Experiences of Care Coordinators in facilitating client-led decision making in community-based aged care
Lucy Lewis

Date and Time

Friday, November 13, 2026, 12:00 PM - 12:15 PM

Theme / Track

Service delivery, workforce and reform

Presentation Format

Concurrent

Background: Community-based aged care packages support ageing in-place by providing coordinated in-home services. Packages are underpinned by consumer-directed care, where Coordinators work with recipients to plan, organise and deliver services that meet their needs, goals and preferences. Previous research has examined community-based aged care from a consumer perspective. Care Coordinators are integral to support and guide client decisions, therefore, this study explored Care Coordinators’ experiences in facilitating client-led decision making in this setting. Methods: This qualitative study used semi-structured interviews. Ethical approval and participant informed consent were gained. Care coordinators working in community-based aged care were invited to participate. Coordinators participated in semi-structured interviews (Teams), which were recorded, transcribed verbatim and analysed thematically. Two researchers identified preliminary codes, sub-themes and overarching themes. Results: Seventeen Care Coordinators (94% female, 37±9.8 years) participated. Coordinators were based in South Australia (n=13), Victoria (n=3) and Tasmania (n=1). The time in the role ranged from 0.5 to 13 years. Interviews ranged from 28 to 77 minutes (mean 41 minutes). Four overarching themes included: ‘Wearing many hats: the realities of home care coordination’; ‘Promise and pitfalls of the care package system’; ‘An (un)standardised care planning process’; and ‘Getting lost in a complex and confusing system’. Conclusion: Care Coordinators described the need to learn on the job, blurred and expansive roles, and feeling supported but stretched. Consumer-led care was described positively but hindered by structural bottlenecks. There is a need for increased clarity of information for clients and Coordinators, and management of client (and carer) expectations.

Keywords

Community, Employee Management, Home Care

Authors

Dr Jasmine Petersen, Flinders University