Does Assisted Living Provide Assistance And Promote Living?

IF 8.6 1区 医学 Q1 HEALTH CARE SCIENCES & SERVICES Health Affairs Pub Date : 2024-05-01 DOI:10.1377/hlthaff.2023.00972
Sheryl Zimmerman, Robyn Stone, Paula Carder, Kali Thomas
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Abstract

Assisted living has promised assistance and quality of living to older adults for more than eighty years. It is the largest residential provider of long-term care in the United States, serving more than 918,000 older adults as of 2018. As assisted living has evolved, the needs of residents have become more challenging; staffing shortages have worsened; regulations have become complex; the need for consumer support, education, and advocacy has grown; and financing and accessibility have become insufficient. Together, these factors have limited the extent to which today's assisted living adequately provides assistance and promotes living, with negative consequences for aging in place and well-being. This Commentary provides recommendations in four areas to help assisted living meet its promise: workforce; regulations and government; consumer needs and roles; and financing and accessibility. Policies that may be helpful include those that would increase staffing and boost wages and training; establish staffing standards with appropriate skill mix; promulgate state regulations that enable greater use of third-party services; encourage uniform data reporting; provide funds supporting family involvement; make community disclosure statements more accessible; and offer owners and operators incentives to facilitate access for consumers with fewer resources. Attention to these and other recommendations may help assisted living live up to its name.

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生活辅助设施是否能提供帮助并促进生活?
八十多年来,辅助生活服务一直承诺为老年人提供帮助和高质量的生活。它是美国最大的长期护理住宅提供商,截至 2018 年,共为 91.8 万多名老年人提供服务。随着协助式生活的发展,居民的需求变得更具挑战性;人员短缺问题更加严重;法规变得更加复杂;对消费者支持、教育和宣传的需求不断增长;融资和可及性变得不足。这些因素加在一起,限制了今天的生活辅助设施充分提供援助和促进生活的程度,对居家养老和福祉造成了负面影响。本评论从四个方面提出建议,以帮助辅助生活服务实现其承诺:劳动力;法规与政府;消费者需求与角色;融资与无障碍环境。可能有帮助的政策包括:增加人员配备、提高工资和培训;制定具有适当技能组合的人员配备标准;颁布允许更多地使用第三方服务的州法规;鼓励统一的数据报告;提供支持家庭参与的资金;使社区信息披露声明更易于获取;为业主和经营者提供激励措施,以方便资源较少的消费者获得服务。关注这些建议和其他建议可帮助辅助生活名副其实。
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来源期刊
Health Affairs
Health Affairs 医学-卫生保健
CiteScore
15.00
自引率
2.10%
发文量
246
审稿时长
3-6 weeks
期刊介绍: Health Affairs is a prestigious journal that aims to thoroughly examine significant health policy matters both domestically and globally. Our publication is committed to addressing issues that are relevant to both the private and public sectors. We are enthusiastic about inviting private and public decision-makers to contribute their innovative ideas in a publishable format. Health Affairs seeks to incorporate various perspectives from industry, labor, government, and academia, ensuring that our readers benefit from the diverse viewpoints within the healthcare field.
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