title: "That model is sooooo last millennium!" Residential long term care as a system, not a place.
abstract: The current quandary with the design of existing long term care (LTC) settings results from focus on structures ("institutions") instead of on a system of supports and services that transcends physical and traditional boundaries across settings, including nursing homes, assisted living residences and the home. Supported by analysis of the commonalities, socio-historical and political contexts, core values and fallacies of social and medical models in existing and emerging LTC options, a holistic model is proposed based on new core values which facilitate community and family integration, and which asserts dignity and personhood as universal attributes in an array of settings.
authors.affiliation: University of Michigan School of Nursing, Center on Frail and Vulnerable Elders.
authors.forename: Rosemary
authors.initials: R
authors.lastname: Ziemba
authors.forename: Tam E
authors.initials: TE
authors.lastname: Perry
authors.forename: Beverly
authors.initials: B
authors.lastname: Takahashi
authors.forename: Donna
authors.initials: D
authors.lastname: Algase