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