Reimagining nursing homes: the art of the possible |
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Authors: | Kane Robert L |
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Institution: | Division of Health Policy and Management, University of Minnesota School of Public Health, Minneapolis, Minnesota 55455, USA. kanex001@umn.edu |
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Abstract: | Long-term care (LTC) needs to be reconceptualized. The current efforts to reinvent the nursing home perpetuate a flawed model of care. The heritage of the nursing home as the dominant model for LTC needs to be reexamined. The basic LTC building blocks--housing, services, and medical care--can be combined in various ways to meet consumers' needs and preferences. We need innovative solutions that can offer reasonable service while recognizing the value of acceptable risk taking. Modest personal care should not come at the price of surrendering one's autonomy. |
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