ArticleAustralasian journal on ageing2026
Will 'Support at Home' Deliver What Older People Want?
Article in Australasian journal on ageing, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
1 citing paper in PubMed.
- Will 'Support at Home' Deliver What Older People Want?Australasian journal on ageing · 2026Article
Corrections and comments
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Authors and funding
2 authors.
Funding
Abstract
objectivesThis paper reviews Australia's aged care Home Care Package program to assess the ability of its replacement, the Support at Home program, to deliver on its stated principles of independence, autonomy, empowerment and freedom of choice for older people. The program is reviewed from the perspective of older people who wanted maximum independence and control over their support packages.
methodsThe findings from a qualitative study of the Home Care Package program in 2023-2024 involving 30 participants are used as a lens to review the Support at Home program. The two programs are sufficiently similar that findings based on the earlier program are relevant to the latter one. Semi-structured online interviews were conducted with older people who self-managed, their family representatives, support workers, service providers and aged care professionals. A combination of inductive and deductive analytical methods was used.
resultsOlder people wanted programs that promoted their autonomy and allowed them to select support workers and negotiate services. However, structural barriers limited opportunities. Insufficient funding, workforce shortages and restrictive regulations were constraining factors. Restrictive regulations limited service providers from giving older people the agency they wanted over their lives.
conclusionsThe Support at Home program's legislation and guidelines are constraining the independence, autonomy and empowerment of older people who want greater agency over their lives. Reforms are needed to address an absence of rights, funding shortfalls, workforce shortages, and policy and regulatory inflexibility. Although inadequate funding and workforce shortages are structural constraints difficult to overcome, a renewed focus on the rights of older people is feasible and necessary. A more flexible and client-focused approach will help the program give older people what they want.
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