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Person-centeredness in home- and community-based long-term care: current challenges and new directions
Nicole Ruggiano1, David Edvardsson
1a Robert Stempel College of Public Health and Social Work, School of Social Work, Florida International University , Miami , Florida , USA.
Abstract:
Person-centered care (PCC) has demonstrated to be a viable and preferred model of providing health and institutionalized long-term care services. However, the concept of PCC has not been fully extended to home- and community-based long-term care services (HCBS) for older adults with chronic conditions. This review highlights the need for PCC in HCBS and suggests that social workers may play a role in overcoming cultural and structural barriers to extending PCC to HCBS that include: the fragmentation of the industry, financial structures, regulation of services, and paternalism in policy and practice. Recommendations for practice, policy, and research are provided.
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