Jane Phillips, University of Technology Sydney; David Currow, University of Technology Sydney; Deborah Parker, University of Technology Sydney, and Nola Ries, University of Technology Sydney
It’s been 20 years since the government brought in the Aged Care Act 1997 to deliver a new model of care for older Australians who could no longer live at home and required assistance with daily tasks. The act aimed to facilitate choice and independence for the elderly, and direct services to those with the greatest needs.
But the legislative change also coincided with an era of advanced ageing and more complex needs in our elderly.
People who had previously entered low-level residential aged care (then called hostels), are now cared for in the community. Once they enter aged care, they’re older and sicker than before, and have more complex needs. Since 2008, the number of older Australians admitted to a residential aged care facility has remained steady, but the proportion of people with high-care needs has progressively increased.