Brown, DA, Ma, N, Yang, JS, Sutton, N, McAllister, G, Parker, D, Rawlings-Way, O & Lewis, RL 2023, 'The impact of business model workforce configurations on value creation and value appropriation in the Australian aged care sector', Australian Journal of Management, vol. 48, no. 3, pp. 495-523.
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This article examines the influence of business model workforce configurations on value creation and capture in a skills-based service setting, extending previous research on business model performance. We investigate workforce configurations (higher versus lower stability and skills) and value creation and appropriation in aged care organisations. More skilled and stable workforces are associated with greater value creation but not appropriation, while less skilled and less stable workforces are associated with lower value creation and higher appropriation. This informs a substantive challenge in delivering value creation while ensuring financially viable business models in a sector with significant consequences for quality failure. JEL Classification: J24 - Human Capital • Skills • Occupational Choice • Labor Productivity; L2 - Firm Objectives, Organization, and Behavior; M12 - Personnel Management; I11 - Analysis of Health Care Markets
Ma, N, Sutton, N, Yang, JS, Rawlings‐Way, O, Brown, D, McAllister, G, Parker, D & Lewis, R 2023, 'The quality effects of agency staffing in residential aged care', Australasian Journal on Ageing, vol. 42, no. 1, pp. 195-203.
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AbstractObjectivesIn Australia, temporary agency workers are a relatively small but enduring component of the residential aged care workforce. However, evidence from other countries suggests reliance on agency workers has a detrimental effect on the quality of care (QoC). We examined whether QoC outcomes differ for Australian residential aged care facilities (RACFs) based on their reliance on agency care staff.MethodsA retrospective observational study was conducted using de‐identified datasets obtained under the legal authority of the Royal Commission into Aged Care Quality and Safety. Regression analysis was conducted using data comprising 6221 RACF‐year observations, across 5 years (2015–2019), from 1709 unique RACFs in Australia.ResultsAfter controlling for other determinants of QoC, RACFs with a greater reliance on agency care staff have poorer QoC outcomes, with significantly higher rates of complaints, missing persons, reportable assaults, hospitalisations, and accreditation flags.ConclusionsConsistent with international evidence, we found that the QoC of Australian RACFs is sensitive to the reliance on agency staff in delivering direct care to residents. These findings illustrate the importance of workers' employment conditions, alongside other workforce characteristics, in driving the quality of residential aged care.
McAllister, G, Sutton, N, Brown, DA, Rawlings-Way, O, Parker, D, Lewis, R, Yin, J & Harrison, B 2023, 'Using Public Inquiries as a Data Source for Accounting Research: A Systematic Review', European Accounting Review, pp. 1-27.
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