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Managing care integration during the implementation of large-scale reforms: The case of the Australian National Disability Insurance Scheme

Helen Dickinson (Centre for Public Service Research, University of New South Wales, Canberra, Australia)
Gemma Carey (Centre for Public Service Research, University of New South Wales, Canberra, Australia)

Journal of Integrated Care

ISSN: 1476-9018

Article publication date: 13 February 2017

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Abstract

Purpose

The National Disability Insurance Scheme (NDIS) is a new program for the provision of support to people with disabilities in Australia. The purpose of this paper is to explore the early implementation experience of this scheme, with a particular focus on the implications of this scheme for issues of care integration.

Design/methodology/approach

Semi-structured interviews were conducted with 26 policymakers in the Commonwealth government charged with the design and implementation of the NDIS.

Findings

The authors find somewhat of a lack of clarity concerning the boundaries of the NDIS and how it will work with a range of different services in the provision of seamless and consumer-directed care. Many of the same kinds of debates about interfaces with services were detected in this study as have been highlighted in relation to UK individual funding schemes. If the NDIS is truly to support individuals with disabilities to achieve choice and control, important work will need to be undertaken in to overcome organizational and institutional boundaries.

Originality/value

There is little empirical data relating to the implementation of the NDIS to date. This is the first study to explore boundary issues in relation to care integration.

Keywords

Citation

Dickinson, H. and Carey, G. (2017), "Managing care integration during the implementation of large-scale reforms: The case of the Australian National Disability Insurance Scheme", Journal of Integrated Care, Vol. 25 No. 1, pp. 6-16. https://doi.org/10.1108/JICA-07-2016-0026

Publisher

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Emerald Publishing Limited

Copyright © 2017, Emerald Publishing Limited

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