title: Responsiveness and accountability in long-term care: strategies for policy development and empowerment.
abstract: This paper presents a model for engaging planners, service providers and consumers in a collaborative process of improving quality of life in long-term care facilities, discussing the implications of this approach for standards of care and policy development. This empowerment model was refined and tested in a large system of skilled-nursing-care facilities using a matched-pair comparison group design. The rationale, theory base and the relationship of the empowerment model to current concepts of health promotion are shown. Subsequent follow-up indicated examples of the impact of the model on broader aspects of public policy.
authors.affiliation: Faculty of Social Work, University of Toronto, ON.
authors.forename: L M
authors.initials: LM
authors.lastname: Wells
mesh_terms: D000368:Aged; D006291:Health Policy / Q000639:trends*; D006293:Health Promotion; D006801:Humans; D008134:Long-Term Care / Q000523:psychology / Q000592:standards*; D008960:Models, Psychological; D010348:Patient Care Team; D011209:Power, Psychological; D015397:Program Evaluation; D011785:Quality Assurance, Health Care; D011788:Quality of Life