• Soc Work Health Care · Jan 2013

    Review

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

    • Nicole Ruggiano and David Edvardsson.
    • a Robert Stempel College of Public Health and Social Work, School of Social Work, Florida International University , Miami , Florida , USA.
    • Soc Work Health Care. 2013 Jan 1; 52 (9): 846-61.

    AbstractPerson-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.

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