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Assessment in long-term care.

R L Kane1, R A Kane

  • 1University of Minnesota School of Public Health, Minneapolis 55455, USA. kanex001@tc.umn.edu

Annual Review of Public Health
|July 8, 2000
PubMed
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Long-term care assessments are crucial for service eligibility, payment, and care planning. Direct client responses are vital for understanding quality of life and personal preferences in care.

Area of Science:

  • Gerontology
  • Health Services Research
  • Healthcare Policy

Background:

  • Long-term care (LTC) increasingly uses assessments for eligibility, payment, and care planning.
  • Mandated assessments are becoming standard in nursing homes and will extend to home health and rehabilitation services.
  • Formal structured assessments are used by states to determine eligibility for institutional and community-based care.

Purpose of the Study:

  • To highlight the importance of comprehensive assessments in long-term care.
  • To emphasize the inclusion of multiple domains beyond physical functioning.
  • To underscore the value of client preferences and values in care planning.

Main Methods:

  • Review of current practices in long-term care assessment.

Related Experiment Videos

  • Identification of key domains within LTC assessments, including quality of life indicators.
  • Emphasis on direct client response collection for accurate data.

    • Main Results:

    • Physical functioning is a common assessment focus, but affect, social function, cognition, pain, and satisfaction are also critical.
    • Quality of life is a key cluster of domains within comprehensive assessments.
    • Direct client responses are superior to behavioral inference for obtaining assessment data.
    • Client preferences and values are essential for weighting assessment components and tailoring care.

    Conclusions:

    • Comprehensive assessments in long-term care must include quality of life indicators and client preferences.
    • Directly soliciting client input ensures accurate and personalized long-term care planning.
    • The integration of client values enhances the effectiveness and appropriateness of long-term care services.