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dc.contributor.authorDew, Angela
dc.contributor.authorBulkeley, Kim
dc.contributor.authorVeitch, Craig
dc.contributor.authorBundy, Anita
dc.contributor.authorLincoln, Michelle
dc.contributor.authorBrentnall, Jennie
dc.contributor.authorGallego, Gisselle
dc.contributor.authorGriffiths, Scott
dc.date.accessioned2014-04-03
dc.date.available2014-04-03
dc.date.issued2013-01-01
dc.identifier.urihttp://hdl.handle.net/2123/10265
dc.descriptionThe definitive version is available at www3.interscience.wiley.comen_AU
dc.description.abstractThere is a global movement for people with a disability towards personcentred practices with opportunities for self-determination and choice. Person-centred approaches may involve individual funding (IF) for the purchase of required support. A shift to a person-centred model and IF should allow people with a disability and their carers greater choice in therapy access. However, individuals who live in rural and remote areas have less choice and access to therapy services than their metropolitan counterparts. Drawing on data from a larger study into therapy service delivery in a rural and remote area of New South Wales, Australia, this study describes some benefits and barriers to using IF to access therapy services in rural areas. Ten carers and 60 service providers participated in audio-recorded focus groups and individual interviews during which IF was discussed. Transcribed data were analysed using thematic analysis and constant comparison. Greater access to and choice of therapy providers were identified as benefits of IF. Four barriers were identified: (i) lack of information and advice; (ii) limited local service options and capacity; (iii) higher costs and fewer services and (iv) complexity of self-managing packages. A range of strategies is required to address the barriers to using IF in rural and remote areas. Carers indicated a need for: accessible information; a local contact person for support and guidance; adequate financial compensation to offset additional travel expenses and coordinated eligibility and accountability systems. Service providers required: coordinated cross-sector approaches; local workforce planning to address therapist shortages; certainty around service viability and growth; clear policies and procedures around implementation of IF. This study highlights the need for further discussion and research about how to overcome the barriers to the optimal use of an IF model for those living in rural and remote areas.en_AU
dc.language.isoen_AUen_AU
dc.publisherHealth and Social Care in the Communityen_AU
dc.subjectdisabilityen_AU
dc.subjectindividual fundingen_AU
dc.subjectperson centreden_AU
dc.subjectrural and remoteen_AU
dc.subjectWobbly Huben_AU
dc.subjectAllied healthen_AU
dc.subjectcarersen_AU
dc.subjectservice provideren_AU
dc.subjectService Provisionen_AU
dc.subjecttherapyen_AU
dc.titleCarer and service providers’ experiences of individual funding models for children with a disability in rural and remote areasen_AU
dc.typeArticleen_AU
dc.contributor.departmentFaculty of Health Sciencesen_AU


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