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Public Mixed Funding for Residential Aged Care Facilities Residents’ Needs in the Asia–Pacific Region: A Scoping Review

Author

Listed:
  • David Lim

    (Centre for Improving Palliative, Aged and Chronic Care through Clinical Research and Translation, University of Technology Sydney, Ultimo, NSW 2007, Australia
    These authors contributed equally to this work.)

  • Ashley Grady

    (School of Health Sciences, Western Sydney University, Campbelltown, NSW 2560, Australia
    These authors contributed equally to this work.)

  • Karen P. Y. Liu

    (School of Health Sciences, Western Sydney University, Campbelltown, NSW 2560, Australia
    Department of Rehabilitation Sciences, The Hong Kong Polytechnic University, Hung Hom, Hong Kong)

Abstract

Due to population aging and sociodemographic change, there is an increasing reliance on residential aged care facilities in the Asia–Pacific region. Most countries have adopted taxation as the primary means to levy capital for funding universal health services and means-testing of benefits may be further incorporated as a policy balance between horizontal equity and fiscal sustainability. It was hypothesized that residential care needs are evaluated by assessments relating to funding; this scoping review seeks to synthesize how such assessments relate to the care needs of residents. Searches were conducted in concordance with a priori protocol for English-language literature published since 2008 in Embase, CINAHL, PubMed, Scopus, JBI, TROVE, and four peak international organizations for studies and reports that describe the assessment of residents’ needs in Asia–Pacific countries that used a mixture of taxation and means-testing to publicly fund residential aged care. One paper and 47 reports were included. Australia, New Zealand, and Singapore utilize a taxation and means-tested user charge approach to fund residential aged care needs. The common care needs assessed include health conditions, daily activities, cognition, psychiatric, and behavioral needs. While essential care needs are publicly funded, other holistic care needs, such as spirituality and autonomy-based needs, still need to be covered for meaningful occupation by the residents.

Suggested Citation

  • David Lim & Ashley Grady & Karen P. Y. Liu, 2023. "Public Mixed Funding for Residential Aged Care Facilities Residents’ Needs in the Asia–Pacific Region: A Scoping Review," IJERPH, MDPI, vol. 20(21), pages 1-10, November.
  • Handle: RePEc:gam:jijerp:v:20:y:2023:i:21:p:7007-:d:1272424
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    References listed on IDEAS

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    1. Fernández José-Luis & Julien Forder, 2012. "Equity, efficiency, and financial risk of alternative arrangements for funding ong-term care systems in an ageing society," Oxford Review of Economic Policy, Oxford University Press and Oxford Review of Economic Policy Limited, vol. 28(1), pages 193-193, Spring.
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