Person-centeredness in home- and community-based long-term care: current challenges and new directions

Soc Work Health Care. 2013;52(9):846-61. doi: 10.1080/00981389.2013.827145.

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.

Publication types

  • Review

MeSH terms

  • Aged
  • Chronic Disease / economics
  • Chronic Disease / therapy*
  • Community Health Services / economics
  • Community Health Services / organization & administration*
  • Community Health Services / standards
  • Comorbidity
  • Financing, Government / standards
  • Financing, Government / trends
  • Financing, Personal / standards
  • Financing, Personal / trends
  • Home Care Services / economics
  • Home Care Services / organization & administration*
  • Home Care Services / standards
  • Humans
  • Interdisciplinary Communication
  • Long-Term Care / economics
  • Long-Term Care / organization & administration*
  • Long-Term Care / standards
  • Medicaid / economics
  • Medicaid / standards
  • Medicare / economics
  • Medicare / standards
  • Patient-Centered Care / economics
  • Patient-Centered Care / organization & administration*
  • Patient-Centered Care / standards
  • Reimbursement Mechanisms / standards
  • Reimbursement Mechanisms / trends
  • Social Work / economics
  • Social Work / organization & administration*
  • Social Work / standards
  • United States