The age barrier: older adults’ experiences of ageism in health care

Overview

We wrote this report to explore older people’s perceptions and experiences of ageism within the Australian health system. Ageism in health care is a growing concern, with impacts that are harmful and far-reaching.

This research draws on:

• A comprehensive review of Australian and international literature

• Interviews with older adults, adult children, and stakeholder organisations.

The findings show that ageism is perceived not only in personal interactions, but also within the practices and policies of health institutions. These perceptions shape older people’s experiences of health care and affect their health outcomes.

Key findings

1. Ageism is experienced across the health system, from frontline interactions to systemic policies.

2. Older adults report feeling dismissed and excluded, being treated as a burden or spoken over.

3. Common experiences include:

• Age-based assumptions by health professionals

• Health concerns attributed to age rather than individual need

• Disrespectful communication

• Limited involvement in care decisions

• Conversations directed to family instead of the patient.

4. Consequences are serious for people and the system, and can include:

• Emotional distress

• A sense of disempowerment

• Internalised negative beliefs for older people

• An unwillingness for older people to engage with health services

• Compromised quality of care

• Potential gaps in treatment.

5. Ageism intersects with other discrimination, compounding disadvantage for some groups.

6. Structural barriers persist, including age limits on services and exclusion from medical research.

7. Internalised ageism can influence health behaviours, leading older people to avoid care or dismiss symptoms as ‘just old age’.

8. Person-centred care is critical, according to older people, who emphasised the importance of being treated with respect and recognised as individuals.

Recommendations

The report recommends urgent action across three key areas:

• Collaborative reform: partnering within the health sectorto review clinical guidelines, improve training, and co-design age-inclusive models of care.

• Raising awareness and challenging bias through targeted education and ageism awareness training for health professionals.

• Strengthening the evidence base by investing in research to measure the impact of ageism and its intersection with other forms of discrimination.

Ageism Awareness Workshop

To help address the issues outlined in this report, the Commission has launched a new project for the health sector.

The Ageism Awareness Workshop is an interactive workshop that examines the assumptions and stereotypes commonly associated with ageing and older adults. It is backed by research and seeks to drive positive change in attitudes and behaviour towards ageism and older people.

The workshops for health workers and older people aim to build awareness of age bias, and support more inclusive, person-centred care across government, non-government and community health settings.

• Media release: New report links ageism to serious healthcare harms