The Times Australia
The Times World News

.
The Times Real Estate

.

There are problems in aged care, but more competition isn't the solution

  • Written by Ou Yang, Research Fellow, The University of Melbourne

The solution to most problems in most markets is more competition.

Whether it’s the market for hairdressers, for massage therapists or for general practitioners, usually, the more of them there are in any town or suburb, the greater is the range and quality they offer and the lower the price.

It’s part of the thinking behind a range[1] of government legislation designed to increase competition and consumer choice in residential aged care.

Yet in research just published by the Melbourne Institute[2] using the de-identified records of 2,900 nursing homes provided to the aged care royal commission we found no such effect.

No matter how competition was measured, we found no statistically-significant differences in price or quality as indicated by a range of measures including nursing hours worked per resident, assaults per resident, complaints per resident, the use of antipsychotic drugs and avoidable early deaths.

We measured the amount of competition for each nursing home in three ways: by the number of competitors within a 10-kilometre radius, the distance in kilometres to the nearest competitor and a measure of market concentration known as the Herfindahl-Hirschman Index.

Read more: Aged care, death and taxes after the royal commission[3]

We found great variation in competition (much more in cities, much less in regions) along with slight decreases in competition in urban and remote areas (notwithstanding government measures designed to promote it) and minor increases in competition in regional Australia.

But we found no evidence linking competition to measures of quality of care, with the possible exception of registered nurse hours, although this linkage wasn’t present in all measures of competition.

Competition was weakly associated with price if at all.

There are problems in aged care, but more competition isn't the solution Extract from report[4] On the other hand, we found strong links between ownership and quality of care. For most measures of quality, government-owned facilities provided much higher quality of care than for-profit providers and not-for-profit providers. On prices, government-owned facilities charged by far the lowest price per resident per day — 23% lower than for-profits and 8% lower than not-for-profits. In trying to think of the reasons why competition should not result in competition on prices or on the quality of service, a number of possibilities present themselves. Residents know little about what they are getting One reason is that demand for aged care places often arises suddenly due to significant changes in health conditions such as falls, dementia and loss of balance meaning they have little choice but to use the first facility that becomes available. Another is that consumers have little information about quality with which to make decisions. Unlike the United States and the United Kingdom, Australian authorities do not yet provide a five-star system of ratings that can be easily understood. Read more: 4 key takeaways from the aged care royal commission's final report[5] And prices are extremely hard to understand. Demand often arises from consumers who experience sudden changes in their cognitive and physical conditions that make it difficult to search for information, and weigh options and exercise choice. With users hamstrung, there are few market forces[6] to discipline providers. We could empower users… Measures that would help include publishing quality ratings (recommended[7] by the royal commission), simplifying prices (not recommended, although the commission recommends an independent pricing authority) and providing consumer advocates to help people navigate through the system (recommended). Given that most consumers transition from home care to residential care, it would help if advocacy services were integrated into home care services. An alternative would be to abandon the pursuit of competition and set up a system of enforced standards, funded for different categories of care along the lines of the casemix system used in hospitals. …or regulate more strongly on their behalf Although this was recommended in the commission’s final report it would be harder to implement than it is in hospitals. Aged care is about making life comfortable whereas health care is about fixing problems, making consumer preferences much more important in aged care. Harnessing the power of consumer preferences is a worthy goal, and there is a great deal we can do to move toward it, but there’s a long way to go.

References

  1. ^ range (www.health.gov.au)
  2. ^ Melbourne Institute (melbourneinstitute.unimelb.edu.au)
  3. ^ Aged care, death and taxes after the royal commission (theconversation.com)
  4. ^ Extract from report (melbourneinstitute.unimelb.edu.au)
  5. ^ 4 key takeaways from the aged care royal commission's final report (theconversation.com)
  6. ^ market forces (www.youtube.com)
  7. ^ recommended (agedcare.royalcommission.gov.au)

Read more https://theconversation.com/there-are-problems-in-aged-care-but-more-competition-isnt-the-solution-154943

The Times Features

Itinerary to Maximize Your Two-Week Adventure in Vietnam and Cambodia

Two weeks may not seem like much, but it’s just the right time for travelers to explore the best of Vietnam and Cambodia. From the bustling streets of Hanoi to the magnificent te...

How to Protect Your Garden Trees from Wind Damage in Australia

In Australia's expansive landscape, garden trees hold noteworthy significance. They not only enhance the aesthetic appeal of our homes but also play an integral role in the local...

Brisbane Homeowners Warned: Non-Compliant Flexible Hoses Pose High Flood Risk

As a homeowner in Brisbane, when you think of the potential for flood damage to your home, you probably think of weather events. But you should know that there may be a tickin...

Argan Oil-Infused Moroccanoil Shampoo: Nourish and Revitalize Your Hair

Are you ready to transform your hair from dull and lifeless to vibrant and full of life? Look no further than the luxurious embrace of Argan Oil-Infused Moroccanoil Shampoo! In a...

Building A Strong Foundation For Any Structure

Building a home or commercial building can be very exciting. The possibilities are endless and the future is interesting. You can always change aspects of the building to meet the ...

The Role of a Family Dentist: Why Every Household Needs One

source A family dentist isn’t like your regular dentist who may specialise in a particular age group and whom you visit only when something goes wrong. A family dentist takes proa...

Times Magazine

"Eternal Nurture" by Cara Barilla: A Timeless Collection of Wisdom and Healing

Renowned Sydney-born author and educator Cara Barilla has released her latest book, Eternal Nurture, a profound collection of inspirational quotes designed to support mindfulness, emotional healing, and personal growth. With a deep commitment to ...

How AI-Driven SEO Enhancements Can Improve Headless CMS Content Visibility

Whereas SEO (search engine optimization) is critical in the digital landscape for making connections to content, much of it is still done manually keyword research, metatags, final tweaks at publication requiring a human element that takes extensiv...

Crypto Expert John Fenga Reveals How Blockchain is Revolutionising Charity

One of the most persistent challenges in the charity sector is trust. Donors often wonder whether their contributions are being used effectively or if overhead costs consume a significant portion. Traditional fundraising methods can be opaque, with...

Navigating Parenting Arrangements in Australia: A Legal Guide for Parents

Understanding Parenting Arrangements in Australia. Child custody disputes are often one of the most emotionally charged aspects of separation or divorce. Parents naturally want what is best for their children, but the legal process of determining ...

Blocky Adventures: A Minecraft Movie Celebration for Your Wrist

The Minecraft movie is almost here—and it’s time to get excited! With the film set to hit theaters on April 4, 2025, fans have a brand-new reason to celebrate. To honor the upcoming blockbuster, watchfaces.co has released a special Minecraft-inspir...

The Ultimate Guide to Apple Watch Faces & Trending Wallpapers

In today’s digital world, personalization is everything. Your smartwatch isn’t just a timepiece—it’s an extension of your style. Thanks to innovative third-party developers, customizing your Apple Watch has reached new heights with stunning designs...

LayBy Shopping