Women’s experiences of accessing individualized disability supports: gender inequality and Australia’s National Disability Insurance Scheme

Abstract Background Care services in industrialized nations are increasingly moving towards individualized funding models, which aim to increase individuals’ flexibility, choice and control over their services and supports. Recent research suggests that such schemes have the potential to exacerbate...

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Autores principales:	Sophie Yates, Gemma Carey, Jen Hargrave, Eleanor Malbon, Celia Green
Formato:	article
Lenguaje:	EN
Publicado:	BMC 2021
Materias:	Disability services Gender equality Personalized budgets Individualized funding schemes Public aspects of medicine RA1-1270
Acceso en línea:	https://doaj.org/article/b490563df6d2469f8f7eafd97a8f1e20
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id	oai:doaj.org-article:b490563df6d2469f8f7eafd97a8f1e20
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spelling	oai:doaj.org-article:b490563df6d2469f8f7eafd97a8f1e202021-11-14T12:14:58ZWomen’s experiences of accessing individualized disability supports: gender inequality and Australia’s National Disability Insurance Scheme10.1186/s12939-021-01571-71475-9276https://doaj.org/article/b490563df6d2469f8f7eafd97a8f1e202021-11-01T00:00:00Zhttps://doi.org/10.1186/s12939-021-01571-7https://doaj.org/toc/1475-9276Abstract Background Care services in industrialized nations are increasingly moving towards individualized funding models, which aim to increase individuals’ flexibility, choice and control over their services and supports. Recent research suggests that such schemes have the potential to exacerbate inequalities, however none has explored gendered dimensions of inequality. The Australian National Disability Insurance Scheme (NDIS) is a major individualized funding reform, and has a female participation rate of only 37%, despite women and girls making up half of the disability population. Methods The objective of the study is to explore possible gendered barriers to applying for and receiving adequate support through the NDIS, and to suggest directions for future research. We report on semi-structured interviews with 30 women with disability and explore their experiences with the NDIS and their perspectives on challenges associated with being a woman seeking disability support in Australia. We analyse the results using thematic analysis. Results Most women in our sample reported differences between the experiences of men and women seeking disability support in Australia. Commonly reported gendered barriers to women being able to access the right supports for their disability involve a) confidence, negotiation and self-advocacy, b) gendered discrimination in diagnosis and the medical system, which has implications for disability support access, and c) support for and recognition of caring roles. Conclusions These results suggest that women are not receiving equitable treatment with regard to the NDIS, and that further research and policy reform are needed to ensure that women with disability are not further disadvantaged as a result of the move toward individualized funding models.Sophie YatesGemma CareyJen HargraveEleanor MalbonCelia GreenBMCarticleDisability servicesGender equalityPersonalized budgetsIndividualized funding schemesPublic aspects of medicineRA1-1270ENInternational Journal for Equity in Health, Vol 20, Iss 1, Pp 1-14 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Disability services Gender equality Personalized budgets Individualized funding schemes Public aspects of medicine RA1-1270
spellingShingle	Disability services Gender equality Personalized budgets Individualized funding schemes Public aspects of medicine RA1-1270 Sophie Yates Gemma Carey Jen Hargrave Eleanor Malbon Celia Green Women’s experiences of accessing individualized disability supports: gender inequality and Australia’s National Disability Insurance Scheme
description	Abstract Background Care services in industrialized nations are increasingly moving towards individualized funding models, which aim to increase individuals’ flexibility, choice and control over their services and supports. Recent research suggests that such schemes have the potential to exacerbate inequalities, however none has explored gendered dimensions of inequality. The Australian National Disability Insurance Scheme (NDIS) is a major individualized funding reform, and has a female participation rate of only 37%, despite women and girls making up half of the disability population. Methods The objective of the study is to explore possible gendered barriers to applying for and receiving adequate support through the NDIS, and to suggest directions for future research. We report on semi-structured interviews with 30 women with disability and explore their experiences with the NDIS and their perspectives on challenges associated with being a woman seeking disability support in Australia. We analyse the results using thematic analysis. Results Most women in our sample reported differences between the experiences of men and women seeking disability support in Australia. Commonly reported gendered barriers to women being able to access the right supports for their disability involve a) confidence, negotiation and self-advocacy, b) gendered discrimination in diagnosis and the medical system, which has implications for disability support access, and c) support for and recognition of caring roles. Conclusions These results suggest that women are not receiving equitable treatment with regard to the NDIS, and that further research and policy reform are needed to ensure that women with disability are not further disadvantaged as a result of the move toward individualized funding models.
format	article
author	Sophie Yates Gemma Carey Jen Hargrave Eleanor Malbon Celia Green
author_facet	Sophie Yates Gemma Carey Jen Hargrave Eleanor Malbon Celia Green
author_sort	Sophie Yates
title	Women’s experiences of accessing individualized disability supports: gender inequality and Australia’s National Disability Insurance Scheme
title_short	Women’s experiences of accessing individualized disability supports: gender inequality and Australia’s National Disability Insurance Scheme
title_full	Women’s experiences of accessing individualized disability supports: gender inequality and Australia’s National Disability Insurance Scheme
title_fullStr	Women’s experiences of accessing individualized disability supports: gender inequality and Australia’s National Disability Insurance Scheme
title_full_unstemmed	Women’s experiences of accessing individualized disability supports: gender inequality and Australia’s National Disability Insurance Scheme
title_sort	women’s experiences of accessing individualized disability supports: gender inequality and australia’s national disability insurance scheme
publisher	BMC
publishDate	2021
url	https://doaj.org/article/b490563df6d2469f8f7eafd97a8f1e20
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Women’s experiences of accessing individualized disability supports: gender inequality and Australia’s National Disability Insurance Scheme

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