Exploring the perceptions and understanding of case managers of the principle of active ageing in the delivery of community aged care programmes in New South Wales and South East Queensland, Australia

Abstract

Background: As the population ages, there is considerable literature exploring the concept and global policy move towards 'active ageing'. The World Health Organization in response to the ageing population phenomenon developed an 'Active Ageing' policy framework. In Australia, governments and the aged care sector have recognised the need to plan for the future. Active ageing principles have been at the forefront of policy development and pilot programmes exploring enablement and active ageing approaches in service delivery. However, with little evidence-based research available to guide programme development and a sector in need of reform, the impact of active ageing approaches in the delivery of community aged care has been difficult to ascertain. Study Purpose: The purpose of this study is to explore the perceptions and understanding of community aged care case managers across New South Wales and South East Queensland of the principles of active ageing in the delivery of community aged care programmes. Study Design: This study uses social construction theory as the theoretical framework to study the perceptions of case managers of active ageing. The research methodology uses a qualitative approach through semi-structured interviews in order to provide a greater understanding of the depth and breadth of change required in the structure, function and processes for the delivery of community aged care programmes. Participants: Case managers of community aged care programmes as research participants play a central role in the delivery of community aged care and health services in the homes of older people across Australia. Outcomes: This research study has found that case manager's perceptions and understanding of active ageing lacks depth and clarity of purpose. As a result assessment and delivery change is required and there is a need for effective leadership training and professional development for staff working in the sector. It was also identified that funding and system reform is required. Conclusions: This study questions the effectiveness of the current community aged care system to encourage an active ageing approach with older people without fundamental reform of the sector. The research participants raised concerns over the current system's ability to embrace active ageing as a concept without programme change and further training and development of the workforce. It has been identified through this study that a paradigm change is required to effectively implement an active ageing approach, particularly as older people's needs become more complex.