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


Marsh, P and Fuller, A and Anderson, J, Can a Home Care Package deliver a meaningful life? challenges for rural home care delivery, Journal of Hospital Administration, 10, (2) pp. 12-20. ISSN 1927-6990 (2021) [Refereed Article]

Copyright Statement

Copyright 2021 Sciedu Press

DOI: doi:10.5430/jha.v10n2p12


Objective: To explore the capacity and responsiveness of the Home Care Package (HCP) Program to deliver the promise of a meaningful 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 HCP Program.

Results: Interviews revealed that positive impacts of being assisted to stay at home resulted when staff were able to provide support that was appropriate to need, and enabled the continuation of rural community engagement, individual autonomy and control. 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 its current form, related to service availability and choice, staff recruitment, training and availability, and client/provider needs mismatch.

Conclusions: Older rural people are variously impacted upon by the HCP Program. Factors of rurality, including workforce issues, hamper the Programís potential to positively contribute to a meaningful life. As demand grows, changes are needed. There is a need to examine the Program design for urban-centrisms, and gain a greater awareness of older rural peopleís needs and rural service challenges

Item Details

Item Type:Refereed Article
Keywords:age care, purpose, significance, coherence, place-based
Research Division:Human Society
Research Group:Human geography
Research Field:Rural and regional geography
Objective Division:Health
Objective Group:Specific population health (excl. Indigenous health)
Objective Field:Rural and remote area health
UTAS Author:Marsh, P (Dr Pauline Marsh)
UTAS Author:Fuller, A (Mrs Amelie Fuller)
UTAS Author:Anderson, J (Dr Judith Anderson)
ID Code:143835
Year Published:2021
Deposited By:UTAS Centre for Rural Health
Deposited On:2021-04-07
Last Modified:2021-11-10

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