Abstract
Person-centered care (PCC) is the standard for the delivery of long-term services and supports (LTSS). In this article, we summarize the state of the science on meaningful outcomes and workforce development and discuss what is needed to ensure that person-centered LTSS becomes a universal reality. These 2 themes are intimately related: the dementia care workforce's capacity cannot be improved until care processes and outcomes that are significant to PCC are explicated. The LTSS workforce needs training in PCC as well as pragmatic measures to assess the quality of the care they provide. We conclude with several recommendations for future policy and practice-oriented workforce research.
Highlights
Person-centered care (PCC) is the standard for the delivery of long-term services and supports (LTSS) to people living with dementia.[2]
We summarize meaningful outcomes and workforce development for dementia care and discuss what is needed to ensure that person-centered LTSS becomes a universal reality
The Dementia Care Practice Recommendations framework delineates 9 types of care processes.[22]. These processes include the following: PCC; detection and diagnosis; assessment and care planning; medical management; information, education, and support; ongoing care for behavioral and psychological symptoms of dementia, and support for activities of daily living; staffing; supportive and therapeutic environments; transitions and coordination of services; and are considered to be important by people living with dementia and their care partners[22] and which can support person-centered outcomes. Models and frameworks such as these are critical to focusing future research efforts to identify areas for new measurement development, guide our thinking regarding mechanisms of action, and develop evidence-based approaches that impact outcomes that matter most to people living with dementia
Summary
Recommendations to Deliver Person-Centered Long-Term Care for Persons Living With Dementia. The Dementia Care Practice Recommendations framework delineates 9 types of care processes.[22] These processes include the following: PCC; detection and diagnosis; assessment and care planning; medical management; information, education, and support; ongoing care for behavioral and psychological symptoms of dementia, and support for activities of daily living; staffing; supportive and therapeutic environments; transitions and coordination of services; and are considered to be important by people living with dementia and their care partners[22] and which can support person-centered outcomes Models and frameworks such as these are critical to focusing future research efforts to identify areas for new measurement development, guide our thinking regarding mechanisms of action, and develop evidence-based approaches that impact outcomes that matter most to people living with dementia. This measure has shown some promising feasibility within long-term care communities to facilitate the delivery of care that is truly person-centered
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