ATSI) direction clients Austria LTC review - - - - (1998) Canada CSIL review High High - - (2008) satisfaction satisfaction Cost effective France - - - compared to agency direction Germany (2008) Higher - - - satisfaction than for agency directed consumers Increased paid care hours Netherlands (1996, 1998) Higher - - Use of fiscal satisfaction agents to than for agency prevent abuse directed (not relevant consumers to Australian Quality of care CDC model) equal to agency directed care United Individual Satisfaction Positive - Safeguarding Kingdom budgets pilot higher than for impact on and quality (England) (2007) agency directed quality of life control of paid consumers and social carers (not Lower outcomes relevant to psychological Satisfaction Australian wellbeing for with care CDC model) older planning a consumers predictor of outcomes United Cash and Higher Higher - Use of fiscal States counselling satisfaction satisfaction agents to demonstrations than for agency than prevent abuse (2007) directed carers (not relevant consumers to Australian Reduced unmet CDC model) demand Reduced nursing home use Quality of care equal to agency directed care Information in this table has been primarily drawn from the following sources: Arntz 2008, Dale and Brown 2006, Foster, Disability Services Commission 2003, Glendinning 2008, LDC 2007, Ottmann, Laragcy and Haddon 2009, Phillips 2003 and Tilly and Bectal 1999
ATSI) direction clients Austria LTC review (1998) - - - - Canada CSIL review (2008) High satisfaction High satisfaction - - France - - - Cost effective compared to agency direction Germany (2008) Higher satisfaction than for agency directed consumers Increased paid care hours - - - Netherlands (1996, 1998) Higher satisfaction than for agency directed consumers Quality of care equal to agency directed care - - Use of fiscal agents to prevent abuse (not relevant to Australian CDC model) United Kingdom (England) Individual budgets pilot (2007) Satisfaction higher than for agency directed consumers Lower psychological wellbeing for older consumers Positive impact on quality of life and social outcomes Satisfaction with care planning a predictor of outcomes - Safeguarding and quality control of paid carers (not relevant to Australian CDC model) United States Cash and counselling demonstrations (2007) Higher satisfaction than for agency directed consumers Reduced unmet demand Reduced nursing home use Quality of care equal to agency directed care Higher satisfaction than carers - Use of fiscal agents to prevent abuse (not relevant to Australian CDC model) Information in this table has been primarily drawn from the following sources: Arntz 2008, Dale and Brown 2006, Foster, Disability Services Commission 2003, Glendinning 2008, LDC 2007, Ottmann, Laragcy and Haddon 2009, Phillips 2003 and Tilly and Bectal 1999
evaluation-of-the-consumer-directed-care-initiative-final-report.docx