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Involving Consumers Of Residential Aged Care In Evaluation Of Services: Experiences From The INSPIRED Study
In this seminar, Dr. Milte will outline some of the findings of her work on the INSPIRED study. While the incorporation of consumer preferences into the design and evaluation of models of care in the health sector has grown significantly over the past 20 years, similar growth in the aged and social care sector has been limited. Traditionally, people with cognitive impairment and dementia have been excluded from preference elicitation studies in health economics. As part of this study, Dr. Milte utilised discrete choice experiment (DCE) methodology to elicit preferences for characteristics of nursing home care from people living in nursing homes or their family members acting as proxies. The DCE was applied with 542 participants, from seventeen different residential aged care facilities in both rural and metropolitan locations across four states of Australia. Within the study, we were able to successfully undertake DCE with people living with dementia and with cognitive impairment living in residential aged care. Assessment of the impact of cognition on the reliability of responses to the DCE was undertaken. This study provides important insights in the preferences of consumers for residential aged care services, and the feasibility of undertaking a DCE approach in this group of older people with cognitive impairment. There is potential for wider application of the method to determine preferences for aged care services.