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A case study in the politics of retrenchment: the 1997 Coalition Residential Aged Care Structural Reform Package

Sullivan, Elise
Fonte: Universidade Nacional da Austrália Publicador: Universidade Nacional da Austrália
Tipo: Working/Technical Paper Formato: 73845 bytes; 351 bytes; text/html; application/octet-stream
EN_AU
Relevância na Pesquisa
66.23%
This paper examines the policy process involved in the development and implementation of the 1997 Aged Care Structural Reform Package in Australia by the Liberal-National Coalition Government. It will be argued that the process used to implement the Reforms and the convoluted path it took is best explained using Paul Pierson’s theory of the politics of welfare retrenchment. The strategies Pierson identifies as important to programmatic and systematic retrenchment were used with varying degrees of success by the Coalition to implement the Aged Care Reforms and include obfuscation, division and compensation. The effectiveness of these strategies in implementing the Aged Care Reforms was dependent on the political context of aged care policy inherited by the Coalition from the previous Labor administration. The political context is defined in terms of the formal political institutions, the design of aged care policy and the degree to which this has supported the development and maintenance of interest groups. The 1997 Reforms themselves have fundamentally altered the political context and the implications for future administrations are discussed.; no

Mandatory aged care insurance: a case for Australia

Paolucci, Francesco; Sowa, Przemyslaw M.; Garcia-Goni, Manuel; Ergas, Henry
Fonte: Cambridge University Press Publicador: Cambridge University Press
Tipo: Artigo de Revista Científica
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66.23%
This paper assesses the feasibility and welfare-improving potential of an insurance market for aged care expenses in Australia. As in many other countries, demographic dynamics coupled with an upward trend in costs of personal care result in consumer co-contributions imposing a risk of expenses that could constitute a significant proportion of lifetime savings, in spite of the presence of a government-run aged care scheme. We explore issues around the development of an insurance market in this particular setting, considering adverse selection, moral hazard, timing of purchase, transaction costs and correlation of risks, as well as such contextual factors as longevity and aged care cost determinants. The analysis indicates aged care insurance is both feasible and welfare-enhancing, thus providing a gainful alternative to the aged care reform proposed by the Productivity Commission in 2011. However, while the insurance market would benefit the ageing Australian population, it is unlikely to emerge spontaneously because of the problem of myopic individual perceptions of long-term goals. Consequently, we recommend regulatory action to trigger the market development.

Prevalence of influenza vaccination in South Australian aged care homes

Gill, T.; Taylor, A.; Kempe, A.; Pickering, S.; Watson, M.
Fonte: Public Health Assoc Australia Inc Publicador: Public Health Assoc Australia Inc
Tipo: Artigo de Revista Científica
Publicado em //2005 EN
Relevância na Pesquisa
56.15%
OBJECTIVE: To determine the prevalence of influenza immunisation of residents within South Australian aged care homes, reasons why vaccination is not given, the policy associated with vaccination administration and the source of the vaccination. METHOD: A clustered, multistage, area sample was used to assess the provision of the influenza vaccine to 500 randomly selected residents within 50 randomly selected aged care homes in South Australia during face-to-face interviews with the director of nursing at each of the selected facilities. The response rate was 100%. RESULTS: Overall, 88.4% (95% CI 85.2-91.0) of residents had received an influenza immunisation in 2001. The reasons why a resident did not have an influenza vaccination included refusal and allergy. Consent was generally obtained on an ad hoc basis (in 94.0% of homes) with the most frequent form of consent type being verbal (66.0%). Influenza vaccine administration was part of standing drug orders in 16.0% of cases and over half of the homes (54.0%) had a specific policy of education and encouraging both residents and staff to be vaccinated against influenza. CONCLUSION: Residents of aged care homes, a population deemed to be at high risk of contracting influenza, are receiving an adequate level of influenza coverage although improvements could be made. Addressing policy and procedural issues can maintain...

Health-related quality of life among hospitalized older people awaiting residential aged care

Giles, L.C.; Hawthorne, G.; Crotty, M.
Fonte: BioMed Central Publicador: BioMed Central
Tipo: Artigo de Revista Científica
Publicado em //2009 EN
Relevância na Pesquisa
56.16%
BACKGROUND: Health related quality of life (HRQoL) in very late life is not well understood. The aim of the present study was to assess HRQoL and health outcomes at four months follow-up in a group of older people awaiting transfer to residential aged care. METHODS: Secondary analysis of data from a randomized controlled trial conducted in three public hospitals in Adelaide. A total of 320 patients in hospital beds awaiting a residential aged care bed participated. Outcome measurements included HRQoL (Assessment of Quality of Life; AQoL), functional level (Modified Barthel Index), hospital readmission rates, survival, and place of residence at four months follow-up. RESULTS: In this frail group the median AQoL was poor at baseline (median 0.02; 95%CI -0.01 - 0.04) and at follow-up (0.05; 95%CI 0.03 - 0.06). On leaving hospital, more than one third of participants who were moving for the first time into nursing home care rated themselves in a state worse than death (AQoL < or = 0.0). Poor HRQoL at discharge from hospital (AQoL < or = 0.0) was a significant predictor of mortality (HR 1.7; 95%CI 1.2 - 2.7), but not hospital readmission nor place of residence at four months follow-up. Improved function was a predictor of improved HRQoL among the surviving cohort. CONCLUSION: People making the transition to residential aged care from hospital have very poor HRQoL...

Factors influencing the implementation of quality use of medicines in residential aged care

Cheek, J.; Gilbert, A.; Ballantyne, A.; Penhall, R.
Fonte: Adis International Ltd Publicador: Adis International Ltd
Tipo: Artigo de Revista Científica
Publicado em //2004 EN
Relevância na Pesquisa
56.09%
BACKGROUND: In response to concerns about, and issues pertaining to, medication use practices in residential aged-care facilities (RACFs), the Australian Pharmaceutical Advisory Council (APAC) established a working party on quality use of medicines (QUM) in nursing homes and hostels. The APAC is a representative ministerial advisory forum bringing together key stakeholders from the medical, nursing and pharmacy professions, as well as pharmaceutical industry, consumer and government sectors. The working party developed the integrated best practice model for medication management in RACFs. OBJECTIVES: This study arose from concerns that, despite the availability of such guidelines to inform best practice in RACFs, there remain barriers to its implementation. Thus, the focus of this research was to explore factors influencing the implementation of best practice with respect to QUM in RACFs. METHODS: This multimethod, multidisciplinary study was conducted in a representative sample of 12 RACFs in one Australian state - South Australia. The methods used were Critical Incident Technique (CIT) interviews, focus groups, nominal groups and Participatory Action Research. RESULTS: In stage one of the research the CIT interviews identified four major issues/factors influencing the implementation of best practice: contextual/structural...

Effective documentation in residential aged care facilities

Pearson, A.; Peels, S.
Fonte: Escola Superior de Enfermagem de Coimbra Publicador: Escola Superior de Enfermagem de Coimbra
Tipo: Artigo de Revista Científica
Publicado em //2009 EN
Relevância na Pesquisa
56.29%
The delivery of effective and appropriate care for older people living in residential care settings depends, in part, on the quality of care documentation available to nurses, care workers and other members of the multidisciplinary team. The documentation of assessment data, care plans and progress recordings are also used in some countries in quality audit processes and to validate claims for funding. Professional leadership in most aged care settings rests largely with nurses and the problem-solving approach to documentation, well established in nursing for some years, is frequently the basis of documentation systems in aged care homes. The benefits to the residents of aged care homes of effective and appropriate documentation could potentially be negated if they are focused less on meeting the needs of residents and more on meeting requirements for quality audit, for funding or for compliance with the tenets of an orthodox approach to documentation, such as that of problem-solving. The need for effective and appropriate documentation in aged care settings is identified in policy statements in most jurisdictions. In most advanced economies investment in developing a plethora of documentation designs and systems, in both paper and electronic formats...

Governance and stewardship in the aged care industry : evaluating a model for corporate social entrepreneurship : the relationship of board culture to entrepreneurial behaviour.

Hazelton, Lois Marjorie
Fonte: Universidade de Adelaide Publicador: Universidade de Adelaide
Tipo: Tese de Doutorado
Publicado em //2013
Relevância na Pesquisa
66.26%
Not-for-profit ventures, including community and church sponsored, seeking to exploit socially responsible opportunities in the provision of Aged Care, find themselves dependent on government grants and a major set of regulations to be complied with. Academic and empirical research has generally focused on issues of quality and compliance in meeting the physical needs of Aged Care residents rather than assessing entrepreneurial opportunities in the provision of innovative approaches to the stewardship of Aged Care facilities and with a focus on resident values. To explore the research question the choice was made to use a qualitative study that focuses on understanding the naturalistic setting, or everyday life in a residential aged care organisation. Given the wide variability in the performance of aged care facilities in Australia, a purposefully selected sample of six innovative aged care facilities (best exemplar cases) was the subject of this research. Significantly each case readily accepted participating in a “Health Audit” as a tool to assess the degree to which its employees, leadership and Board engage in entrepreneurial behaviour as exercised through innovative, risk-taking, autonomous and proactive actions. This audit comprised two instruments to measure both entrepreneurial conditions and innovation intensity in each case. The findings confirm the power of the Social Entrepreneurship Conditions Instrument (SECI) and Social Entrepreneurship Innovation Intensity (SEII) to discriminate between various perspectives on innovation from differing management positions in the organisation...

Risk factors associated with antimicrobial resistant organism carriage in residents of residential aged care facilities: a systematic review protocol

Hunt, C.; Tivey, D.; Campbell, J.
Fonte: Joanna Briggs Institute Publicador: Joanna Briggs Institute
Tipo: Artigo de Revista Científica
Publicado em //2013 EN
Relevância na Pesquisa
66.18%
This review will aim to answer the following questions: 1. What are the resident risk factors associated with antimicrobial resistant organism carriage in the residential aged care setting? 2. What are the institutional risk factors associated with antimicrobial resistant organism carriage in the residential aged care setting? 3. What are the environmental risk factors associated with antimicrobial resistant organism carriage in the residential aged care setting? The objective of this systematic review is to synthesize the best available evidence of the risk factors associated with antimicrobial resistant organism carriage in residents of residential aged care facilities. More specifically, the objective is to identify the factors that make some residents more at risk than others to either colonization or infection with an antimicrobial resistant organism. These may include patient/resident factors (predisposing medical conditions, immune status, functional capacity), institutional factors (staffing ratios, clinical policies and procedures, antibiotic use, indwelling devices) or environmental factors (cleaning of environment, cleaning of equipment, ward layout, hand hygiene facilities, shared and community living).; Christine Hunt...

Evidence based approach to the management and prevention of skin tears within an aged care setting: a best practice implementation project

Woolhouse, T.L.; Moola, S.
Fonte: Joanna Briggs Institute Publicador: Joanna Briggs Institute
Tipo: Artigo de Revista Científica
Publicado em //2014 EN
Relevância na Pesquisa
66.07%
Background: Skin is an important organ that serves to protect against infections, therefore any damage to the skin increases the risk of infection. The elderly are more susceptible to skin tears due to reduced mobility, dexterity, cognition and sensory awareness. Multiple medications and poor nutrition may also contribute to vulnerable skin. As those over 65 years of age are at a greater risk and our ageing population is increasing, the implementation of evidence –based guidelines for prevention and management of skin tears is imperative to reduce the incidence and improve outcomes. Objectives: The aim of this project was to promote best practice in the management, ongoing treatment and prevention of skin tears to improve outcomes for the elderly within a Hall & Prior aged care setting. Methods: The project used the Joanna Briggs Institute’s Practical Application of Clinical Evidence System and Getting Research into Practice audit tool based on best practice. A baseline audit was conducted then strategies for implementing best practices were identified and commenced. This included the commencement of a project link team, education and availability of appropriate materials as recommended by best practices, as well as implementing a more appropriate skin tear care plan. A follow up post implementation audit was then undertaken. Results: Overall...

Do social networks affect the use of residential aged care among older Australians?

Giles, L.; Glonek, G.; Luszcz, M.; Andrews, G.
Fonte: BioMed Central Ltd. Publicador: BioMed Central Ltd.
Tipo: Artigo de Revista Científica
Publicado em //2007 EN
Relevância na Pesquisa
56.16%
Background: Older people's social networks with family and friends can affect residential aged care use. It remains unclear if there are differences in the effects of specific (with children, other relatives, friends and confidants) and total social networks upon use of low-level residential care and nursing homes. Methods: Data were drawn from the Australian Longitudinal Study of Ageing. Six waves of data from 1477 people aged ≥ 70 collected over nine years of follow-up were used. Multinomial logistic regressions of the effects of specific and total social networks on residential care use were carried out. Propensity scores were used in the analyses to adjust for differences in participant's health, demographic and lifestyle characteristics with respect to social networks. Results Higher scores for confidant networks were protective against nursing home use (odds ratio [OR] upper versus lower tertile of confidant networks = 0.50; 95%CI 0.33–0.75). Similarly, a significant effect of upper versus lower total network tertile on nursing home use was observed (OR = 0.62; 95%CI 0.43–0.90). Evidence of an effect of children networks on nursing home use was equivocal. Nursing home use was not predicted by other relatives or friends social networks. Use of lower-level residential care was unrelated to social networks of any type. Social networks of any type did not have a significant effect upon low-level residential care use. Discussion: Better confidant and total social networks predict nursing home use in a large cohort of older Australians. Policy needs to reflect the importance of these particular relationships in considering where older people want to live in the later years of life.; Lynne C Giles...

Aging in place - dying in place: competing discourses for care of the dying in aged care policy

O'Connor, M.; Pearson, A.
Fonte: Australian Nursing Federation Publicador: Australian Nursing Federation
Tipo: Artigo de Revista Científica
Publicado em //2004 EN
Relevância na Pesquisa
66.15%
A discourse analysis of aged care and palliative care policy documents for the period 2000-mid 2001 was undertaken. The analysis highlighted competing discourses about care of the dying in residential aged care. This paper describes the main discourses, explores competing and hidden discourses, and raises questions about the disparities found.

An outreach geriatric medication advisory service in residential aged care: a randomised controlled trial of case conferencing

Crotty, M.; Halbert, J.; Rowett, D.; Giles, L.; Birks, R.; Williams, H.; Whitehead, C.
Fonte: Oxford Univ Press Publicador: Oxford Univ Press
Tipo: Artigo de Revista Científica
Publicado em //2004 EN
Relevância na Pesquisa
56.11%
Background: efficient strategies are needed to provide specialist advice in nursing homes to ensure quality medical care. We describe a case conference intervention involving a multidisciplinary team of health professionals. Objectives: to evaluate the impact of multidisciplinary case conferences on the appropriateness of medications and on patient behaviours in high-level residential aged care facilities. Design: cluster-randomised controlled trial. Setting: ten high-level aged care facilities. Participants: 154 residents with medication problems and/or challenging behaviours were selected for case conference by residential care staff. Intervention: two multidisciplinary case conferences involving the resident's general practitioner, a geriatrician, a pharmacist and residential care staff were held at the nursing home for each resident. Measurements: outcomes were assessed at baseline and 3 months. The primary outcome was the Medication Appropriateness Index (MAI). The behaviour of each resident was assessed via the Nursing Home Behaviour Problem Scale. Results: 45 residents died before follow-up. Medication appropriateness improved in the intervention group [MAI mean change 4.1, 95% confidence interval (CI) 2.1–6.1] compared with the control group (MAI mean change 0.4...

Learning form success international approaches to significant Challenges in Australia's aged care system

Codrington, Andrew
Fonte: Universidade Nacional da Austrália Publicador: Universidade Nacional da Austrália
Tipo: Relatório
Relevância na Pesquisa
66.31%
The quality of services provided by Australia's aged care system has improved significantly over recent decades. However, room for improvement remains. Ensuring that the system is robust is particularly relevant in the context of Australia's ageing population. The number of Australians aged over 65 is expected to double over the next 25 years, and Australia's aged care system will be required to expand with growing demand. It is, therefore, important to ensure that Australia's aged care system is as effective and efficient as is reasonably possible. To help guide this process, the Australian Government tasked the Productivity Commission with identifying the current significant challenges that are facing the aged care system and proposing possible solutions. Although the Productivity Commission's report was both thorough and detailed, it contained only limited information about international approaches in countries facing similar challenges to those that Australia faces. Accordingly; this report outlines the approaches of the United Kingdom to two primary challenges to the Australian aged care system, as identified in the Productivity Commission's report: managing the increasing preference among older people for independent living arrangements and ensuring the financial sustainability of the aged care system in the context of a shrinking workforce. The United Kingdom has adopted three categories of approaches to address these challenges: preventative approaches...

The effectiveness of an aged care specific leadership and management program on workforce, work environment, and care quality outcomes: design of a cluster randomised controlled trial

Jeon, Yun-Hee; Simpson, Judy M; Chenoweth, Lynn; Cunich, Michelle; Kendig, Hal
Fonte: BioMed Central Publicador: BioMed Central
Tipo: Artigo de Revista Científica Formato: 10 pages
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BACKGROUND: A plethora of observational evidence exists concerning the impact of management and leadership on workforce, work environment, and care quality. Yet, no randomised controlled trial has been conducted to test the effectiveness of leadership and management interventions in aged care. An innovative aged care clinical leadership program (Clinical Leadership in Aged Care − CLiAC) was developed to improve managers’ leadership capacities to support the delivery of quality care in Australia. This paper describes the study design of the cluster randomised controlled trial testing the effectiveness of the program. METHODS: Twenty-four residential and community aged care sites were recruited as managers at each site agreed in writing to participate in the study and ensure that leaders allocated to the control arm would not be offered the intervention program. Sites undergoing major managerial or structural changes were excluded. The 24 sites were randomly allocated to receive the CLiAC program (intervention) or usual care (control), stratified by type (residential vs. community, six each for each arm). Treatment allocation was masked to assessors and staff of all participating sites. The objective is to establish the effectiveness of the CLiAC program in improving work environment...

Cluster randomized controlled trial of an aged care specific leadership and management program to improve work environment, staff turnover, and care quality

Jeon, Yun-Hee; Simpson, Judy M.; Li, Zhicheng; Cunich, Michelle M.; Thomas, Tamsin H.; Chenoweth, Lynn; Kendig, Hal L.
Fonte: Elsevier Publicador: Elsevier
Tipo: Artigo de Revista Científica
Relevância na Pesquisa
56.25%
OBJECTIVE To evaluate the effectiveness of a leadership and management program in aged care. DESIGN Double-blind cluster randomized controlled trial. SETTING Twelve residential and community-aged care sites in Australia. PARTICIPANTS All care staff employed for 6 months or longer at the aged care sites were invited to participate in the surveys at 3 time points: baseline (time 1), 9 months from baseline (time 2), and 9 months after completion of time 2 (time 3) from 2011 to 2013. At each time point, at least 500 care staff completed a survey. At baseline (N = 503) the largest age group was 45 to 54 years (37%), and the majority of care staff were born in Australia (70%), spoke English (94%), and had at least completed secondary education (57%). INTERVENTION A 12-month Clinical Leadership in Aged Care (CLiAC) program for middle managers, which aimed to further develop their leadership and management skills in creating positive workplace relationships and in enabling person-centered, evidence-based care. MAIN OUTCOME MEASURES The primary outcomes were care staff ratings of the work environment, care quality and safety, and staff turnover rates. Secondary outcomes were care staff's intention to leave their employer and profession, workplace stress...

Carers' experiences when the person for whom they have been caring enters a residential aged care facility permanently: a systematic review

Jacobson, J.; Gomersall, J.S.; Campbell, J.; Hughes, M.
Fonte: The Joanna Briggs Institute and The University of Adelaide Publicador: The Joanna Briggs Institute and The University of Adelaide
Tipo: Artigo de Revista Científica
Publicado em //2015 EN
Relevância na Pesquisa
66.24%
BACKGROUND: Primary research, including qualitative research, as well as experts working in social services and aged care have identified the mixed feelings carers experience when the person they have been caring for is admitted into a residential aged care facility permanently. They have raised the importance of understanding these experiences as a means to implementing policies and programs that enhance carers' well-being. This systematic review was motivated by the need to use evidence to inform effective and feasible interventions to support carers, and the absence of a systematic review synthesizing the qualitative evidence on how carers experience this transition. OBJECTIVES: The objective of this qualitative systematic review was to identify and synthesize the evidence on the experiences of carers of older people when the person they had been providing care for is admitted permanently into a residential aged care facility, and to draw recommendations from the synthesis of the evidence on these experiences to enhance policy and programming aimed at supporting affected caregivers. INCLUSION CRITERIA: TYPES OF PARTICIPANTS:  All carers of people who had experienced the person they had been caring for at home being moved into a residential aged care facility permanently.  PHENOMENA OF INTEREST:  Experiences of the caregiver of the older person when the person they have been caring for at home is admitted into a residential aged care facility permanently. Types of studies: The review considered qualitative studies...

Who cares for older people with mental illness? A survey of residential aged care facilities in the Australian Capital Territory: Implications for mental health nursing

Jones, Tony; Matias, May; Powell, Jo; Jones, Eriita; Fishburn, Joe; Looi, Jeffrey
Fonte: Blackwell Publishing Ltd Publicador: Blackwell Publishing Ltd
Tipo: Artigo de Revista Científica
Relevância na Pesquisa
66.09%
Residential aged care facilities are increasingly becoming locations wherein the most frail and older people with mental illness live out the remainder of their lives, yet it has become apparent in recent years that these institutions are fraught with a v

Norwalk-like virus outbreak in Canberra: implications for infection control in aged care facilities

Miller, Megge; Carter, Louise; Scott, Katrina; Millard, Geoffrey; Lynch, Barry; Guest, Charles
Fonte: National Centre for Disease Control Publicador: National Centre for Disease Control
Tipo: Artigo de Revista Científica
Relevância na Pesquisa
56.15%
This paper reports on an outbreak of viral gastroenteritis in three institutions (two aged care facilities and one hospital) in Canberra during the winter of 2002. Norwalk-like virus genotype II was detected in samples from staff and/or residents in all three institutions. A case series investigation was conducted amongst both staff and residents. It is likely that the outbreaks in the three institutions were linked due to transfers of infected residents from one institution to another, early in the outbreak. A total of 281 cases were identified during the outbreak, which lasted 32 days. Attack rates in the three institutions were 46.3 per cent, 52.7 per cent and 55.2 per cent respectively. Person-to-person spread and/or airborne transmission were postulated as modes of transmission in all three institutions. Infection control practices in each of the aged care institutions were of an acceptable standard for accreditation, but were inadequate to control further spread of the outbreak within and between institutions. Outbreak management plans should be a part of the infection control standards for accreditation of aged care facilities.

Influenza vaccination of staff in aged care facilities in the ACT: how can we improve the uptake of influenza vaccine?

Halliday, Linda; Thomson, Jennifer; Roberts, Leslee; Bowen, Shirley; Mead, Cathy
Fonte: Public Health Association of Australia Publicador: Public Health Association of Australia
Tipo: Artigo de Revista Científica
Relevância na Pesquisa
56.19%
Objective: To examine the self-reported uptake of influenza vaccine by staff in residential aged care facilities in the Australian Capital Territory (ACT), and the factors influencing vaccine uptake by staff. Methods: Two confidential cross-sectional surveys were conducted in all (n=19) residential aged care facilities in the ACT in June 2000. An interview with directors of each facility collected information on the institutional policy and practices for influenza vaccination. An anonymous postal survey of staff collected information on self-reported influenza vaccination status and staff awareness and attitudes to the vaccination. Results: All directors were interviewed (n=19) and 50% of staff questionnaires (n=587) were completed. Of respondents, 28% reported receiving influenza vaccine for the 2000 influenza season. Uptake of the vaccine was associated with particular policies and practices of facilities such as: organisation of vaccination for staff (OR 2.52, CI 1.38-4.59, p<0.001); provision of reminders to staff (OR 2.73, CI 1.70-4.06, p<0.001); and provision of information on the need for vaccination (OR 1.94, CI 1.03-3.67, p<0.001). Other factors significantly associated with influenza vaccine uptake included: previous uptake of the vaccine (OR 52.2...

Aged care services for Indigenous people in the Australian Capital Territory and surrounds: analysing needs and implementing change

Dance, Phyllis; Brown, Roslyn; Bammer, Gabriele; Sibthorpe, Beverly
Fonte: Public Health Association of Australia Publicador: Public Health Association of Australia
Tipo: Artigo de Revista Científica
Relevância na Pesquisa
56.14%
Objective: To ascertain and meet current and anticipated needs for residential care and other services by older Indigenous people in the Australian Capital Territory (ACT) and region. Methods: With advice from a reference group, qualitative and quantitative data were gathered from 98 older (45 years and over) Indigenous people in the ACT and region during 1999/2000. Indigenous and non-indigenous researchers worked closely throughout all phases of the research. We helped participants with immediate problems identified during the interviews and worked directly with the Government funding body to implement the findings. Results: No one expressed a current need for residential services. In terms of future needs, 50% of respondents favoured an arrangement where an existing mainstream provider of aged care accommodated a cluster of Indigenous people in the same facility as non-Indigenous people. Thirty-two per cent preferred an Indigenous-run organisation. Our study also revealed a broad range of health problems and needs. Assessment using the Resident Classification Scale showed that 70% required a low level of care and 4% needed a high level of care. Conclusion: The research identified the needs and provided a health profile of older Indigenous people in the ACT and region. This then provided policymakers with evidence on which they acted to provide appropriate aged care services. Implications: Collaboration between Indigenous and non-Indigenous researchers can access high-quality information...