{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,18]],"date-time":"2026-03-18T18:57:00Z","timestamp":1773860220998,"version":"3.50.1"},"reference-count":34,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2016,8,17]],"date-time":"2016-08-17T00:00:00Z","timestamp":1471392000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"name":"Australian Research Council Linkage Project","award":["LP110200079"],"award-info":[{"award-number":["LP110200079"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Geriatrics Gerontology Int"],"published-print":{"date-parts":[[2017,10]]},"abstract":"<jats:sec><jats:title>Aim<\/jats:title><jats:p>All consumer\u2010directed care (CDC) models aim to transfer \u201cchoice\u201d and \u201ccontrol\u201d over the allocated funds from the aged care provider to service recipients. This study presents an empirical assessment of the relationships between quality of life for older adults aged \u226565\u2009years receiving community aged care services in Australia under CDC compared with those receiving traditional provider\u2010directed care (PDC).<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Self\u2010reported quality of life (health status and capabilities) were measured for older adults receiving community aged care services (<jats:italic>n<\/jats:italic>\u2009=\u2009139) using the EuroQoL five dimensions five\u2010level version and the older people\u2010specific capability index (ICECAP\u2010O) instruments. The relationship between quality of life, mode of service delivery, and other sociodemographic characteristics were examined using descriptive statistical and multivariate regression analyses.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The quality of life of individuals receiving CDC and PDC was similar (ICECAP\u2010O: CDC mean 0.74 [SD 0.17], PDC mean 0.78 [SD 0.17]. EuroQoL five dimensions five\u2010level version: CDC mean 0.46 [SD 0.33], PDC mean 0.49 [SD0.27]). In general, individuals in receipt of CDC reported higher levels of capability in the control and independence dimension for the ICECAP\u2010O relative to those receiving PDC. Multivariate regression analysis showed that living alone was associated with higher quality of life (<jats:italic>P<\/jats:italic>\u2009=\u20090.01) and higher levels of capability (<jats:italic>P<\/jats:italic>\u2009=\u20090.02).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Although no discernible differences in overall quality of life were found, higher levels of self\u2010reported control and independence for those in receipt of CDC suggest that the main policy objectives of transferring \u201cchoice\u201d and \u201ccontrol\u201d away from the aged care provider and to the individual are being met.<jats:bold>Geriatr Gerontol Int 2017; 17: 1399\u20131405.<\/jats:bold><\/jats:p><\/jats:sec>","DOI":"10.1111\/ggi.12872","type":"journal-article","created":{"date-parts":[[2016,8,17]],"date-time":"2016-08-17T05:26:53Z","timestamp":1471411613000},"page":"1399-1405","source":"Crossref","is-referenced-by-count":19,"title":["Impact of consumer\u2010directed care on quality of life in the community aged care sector"],"prefix":"10.1111","volume":"17","author":[{"given":"Norma","family":"Bulamu","sequence":"first","affiliation":[{"name":"Flinders Health Economics Group, School of Medicine Flinders University, Repatriation General Hospital Adelaide South Australia Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Billingsley","family":"Kaambwa","sequence":"additional","affiliation":[{"name":"Flinders Health Economics Group, School of Medicine Flinders University, Repatriation General Hospital Adelaide South Australia Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Liz","family":"Gill","sequence":"additional","affiliation":[{"name":"John Walsh Center for Rehabilitation Research, Sydney Medical School Northern University of Sydney, Kolling Institute of Medical Research, Royal North Shore Hospital Sydney New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ian","family":"Cameron","sequence":"additional","affiliation":[{"name":"John Walsh Center for Rehabilitation Research, Sydney Medical School Northern University of Sydney, Kolling Institute of Medical Research, Royal North Shore Hospital Sydney New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sue","family":"McKechnie","sequence":"additional","affiliation":[{"name":"Resthaven Incorporated Adelaide South Australia Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jeff","family":"Fiebig","sequence":"additional","affiliation":[{"name":"Aged Care and Housing Adelaide South Australia Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Robin","family":"Grady","sequence":"additional","affiliation":[{"name":"Catholic Community Services Adelaide New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Julie","family":"Ratcliffe","sequence":"additional","affiliation":[{"name":"Flinders Health Economics Group, School of Medicine Flinders University, Repatriation General Hospital Adelaide South Australia Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2016,8,17]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1093\/geront\/33.2.159"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1071\/AH09759"},{"key":"e_1_2_7_4_1","doi-asserted-by":"crossref","unstructured":"Productivity Commission.Caring for Older Australians Report No. 53 Final Inquiry Report. 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