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Related Experiment Video

Updated: Sep 21, 2025

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Essential Reform in Long-Term Care.

Tara A Cortes1

  • 1Hartford Institute for Geriatric Nursing at NYU Rory Meyers College of Nursing, 433 First Avenue Room 502, New York, NY 10010, USA.

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|June 6, 2022
PubMed
Summary

Federal legislation has led to inconsistent long-term care standards across states. This impacts staffing and requires better training for caregivers to meet patient needs.

Area of Science:

  • Healthcare Policy
  • Gerontology
  • Nursing

Background:

  • Federal legislation has decentralized long-term care (LTC) oversight to individual states.
  • This delegation has resulted in a lack of uniform standards for essential aspects of LTC.
  • Key areas lacking standardization include leadership qualifications, staffing ratios, and payment structures.

Purpose of the Study:

  • To identify key factors influencing the current state of long-term care.
  • To analyze the impact of federal legislation on state-level LTC standards.
  • To explore the relationship between payment models, leadership styles, and workforce challenges in LTC.

Main Methods:

  • The study is a qualitative analysis of existing literature and policy documents.
  • It examines the effects of federal delegation on state-specific LTC regulations.
Keywords:
LeadershipLong-term carePaymentWorkforce

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  • It reviews current payment models and leadership approaches within the LTC sector.

    • Main Results:

    • Decentralized oversight has created significant variation in LTC quality and operational standards.
    • Current payment models and hierarchical leadership hinder the recruitment and retention of qualified LTC staff.
    • There is a critical need for enhanced education and training for nurses and direct care workers.

    Conclusions:

    • Reforming federal and state policies is crucial for establishing consistent, high-quality long-term care.
    • Addressing financial and leadership barriers is essential for improving staff recruitment and retention.
    • Investment in specialized education is necessary to equip the LTC workforce for complex patient needs.