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

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

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1
a 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.

PMID:
24117032
DOI:
10.1080/00981389.2013.827145
[Indexed for MEDLINE]
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