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Consumer Directed Care (CDC) is being embraced within Australia and internationally as a means to promote autonomy and choices in the delivery of health and community aged care services. While evaluation of CDC in Australia is growing, little is known about the spatial implications of such policy.
With differences in the utilisation of home care services across locations, the introduction of a national CDC program may affect different regions to different extents. We explore the regional effect of the CDC introduction on older Australians’ mental health using the Household, Income and Labour Dynamics in Australia (HILDA) Survey. We find that older adults’ mental health is worse after the introduction of the CDC in 2013. Moreover, older adults, who lived in the areas with higher utilisation of Home Care Packages, experienced worse mental stress than the same individuals who lived in the areas with lower utilisation of home care services.
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