A Recommended Package of Long-Term Care Services to Promote Healthy Ageing Based on a WHO Global Expert Consensus Study

Perracini, Mônica Rodrigues; Arias-Casais, Natalia; Thiyagarajan, Jotheeswaran Amuthavalli; Rapson, Colin; Isaac, Vivian; Ullah, Shahid; Jang, Hyobum; Sadana, Ritu; Han, Zee-A

doi:10.1016/j.jamda.2021.12.019

Cited by 12 publications

(11 citation statements)

References 14 publications

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“…For example, residential long-term care in China is growing rapidly, whereas it is just emerging in Latin America, and in the Netherlands, recent reforms have challenged payment and accessibility . Therefore, although older adults across the globe have similar care needs, the recommendations do not necessarily have a parallel to models of residential care in other countries; nonetheless, a Delphi consensus panel akin to the one implemented in this study could help guide their efforts. A second limitation is that many of the recommendations require further specification, such as the content of training on person-centered care.…”

Section: Discussionmentioning

confidence: 99%

Recommendations for Medical and Mental Health Care in Assisted Living Based on an Expert Delphi Consensus Panel

Zimmerman

Sloane

Wretman³

et al. 2022

JAMA Netw Open

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ImportanceAssisted living (AL) is the largest provider of residential long-term care in the US, and the morbidity of AL residents has been rising. However, AL is not a health care setting, and concern has been growing about residents’ medical and mental health needs. No guidance exists to inform this care.ObjectiveTo identify consensus recommendations for medical and mental health care in AL and determine whether they are pragmatic.Evidence ReviewA Delphi consensus statement study was conducted in 2021; as a separate effort, the extent to which the recommendations are reflected in practice was examined in data obtained from 2016 to 2021 (prepandemic). In the separate effort, data were from a 7-state study (Arkansas, Louisiana, New Jersey, New York, Oklahoma, Pennsylvania, Texas). The 19 Delphi panelists constituted nationally recognized experts in medical, nursing, and mental health needs of and care for older adults; dementia care; and AL and long-term care management, advocacy, regulation, and education. One invitee was unavailable and nominated an alternate. The primary outcome was identification of recommended practices based on consensus ratings of importance. Panelists rated 183 items regarding importance to care quality and feasibility.FindingsConsensus identified 43 recommendations in the areas of staff and staff training, nursing and related services, resident assessment and care planning, policies and practices, and medical and mental health clinicians and care. To determine the pragmatism of the recommendations, their prevalence was examined in the 7-state study and found that most were in practice. The items reflected the tenets of AL, the role of AL in providing dementia care, the need for pragmatism due to the diversity of AL, and workforce needs.Conclusions and RelevanceIn this consensus statement, 43 recommendations important to medical and mental health care in AL were delineated that are highly pragmatic as a guide for practice and policy.

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Section: Discussionmentioning

confidence: 99%

Recommendations for Medical and Mental Health Care in Assisted Living Based on an Expert Delphi Consensus Panel

Zimmerman

Sloane

Wretman³

et al. 2022

JAMA Netw Open

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“…Work on the definition of a basic LTC package applicable for all in need is still ongoing. Preliminary work has highlighted the mixed nature of the benefits to be provided, as well as the urgent need to assure that the provision of them meets the intertwined objectives of universal health coverage and universal social protection (Perracini et al, 2022), as illustrated by box 8.…”

Section: Package Of Benefitsmentioning

confidence: 99%

“…Work is ongoing at the global level to try to define a minimum package of services that should be considered by countries as essential for LTC within the scope of their universal health coverage (UHC) strategies. Working on the basis of a WHO consensus study conducted among a globally selected body of specialists and stakeholders, an expert panel has been able to achieve consensus on 50 interventions across six categories ranging from training and support to care workers to palliative care to formulate a package of LTC services focused on healthy ageing (Perracini et al, 2022). This preliminary endeavour highlights the wide range of services that may be needed and the varying degree of priority that may be assigned to an intervention in a given context.…”

Section: Box8:definingabenefitpackageforltcmentioning

confidence: 99%

Long-term care in the context of population ageing

Tessier¹,

Wulf²,

Momose³

2022

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“…Responsiveness to actual needs permits to ensure access to a range of services, encompassing health care services and social care services provided in the home, in the community or in institutions, as well as to house adaptations and assistive medical devices and, possibly, cash benefits to complement these. While no global benchmark exists, preliminary work at the global level indicates the mixed nature of the benefits to be provided (Perracini et al, 2022).…”

Section: Adequacymentioning

confidence: 99%

Long‐term care in the context of population ageing: What role for social protection policies?

Tessier

Wulf

Momose

2022

Int Social Security Review

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With the acceleration of population ageing, healthy ageing is becoming an imperative for all. Social protection systems have an important role to play in this endeavour. Through a life cycle approach, social protection systems can support i) the prevention of disability in old age (i.e. by addressing the social determinants of health and rehabilitation), ii) effective access to long‐term care without hardship for those who need it, and iii) decent work in the care economy. To do so will require adopting a gender‐transformative approach. Indeed, women are disproportionately represented among both older persons and long‐term care providers in their diversity. Further, to adequately contribute to healthy ageing and effective access to long‐term care without hardship as a rights‐based entitlement, social protection systems will need to build strong coordination between health care, social care and other social policies. This article highlights the key entry points for social protection systems to contribute to the United Nations Decade of Healthy Ageing, building on the rights‐based approach of human rights and international social security standards.

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A Recommended Package of Long-Term Care Services to Promote Healthy Ageing Based on a WHO Global Expert Consensus Study

Cited by 12 publications

References 14 publications

Recommendations for Medical and Mental Health Care in Assisted Living Based on an Expert Delphi Consensus Panel

Recommendations for Medical and Mental Health Care in Assisted Living Based on an Expert Delphi Consensus Panel

Long-term care in the context of population ageing

Long‐term care in the context of population ageing: What role for social protection policies?

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