University of Hertfordshire

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Original languageEnglish
JournalGerontology and Geriatric Medicine
Journal publication date25 Mar 2019
Publication statusSubmitted - 25 Mar 2019


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 paper 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 colleague experts in residential LTC and co-authors from six countries (China and Hong Kong, England, Sweden, Thailand, Trinidad & Tobago, and 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 [blinded for review] to establish a global research measurement infrastructure that advances PCC internationally.

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