{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,27]],"date-time":"2026-04-27T23:52:12Z","timestamp":1777333932594,"version":"3.51.4"},"reference-count":20,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2022,5,24]],"date-time":"2022-05-24T00:00:00Z","timestamp":1653350400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Australas J Ageing"],"published-print":{"date-parts":[[2022,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objectives<\/jats:title><jats:p>Centre\u2010based aged care services are a key site of early intervention and support for people with dementia and their carers. This paper examines the impact of new aged care funding structures on centre\u2010based aged care service accessibility and delivery. It also examines the challenges and opportunities for change facing the sector in the light of the COVID\u201019 pandemic.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Semi\u2010structured interviews were conducted online with 29 managers or supervisors of centre\u2010based aged care services in Greater Sydney.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The analysis reinforced the essential role of centre\u2010based aged care services in improving the cognitive, physical and psychological health of older people with dementia and their carers. However, the changing funding context and the COVID\u201019 pandemic have created challenges in access to centre\u2010based services, particularly for the most vulnerable. The challenges created by the COVID\u201019 pandemic also opened opportunities for the introduction of new models of service practice to meet the individual needs of older people and their carers.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Greater investment in, and flexibility in the funding for, centre\u2010based aged care services is needed to facilitate access for people with dementia and their carers and improve their health and well\u2010being.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ajag.13081","type":"journal-article","created":{"date-parts":[[2022,5,24]],"date-time":"2022-05-24T07:38:33Z","timestamp":1653377913000},"page":"457-465","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["New directions in centre\u2010based aged care in Australia: Responding to changing funding models and the <scp>COVID<\/scp>\u201019 pandemic"],"prefix":"10.1111","volume":"41","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5999-6568","authenticated-orcid":false,"given":"Myra","family":"Hamilton","sequence":"first","affiliation":[{"name":"Centre of Excellence on Population Ageing Research University of Sydney  Sydney New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tonia","family":"Crawford","sequence":"additional","affiliation":[{"name":"Sydney Nursing School University of Sydney  Sydney New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cathy","family":"Thomson","sequence":"additional","affiliation":[{"name":"Social Policy Research Centre University of New South Wales  Sydney New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yun\u2010Hee","family":"Jeon","sequence":"additional","affiliation":[{"name":"Sydney Nursing School University of Sydney  Sydney New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kimberley","family":"Bassett","sequence":"additional","affiliation":[{"name":"Sydney Nursing School University of Sydney  Sydney New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2022,5,24]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1080\/13607863.2015.1023765"},{"key":"e_1_2_10_3_1","volume-title":"Transitioning Australian Respite (SPRC Report 04\/2016)","author":"Hamilton M","year":"2016"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1080\/23311886.2016.1267301"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1590\/1980-57642018dn13-030003"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.3390\/healthcare6020043"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyt.2019.00587"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/spol.12345"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1037\/pag0000401"},{"key":"e_1_2_10_10_1","volume-title":"Economic Cost of Dementia in Australia, 2016\u20132056","author":"National Centre for Social and Economic Modelling (NATSEM)","year":"2017"},{"key":"e_1_2_10_11_1","volume-title":"Australia's Health","author":"Australian Institute of Health and Welfare","year":"2016"},{"key":"e_1_2_10_12_1","volume-title":"Transitioning Australian Respite (SPRC Report 04\/2016)","author":"Hamilton M","year":"2016"},{"key":"e_1_2_10_13_1","volume-title":"Repositioning Respite within Consumer Directed Service Systems","author":"Carer Respite Alliance","year":"2021"},{"key":"e_1_2_10_14_1","doi-asserted-by":"publisher","DOI":"10.1002\/1098-240X(200008)23:4<334::AID-NUR9>3.0.CO;2-G"},{"key":"e_1_2_10_15_1","doi-asserted-by":"publisher","DOI":"10.1002\/nur.20362"},{"key":"e_1_2_10_16_1","doi-asserted-by":"publisher","DOI":"10.1177\/160940690600500107"},{"key":"e_1_2_10_17_1","doi-asserted-by":"publisher","DOI":"10.4135\/9781526417978"},{"issue":"1","key":"e_1_2_10_18_1","first-page":"1","article-title":"The impact of dementia daycare service cessation due to COVID\u201019 pandemic","volume":"37","author":"Wong BP\u2010s","year":"2021","journal-title":"International Journal of Geriatric Psychiatry"},{"key":"e_1_2_10_19_1","unstructured":"Carrigan M Leen B.What is the evidence for the impact of closures of day\u2010care centres and resumption of day care services for older people during COVID\u201019?National Health Library and Knowledge Service | Evidence Team Summary of Evidence: COVID\u201019 v 1.0 Health Service Executive. 2020 Accessed on 4 March 2022. Available at:https:\/\/www.lenus.ie\/handle\/10147\/628429"},{"key":"e_1_2_10_20_1","doi-asserted-by":"publisher","DOI":"10.1037\/tra0000793"},{"key":"e_1_2_10_21_1","doi-asserted-by":"publisher","DOI":"10.1111\/imj.15507"}],"container-title":["Australasian Journal on Ageing"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/ajag.13081","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/ajag.13081","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/ajag.13081","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,8,23]],"date-time":"2023-08-23T07:07:54Z","timestamp":1692774474000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/ajag.13081"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,5,24]]},"references-count":20,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2022,9]]}},"alternative-id":["10.1111\/ajag.13081"],"URL":"https:\/\/doi.org\/10.1111\/ajag.13081","archive":["Portico"],"relation":{},"ISSN":["1440-6381","1741-6612"],"issn-type":[{"value":"1440-6381","type":"print"},{"value":"1741-6612","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,5,24]]},"assertion":[{"value":"2021-09-08","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2022-04-03","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2022-05-24","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}