Person-centred acute hospital care for older people transitioning to residential aged care- whose needs are being met?

KENDALL Sacha, REID Edward
Journal article citation:
Ethics and Social Welfare, 11(4), 2017, pp.353-364.
Taylor and Francis
Place of publication:

The acute health care system in Australia, as in the global north, has been increasingly dominated by neoliberal market principles prioritising efficiency and cost reduction. This has occurred in conjunction with a shift towards ‘personalised care’ models in health and social services. Personalised care models are intended to support the provision of holistic health care and consumer choice. Yet, the bureaucratic context of acute health care produces constrained applications of person-centred care that can undermine patient participation. Personalised care models have been criticised for diminishing the choices available to socioeconomically disadvantaged groups. There has been scant attention to these equity issues and ethical implications of the model for older people transferring from acute hospital settings to residential aged care. This is significant, as this major life event is associated with social- and identity-related losses; can produce poor health outcomes; and is affecting an increasing population of older people. The aim of this paper is to address this gap in the debate through a critical literature review applying Tronto’s critical ethics of care. The authors highlight the current Australian context for this patient group and the transferability of palliative care models as an example for change in practice and resource allocation. (Edited publisher abstract)

Subject terms:
person-centred care, older people, hospital discharge, admission to care, residential care, care homes, ethics, holistic care, palliative care;
Content type:
research review
Journal home page
ISSN online:
ISSN print:

Key to icons

  • Free resource Free resource
  • Journal article Journal article
  • Book Book
  • Digital media Digital media
  • Journal Journal

Give us your feedback

Social Care Online continues to be developed in response to user feedback.

Contact us with your comments and for any problems using the website.

Sign up/login for more

Register/login to access resource links, advanced search and email alerts