A community within social and ecological communities : A new philosophical foundation for a just residential aged care sector

Journal article

Green, Lachlan, Pratt, Bridget and Kirchhoffer, David. (2024). A community within social and ecological communities : A new philosophical foundation for a just residential aged care sector. Medical Journal of Australia. 221(9), pp. 469-472. https://doi.org/10.5694/mja2.52472
AuthorsGreen, Lachlan, Pratt, Bridget and Kirchhoffer, David
Abstract

According to the Royal Commission into Aged Care Quality and Safety (hereafter, the Royal Commission), Australian residential aged care (RAC) inadequately caters to the physical, social and psychological needs of older people. The Royal Commission states that aged care requires “a philosophical shift” that centres on people receiving care and establishes “new foundational principles and core values.”

We propose reframing RAC as communities within social and ecological communities, to shift away from dominant consumerist approaches to care. Theories of social and environmental justice can then be applied to guide the development of the aged care sector, offering aged care providers and policy makers novel solutions to critical challenges identified by the Royal Commission.

Keywordsethics; health services for the aged; aged; health policy
Year2024
JournalMedical Journal of Australia
Journal citation221 (9), pp. 469-472
PublisherJohn Wiley & Sons Australia, Ltd
ISSN0025-729X
Digital Object Identifier (DOI)https://doi.org/10.5694/mja2.52472
PubMed ID39354333
Scopus EID2-s2.0-85205505029
Open accessPublished as ‘gold’ (paid) open access
Publisher's version
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Open
Output statusPublished
Publication dates
Online01 Oct 2024
Publication process dates
Accepted25 Jun 2024
Deposited30 Jan 2025
Additional information

© 2024 The Author(s). Medical Journal of Australia published by John Wiley & Sons Australia, Ltd on behalf of AMPCo Pty Ltd.

This is an open access article under the terms of the Creative Commons Attribution-NonCommercial License (http://creativecommons.org/licenses/by-nc/4.0/), which permits use, distribution and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes.

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Kirchhoffer, David, Ozoliņš, Jãnis T. and Grainger, Joanne. (2015). Personhood and human dignity. In In J. T. Ozoliņš and J. Grainger (Ed.). Foundations of Healthcare Ethics: Theory to Practice pp. 51 - 69 Cambridge University Press. https://doi.org/10.1017/CBO9781107589834.004
The ethics of health systems research in low- and middle-income countries : A call to action
Hyder, Adnan A., Pratt, Bridget, Ali, Joseph, Kass, Nancy and Sewankambo, Nelson. (2014). The ethics of health systems research in low- and middle-income countries : A call to action. Global Public Health. 9(9), pp. 1008-1022. https://doi.org/10.1080/17441692.2014.931998
Perspectives from south and east asia on clinical and research ethics : A literature review
Pratt, Bridget, Van, Cassandra, Cong, Yali, Rashid, Harun, Kumar, Nandini, Ahmad, Aasim, Upshur, Ross and Loff, Bebe. (2014). Perspectives from south and east asia on clinical and research ethics : A literature review. Journal of Empirical Research on Human Research Ethics. 9(2), pp. 52-67. https://doi.org/10.1525/jer.2014.9.2.52
Linking international clinical research with stateless populations to justice in global health
Pratt, Bridget, Zion, Deborah, Lwin, Khin Maung, Cheah, Phaik Yeong, Nosten, Francois and Loff, Bebe. (2014). Linking international clinical research with stateless populations to justice in global health. BMC Medical Ethics. 15(1), p. Article 49. https://doi.org/10.1186/1472-6939-15-49
Fogarty research ethics training programs in the Asia-Pacific : The merging of cultures
Pratt, Bridget, Van, Cassandra, Trevorrow, Emily and Pratt, Bridget Van, Cassandra Trevorrow, Emily Loff, Bebe. (2014). Fogarty research ethics training programs in the Asia-Pacific : The merging of cultures. Journal of Empirical Research on Human Research Ethics. 9(2), pp. 68-79. https://doi.org/10.1525/jer.2014.9.2.68
A framework to link international clinical research to the promotion of justice in global health
Pratt, Bridget and Loff, Bebe. (2014). A framework to link international clinical research to the promotion of justice in global health. Bioethics. 28(8), pp. 387-396. https://doi.org/10.1111/bioe.12009
Preparing for the Synod on the family: The Australian response
Kirchhoffer, David and L'Huillier, Natalie Lindner. (2014). Preparing for the Synod on the family: The Australian response. INTAMS Review: journal for the study of marriage and spirituality. 20(1), pp. 111 - 117. https://doi.org/10.2143/INT.20.1.3036703
Turtles all the way down? Pressing questions for theological anthropology in the twenty-first century
Kirchhoffer, David. (2014). Turtles all the way down? Pressing questions for theological anthropology in the twenty-first century. In In L. Boeve, Y. de Maeseneer and E. van Stichel (Ed.). Questioning the Human: Toward a Theological Anthropology for the Twenty-First Century pp. 183 - 193 Fordham University Press.
Reading the signs of the times: The challenges facing theological anthropology today
Kirchhoffer, David. (2013). Reading the signs of the times: The challenges facing theological anthropology today. In In D. G. Kirchhoffer, R. Horner and P. McCardle (Ed.). Being human: groundwork for a theological anthropology for the 21st century pp. 19 - 32 Mosaic Press.
What we have learned : Catholic social thought and the movements in Australia
Kirchhoffer, David. (2013). What we have learned : Catholic social thought and the movements in Australia. Journal of Catholic Social Thought. 10(2), pp. 401-411. https://doi.org/10.5840/jcathsoc201310223
Human dignity in contemporary ethics
Kirchhoffer, David. (2013). Human dignity in contemporary ethics Teneo Press.
Menschenwurde und biobanken
Kirchhoffer, David and Dierickx, Kris. (2013). Menschenwurde und biobanken. In In J. C. Joerden, E. Hilgendorf and F. Thiele (Ed.). Menschenwurde und Medizin: Ein interdisziplinares Handbuch pp. 935 - 948 Duncker & Humblot.
The concept of human dignity in tertiary campus ministry: More than hot air
Kirchhoffer, David. (2013). The concept of human dignity in tertiary campus ministry: More than hot air. Journal of the Tertiary Campus Ministry Association. 5(1), pp. 15 - 24.
Between revelation and reason: Human dignity in Karl Barth and Gaudium et Spes
Kirchhoffer, David. (2013). Between revelation and reason: Human dignity in Karl Barth and Gaudium et Spes. In In D. G. Kirchhoffer, R. Horner and P. McCardle (Ed.). Being human: groundwork for a theological anthropology for the 21st century pp. 69 - 84 Mosaic Press.
Human dignity and biobanks
Dierickx, Kris and Kirchhoffer, David. (2012). Human dignity and biobanks. In Annual Review of Law and Ethics pp. 247 - 258 Duncker & Humblot.
Human dignity and consent in research biobanking
Kirchhoffer, David and Dierickx, Kris. (2012). Human dignity and consent in research biobanking. South African Journal of Bioethics and Law. 5(2), pp. 74 - 77. https://doi.org/10.7196/SAJBL.237
Human dignity and the moral status of animals
Kirchhoffer, David. (2012). Human dignity and the moral status of animals. Southern African Public Law. 27(1), pp. 119 - 135.
Bioethics and the demise of the concept of human dignity: Has medicine killed ethics?
Kirchhoffer, David. (2011). Bioethics and the demise of the concept of human dignity: Has medicine killed ethics? Human reproduction and genetic ethics. 17(2), pp. 141 - 154. https://doi.org/10.1558/hrge.v17i2.141
New medical technologies and the ethical challenges for minors from the perspective of human dignity
Kirchhoffer, David and Dierickx, Kris. (2011). New medical technologies and the ethical challenges for minors from the perspective of human dignity. In In J. C. Joerden, E. Hilgendorf and N. Petrillo (Ed.). Menschenw├╝rde und moderne Medizintechnik pp. 375 - 392 Nomos.
Human dignity and human tissue: A meaningful ethical relationship?
Kirchhoffer, David and Dierickx, Kris. (2011). Human dignity and human tissue: A meaningful ethical relationship? Journal of Medical Ethics. 37(9), pp. 552 - 556. https://doi.org/10.1136/jme.2010.041509
Benedict XVI, human dignity and absolute moral norms
Kirchhoffer, David. (2010). Benedict XVI, human dignity and absolute moral norms. New Blackfriars. 91(1035), pp. 586 - 608. https://doi.org/10.1111/j.1741-2005.2009.01314.x
Become what you are: On the value of the concept of human dignity as an ethical criterion in light of contemporary critiques
Kirchhoffer, David. (2009). Become what you are: On the value of the concept of human dignity as an ethical criterion in light of contemporary critiques. International Journal of Philosophy and Theology. 70(1), pp. 45 - 66. https://doi.org/10.2143/BIJ.70.1.2035293
Pope Benedict XVI on the dignity of the human person: A blessing or a curse for the European project?
Kirchhoffer, David. (2007). Pope Benedict XVI on the dignity of the human person: A blessing or a curse for the European project? ET bulletin. 18(1 & 2), pp. 155 - 169.
Sacrament and being: On overcoming ontotheology in sacramental theology
Kirchhoffer, David. (2007). Sacrament and being: On overcoming ontotheology in sacramental theology. Questions Liturgiques: Studies on liturgy. 88(2), pp. 143 - 156. https://doi.org/10.2143/QL.88.2.2020848