anderson, J ORCID: 0000-0002-8310-0458 2021 , 'Can a Home Care Package deliver a meaningful life? challenges for rural home care delivery' , Journal of Hospital Administration, vol. 10, no. 2 , pp. 12-20 , doi: 10.5430/jha.v10n2p12.

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Objective: To explore the capacity and responsiveness of the Home Care Package (HCP) Program to deliver the promise of ameaningful life for rural residents.Methods: In-depth interviews utilising appreciative enquiry in two local government areas in rural/outer regional Tasmania(MM2-6). Participants: Rural staff and residents who were either receiving, seeking or delivering support through the HCPProgram.Results: Interviews revealed that positive impacts of being assisted to stay at home resulted when staff were able to providesupport that was appropriate to need, and enabled the continuation of rural community engagement, individual autonomy andcontrol. When the HCP did not provide these, or even hindered them, there were negative consequences, and feelings of confusion,mistrust, and disappointment for staff and residents. The rural context creates specific challenges for the HCP Program in itscurrent form, related to service availability and choice, staff recruitment, training and availability, and client/provider needsmismatch.Conclusions: Older rural people are variously impacted upon by the HCP Program. Factors of rurality, including workforceissues, hamper the Program’s potential to positively contribute to a meaningful life. As demand grows, changes are needed. Thereis a need to examine the Program design for urban-centrisms, and gain a greater awareness of older rural people’s needs and ruralservice challenges

Item Type: Article
Authors/Creators:Marsh, P and Fuller, A and Anderson, J
Keywords: age care, purpose, significance, coherence, place-based
Journal or Publication Title: Journal of Hospital Administration
Publisher: Sciedu Press
ISSN: 1927-6990
DOI / ID Number: 10.5430/jha.v10n2p12
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Copyright 2021 Sciedu Press

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