Understanding Contextual Differences in Residential LTC Provision for Cross-National Research: Identifying Internationally Relevant CDEs

Abstract

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.

COVID-19 Pandemic and Burden of Non-Communicable Diseases: An Ecological Study on Data of 185 Countries

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Dog‐assisted interventions and outcomes for older adults in residential long‐term care facilities: A systematic review and meta‐analysis

“…Older adults living in residential long‐term care facilities (RLTCFs) (Siegel et al., 2019), including nursing homes (Sanford et al., 2015), represent one of the largest high dependency care populations worldwide (Chatterji, Byles, Cutler, Seeman, & Verdes, 2015). In England, approximately 400,000 adults aged 65 years and over currently live in care homes (Care Quality Commission, 2018).…”

Advancing International Research on Long-Term Care: Using Adaptive Leadership to Build Consensus on International Measurement Priorities and Common Data Elements

“…Diverse international contexts of LTC and cultural differences require that international LTC measurement proceed with the technical work of developing valid and reliable measures and the adaptive work of understanding and honoring local diverse values when designing a measurement infrastructure. Based on a series of in-depth discussions with LTC experts from several countries with different cultural and economic features—including China and Hong Kong, England, Sweden, Thailand, Trinidad and Tobago, and the United States—Siegal and colleagues (2019) identify a wide variety of LTC settings, propose a working international definition of residential LTC that accounts for their differences, and delineate a diverse array of services, funding, ownership, and regulations across countries and across residential LTC settings within countries. This work helps clarify both which elements of LTC contexts are relevant to measure and how to go about measuring them in LTC settings internationally.…”