Transition from home care to nursing home: Unmet needs in a home-and community-based program for older adults
Abstract
A major effort is under way nationally to shift long-term care services from institutional to home- and community-based settings. This article employs quantitative and qualitative methods to identify unmet needs of consumers who transition from a statewide home- and community-based service program for older adults to long-term nursing home residence. Administrative data, care manager notes, and focus group discussions identified program service gaps that inadequately accommodated acute health problems, mental health issues, and stressed family caregivers; additional unmet needs highlighted an inadequate workforce, transportation barriers, and limited supportive housing options. National and state-level policy implications are considered.
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Limits on home care service and family availability were associated with long-term care placement.
“Consistent with the literature [35–37], limits on home care service and family availability were associated with LTC placement.”
From Towards defining quality in home care for persons living with dementia (2022) · cites this paper as [35]
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Groenvynck, L., de Boer, B., Beaulen, A., de Vries, E., Hamers, J. P. H., van Achterberg, T., van Rossum, E., Khemai, C., Meijers, J. M. M., & Verbeek, H. (2022) · Age and Ageing · doi:10.1093/ageing/afab241 · Cited by 25 · see citing works
Towards defining quality in home care for persons living with dementia
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- Authors
- Robison, J., Shugrue, N., Porter, M., Fortinsky, R. H., & Curry, L. A.
- Affiliations
- UConn Health (US)
- Yale University (US)
- Corresponding author
- Robison, Julie
- Venue
- Journal of Aging & Social Policy
- Publisher
- Informa UK Limited
- Published
- 2012-06-21
- Volume
- 24
- Issue
- 3
- Pages
- 251-270
- ISSN
- 0895-9420 (ISSN-L)
- 1545-0821
- OpenAlex
- W2093003367
- Cited by
- 67
- References
- 35
- Citations by year
- 2026: 1 · 2025: 4 · 2024: 5 · 2023: 3 · 2022: 8 · 2021: 9 · 2020: 9 · 2019: 2 · 2018: 6 · 2017: 2 · 2016: 7 · 2015: 3 · 2014: 5 · 2013: 3
- FWCI
- 6.26
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Aging & Social Policy (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Health Professions › General Health Professions › Geriatric Care and Nursing Homes
- Health Sciences › Health Professions › General Health Professions › Aging, Elder Care, and Social Issues
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Aging, Health, and Disability
- Keywords
- home and community-based services, nursing home admission, unmet needs, older adults, long-term care, care management, family caregivers, mental health services, transportation barriers, supported housing, workforce shortage, long-term care policy
- MeSH terms
- Age Factors, Aged, Aged, 80 and over, Connecticut, Continuity of Patient Care, Family, Home Care Services, Homes for the Aged, Humans, Insurance Claim Review, Long-Term Care, Medicaid, Mental Health, Nursing Homes, Sex Factors, Social Support, Social Work, Time Factors, United States, Geriatric Assessment, Focus Groups, Independent Living
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