University of Hertfordshire


  • Elena O Siegel
  • Annica Backman
  • Yi Cai
  • Claire Goodman
  • Oscar Noel Ocho
  • Sijia Wei
  • Bei Wu
  • Hanzhang Xu
View graph of relations
Original languageEnglish
Pages (from-to)2333721419840591
JournalGerontology and Geriatric Medicine
Early online date27 Jun 2019
Publication statusPublished - 6 Jul 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 article 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 11 colleague experts in residential LTC and coauthors from six countries (China and Hong Kong, England, Sweden, Thailand, Trinidad and Tobago, and the 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 WE-THRIVE consortium to establish a global research measurement infrastructure that advances PCC internationally.

ID: 17256120