Residential aged care: there is no single optimal model

Joseph E Ibrahim
Med J Aust 2018; 208 (10): . || doi: 10.5694/mja18.00268
Published online: 4 June 2018

The needs of aged care residents are as diverse as when they were younger

Notwithstanding the remarkable and unique achievement of the innovative, complex and detailed investigation by Dyer and colleagues,1 we should examine the findings and their implications carefully. The study is timely, as Australia’s aged care sector is under intense scrutiny, with major concerns about quality of care and governance.2-5 The Oakden case in Adelaide2 has recently attracted particular scrutiny, but it is only one of many major episodes of abuse in Australian residential aged care homes.4,5

  • 1 Victorian Institute of Forensic Medicine, Melbourne, VIC
  • 2 Monash University, Melbourne, VIC


Competing interests:

No relevant disclosures.

  • 1. Dyer SM, Liu E, Gnanamanickam ES, et al. Clustered domestic residential aged care in Australia: fewer hospitalisations and better quality of life. Med J Aust 2018; 208: 433-438.
  • 2. Lander B. Oakden: a shameful chapter in South Australia’s history. Adelaide: Independent Commission Against Corruption, 2018. (viewed Apr 2018).
  • 3. Carnell K, Paterson R. Review of national aged care quality regulatory processes [report to Australian Minister for Aged Care]. Oct 2017. (viewed Apr 2018).
  • 4. Standing Committee on Health, Aged Care and Sport, House of Representatives. Inquiry into the quality of care in residential aged care facilities. Undated. (viewed Apr 2018).
  • 5. Ibrahim JE, Ranson DL. Policy development and regulation of aged care. J Law Med 2018; 25: 320-323.
  • 6. McLennon SM, Habermann B, Davis LL. Deciding to institutionalize: why do family members cease caregiving at home? J Neurosci Nurs 2010; 42: 95-103.
  • 7. Ferrah N, Ibrahim JE, Kipsaina C, Bugeja L: Death following recent admission into nursing home from community living: a systematic review into the transition process. J Aging Health 2018; 30: 584-604.
  • 8. Ibrahim JE, Bugeja L, Willoughby M, et al. Premature deaths of nursing home residents: an epidemiological analysis. Med J Aust 2017; 206: 442-447. <MJA full text>


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