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Improving quality in long-term care facilities through increased regulations and enforcement
1Health Care Administration Program, University of Hawaii-West Oahu, Pearl City, HI 96782, USA. kguo@hawaii.edu
The Health Care Manager
|April 27, 2012
Summary
Current long-term care regulations in the US are failing due to fragmentation and inconsistencies. Reforms are needed to improve quality of care for consumers and providers.
Area of Science:
- Health Policy
- Gerontology
- Public Administration
Background:
- The US long-term care system has a complex historical development.
- Existing regulations aim to enhance the quality of care provided.
Purpose of the Study:
- To examine the origins and motivations behind long-term care regulations and enforcement.
- To identify the shortcomings of current long-term care regulations.
Main Methods:
- Historical analysis of the US long-term care system.
- Review of existing long-term care regulations and enforcement procedures.
Main Results:
- Current regulations are inadequate and ineffective.
- Fragmentation and inconsistencies lead to conflicts of interest, inequitable services, underfunding, low reimbursement, and inefficient processes.
- Providers face inadequate training and compensation.
Conclusions:
- Reforms are essential to improve the quality of long-term care.
- Establishing higher standards and modifying enforcement are necessary steps.
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