BACKGROUND Little is known about the sustainability of behavioral change interventions in long-term care (LTC). Following a cluster randomized trial of an intervention to improve staff communication (CONNECT), we conducted focus groups of direct care staff and managers to elicit their perceptions of factors that enhance or reduce sustainability in the LTC setting. The overall aim was to generat...

BACKGROUND Long-term conditions (LTCs) are important determinants of quality of life and healthcare expenditure worldwide. Whilst multimorbidity is increasingly the norm in primary care, clinical guidelines and the delivery of care remain focused on single diseases, resulting in poorer clinical outcomes. Osteoarthritis, and anxiety and/or depression frequently co-occur with other LTCs, yet are ...

We apply the theoretical frameworks of knowledge transfer and organizational learning, and findings from studies of clinical practice guideline (CPG) implementation in health care, to develop a contingency model of innovation adoption in long-term care (LTC) facilities. Our focus is on a particular type of innovation, CPGs designed to improve the quality of LTC. Our interest in this area is fou...

The purpose of this study was to investigate the differences between resident oral care policies provided by 2 types of long-term care (LTC) institutions. The study also investigated factors affecting LTC institutional caregivers' perceptions of the residents' oral health. Overall, 103 completed questionnaires were returned. Of these, 44 were from senior citizen welfare institutions, and 59 wer...

Background: The Diabetes Care Program of Nova Scotia (DCPNS) works across various sectors of the health care system to improve the care provided to people with or at risk of developing DM. The lack of evidenced-based DM guidelines for the elderly population has resulted in both under and over treatment of the frail elderly residing in NS’s long-term care (LTC) facilities. Overtreatment may resu...

In primary and community health care settings, long-term (> 28 days) urinary catheterisation (LTC) is most commonly used in managing older people and those with neurological conditions. Studies suggest that in the UK LTC is used in 0.5 per cent of people aged 75 or over (Kohler-Ockmore and Feneley, 1996) and in four per cent of people receiving domiciliary care (Getliffe and Mulhall, 1991). Mos...

This article examines Medicaid's evolution over the last four decades in its role as a health insurer for low-income families, a source of health and long-term care (LTC) coverage for people with disabilities, and as the supplement to Medicare for low-income aged and disabled Medicare beneficiaries. Medicaid's role and impact on each of these beneficiary groups is assessed.

Publicly provided long-term care (LTC) insurance with means-tested benefits is suspected to crowd out either private saving or informal care. This contribution predicts crowding-out effects for both private saving and informal care for policy measures designed to relieve the public purse from LTC expenditure such as more stringent means testing and increased taxation of inheritance. These effec...

European countries have developed a range of long-term care (LTC) policy responses to support the increasing share older people. However, little is known about effectiveness LTC services and benefits, particularly their impact on peoples’ quality life (QoL). This paper investigates role personal, service environmental characteristics effects home QoL across England, Finland Austria. We used dat...

BACKGROUND Long-term care (LTC) facilities are an important part of the health care industry, providing care to the fastest-growing group of the population. However, the adoption of electronic health records (EHRs) in LTC facilities lags behind other areas of the health care industry. One of the reasons for the lack of widespread adoption in the United States is that LTC facilities are not elig...