title: Person-centeredness in home- and community-based long-term care: current challenges and new directions.
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.
authors.affiliation: a Robert Stempel College of Public Health and Social Work, School of Social Work, Florida International University , Miami , Florida , USA.
authors.forename: Nicole
authors.initials: N
authors.lastname: Ruggiano
authors.forename: David
authors.initials: D
authors.lastname: Edvardsson
mesh_terms: D000368:Aged; D002908:Chronic Disease / Q000191:economics / Q000628:therapy*; D003153:Community Health Services / Q000191:economics / Q000458:organization & administration* / Q000592:standards; D015897:Comorbidity; D005380:Financing, Government / Q000592:standards / Q000639:trends; D005382:Financing, Personal / Q000592:standards / Q000639:trends; D006699:Home Care Services / Q000191:economics / Q000458:organization & administration* / Q000592:standards; D006801:Humans; D033183:Interdisciplinary Communication; D008134:Long-Term Care / Q000191:economics / Q000458:organization & administration* / Q000592:standards; D008484:Medicaid / Q000191:economics / Q000592:standards; D006278:Medicare / Q000191:economics / Q000592:standards; D018802:Patient-Centered Care / Q000191:economics / Q000458:organization & administration* / Q000592:standards; D012051:Reimbursement Mechanisms / Q000592:standards / Q000639:trends; D012947:Social Work / Q000191:economics / Q000458:organization & administration* / Q000592:standards; D014481:United States