AI Article Synopsis
- - In Australia, the government is increasing market forces in aged care to address poor quality issues like drug overuse, social isolation, and neglect, following similar trends in the US and Europe.
- - The paper discusses proposed reforms and the historical policy development related to aged care over the past two decades, including a theoretical model of provider behavior and empirical research from other countries.
- - It evaluates the strengths and weaknesses of these market-oriented reforms and suggests additional measures to improve care quality, offering insights for countries that have also attempted to marketize their nursing home care systems.
Article Abstract
In Australia, the US and Europe, policy makers use markets to incentivise aged care providers to produce greater quality care. The Australian Government announced in 2021 that it would further increase market forces in residential aged care to improve quality. The proposals respond to poor quality found within residential aged care, with overuse of psychotropic medications and physical constraints, social isolation and neglect. This paper outlines the market-orientated reforms the Government seeks to implement, including the policy development pathway over the last two decades. It refers to a theoretical model of provider behaviour under administered prices, and empirical research on the impact of similar market-orientated reforms delivered elsewhere, to highlight the reforms' strengths, weaknesses, and potential market outcomes. This paper concludes by identifying additional reforms that could better incentivise care quality and offers lessons to countries that have sought to marketise their nursing home care sectors.
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| http://dx.doi.org/10.1016/j.healthpol.2022.11.005 | DOI Listing |
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