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        Understanding Contextual Differences in Residential LTC Provision for Cross-National Research : Identifying Internationally Relevant CDEs

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        2333721419840591.pdf (PDF, 229Kb)
        Author
        Siegel, Elena O
        Backman, Annica
        Cai, Yi
        Goodman, Claire
        Ocho, Oscar Noel
        Wei, Sijia
        Wu, Bei
        Xu, Hanzhang
        Attention
        2299/21635
        Abstract
        Long-term care (LTC) reflects a growing emphasis on person-centered care (PCC), with services oriented around individuals' needs and preferences. Addressing contextual and cultural differences across countries offers important insight into factors that facilitate or hinder application of PCC practices within and across countries. This article takes an international lens to consider country-specific contexts of LTC, describing preliminary steps to develop common data elements that capture contextual differences across LTC settings globally. Through an iterative series of online, telephone, and in-person sessions, we engaged in in-depth discussions with 11 colleague experts in residential LTC and coauthors from six countries (China and Hong Kong, England, Sweden, Thailand, Trinidad and Tobago, and the United States). Our discussions yielded rich narrative describing a vast range in types of LTC settings, leading to our development of a working definition of residential LTC. Scope of services, funding, ownership, and regulations varied greatly across countries and across different residential LTC settings within countries. Moving forward, we recommend expanding our activities to countries that reflect different stages of residential LTC development. Our goal is to contribute to a larger initiative underway by the WE-THRIVE consortium to establish a global research measurement infrastructure that advances PCC internationally.
        Publication date
        2019-07-06
        Published in
        Gerontology and Geriatric Medicine
        Published version
        https://doi.org/10.1177/2333721419840591
        Other links
        http://hdl.handle.net/2299/21635
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