Governance of Assisted Living in Long-Term Care: A Systematic Literature Review

International Journal of Environmental Research and Public Health

Si-Ying Tan¹  Jeremy Lim¹  Luting Poh² 

[1] Leadership Institute for Global Health Transformation, Saw Swee Hock School of Public Health, National University of Singapore, 21 Lower Kent Ridge Rd., Singapore 119260, Singapore;Memory Aging and Cognition Centre, Department of Pharmacology, Yong Loo Lin School of Medicine, National University of Singapore, 10 Medical Dr., Singapore 119260, Singapore;

关键词: assisted living;    long-term care;    ageing;    governance;    regulation;    policy;   

DOI  :  10.3390/ijerph182111352

来源: DOAJ

【 摘 要 】

Assisted living (AL) is an emerging model of care in countries where long-term care needs are escalating, with emphasis given to promoting independence and autonomy among the residents to achieve active and healthy ageing. Unlike established nursing homes, the governance of AL is nebulous due to its novelty and diverse nature of operations in many jurisdictions. A comprehensive understanding of how AL is governed globally is important to inform regulatory policies as the adoption of AL increases. A systematic literature review was undertaken to understand the different levels of regulations that need to be instituted to govern AL effectively. A total of 65 studies, conducted between 1990 to 2020, identified from three major databases (PubMed, Medline, and Scopus), were included. Using a thematic synthesis analytical approach, we identified macro-level regulations (operational authorisation, care quality assessment and infrastructural requirements), meso-level regulations (operational management, staff management and distribution, service provision and care monitoring, and crisis management), and micro-level regulations (clear criteria for resident admission and staff hiring) that are important in the governance of AL. Large-scale adoption of AL without compromising the quality, equity and affordability would require clear provisions of micro-, meso- and macro-level regulations.

【 授权许可】

Unknown