Person-Centered Care For Nursing Home Residents: The Culture-Change Movement
Person-Centered Care For Nursing Home Residents: The Culture-Change Movement
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DOI：
10.1377/hlthaff.2009.0966
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发表时间：
2010-02-01
期刊：
影响因子：
9.7
通讯作者：
Koren, Mary Jane
中科院分区：
文献类型：
--
作者：
Koren, Mary Jane
“文化变革”运动代表了疗养院观念的根本转变。设施不被视为医疗保健机构，而是被视为提供长期护理服务的以人为本的住宅。消费者、政策制定者和提供者对传统疗养院提供的护理价值和质量的共同关注塑造了文化变革的原则和实践。他们在改善生活质量和护理质量方面表现出了希望，同时缓解了员工流动率高等问题。政策制定者可以通过监管、报销、公共报告和其他机制鼓励文化变革并利用其变革力量。
The "culture change" movement represents a fundamental shift in thinking about nursing homes. Facilities are viewed not as health care institutions, but as person-centered homes offering long-term care services. Culture-change principles and practices have been shaped by shared concerns among consumers, policy makers, and providers regarding the value and quality of care offered in traditional nursing homes. They have shown promise in improving quality of life as well as quality of care, while alleviating such problems as high staff turnover. Policy makers can encourage culture change and capitalize on its transformational power through regulation, reimbursement, public reporting, and other mechanisms.