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The Imperative to Reimagine Assisted Living.
Sheryl Zimmerman1, Paula Carder2, Lindsay Schwartz3
1Cecil G. Sheps Center for Health Services Research and Schools of Social Work and Public Health, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
Journal of the American Medical Directors Association
|January 3, 2022
Summary
Assisted living (AL) must be reimagined to provide quality, person-centered care. Stakeholders identified key tensions and solutions to improve this evolving long-term care option.
Area of Science:
- Gerontology
- Health Services Research
- Long-Term Care
Background:
- Assisted living (AL) evolved to meet older adults' needs for supportive care, distinct from nursing homes.
- Key constructs of AL include person-centered care, quality of life, resident choice, and homelike environments.
- Expansion of AL has led to concerns about variability, quality, and standards due to sector involvement.
Purpose of the Study:
- To identify key tensions within the current assisted living model.
- To discuss potential solutions for improving assisted living quality and affordability.
- To reimagine assisted living as a suitable, person-centered care option.
Main Methods:
- Convened 25 diverse stakeholders for two half-day retreats.
- Facilitated discussions to identify critical issues in assisted living.
- Gathered perspectives on potential solutions to existing tensions.
Main Results:
- Identified significant tensions in AL models, regulation, financing, resident acuity, and workforce.
- Highlighted the gap between original AL intent and current practice.
- Generated potential solutions for a more effective assisted living model.
Conclusions:
- Assisted living requires reimagining to fulfill its promise of quality, person-centered care.
- Addressing identified tensions is crucial for ensuring AL remains an affordable and suitable care option.
- Collaborative stakeholder input provides a path forward for improving the future of assisted living.
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