Policies to Protect Persons With Dementia in Assisted Living: Deja Vu All Over Again?
Policies to Protect Persons With Dementia in Assisted Living: Deja Vu All Over Again?
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DOI：
10.1093/geront/gnu179
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发表时间：
2015-04-01
期刊：
影响因子：
5.7
通讯作者：
Potter, Andrew
中科院分区：
文献类型：
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作者：
Kaskie, Brian P.;Nattinger, Matthew;Potter, Andrew
居住在辅助生活 (AL) 中的痴呆症患者数量持续增长引发了人们对其安全和保护的担忧。在本次论坛中，我们回顾了当前与痴呆症居民相关的 AL 做法，并提出了审查政府在此背景下保护这些人的作用的理由。由于目前对 AL 的公众监督是各州的特权，因此我们评估各州在与痴呆症患者的安全和保护密切相关的 3 个领域的监管活动：环境特征、人员配备和化学约束措施的使用。然后，我们退一步考虑州的政策制定环境，并评估从一个州到下一个州制定最低监管标准的可行性。本论坛最后对当代 AL 市场与 1987 年疗养院改革法案之前的疗养院护理市场进行了历史比较，并讨论了联邦利益的增加如何改善现有的州保护居住在 AL 的痴呆症患者的努力。
Continued growth in the number of individuals with dementia residing in assisted living (AL) raises concerns about their safety and protection. In this Forum, we review current AL practices relevant to residents with dementia and present a rationale for examining the government role in protecting these individuals within this context. Since public oversight of AL is currently a state prerogative, we assess states' regulatory activity across 3 domains closely related to safety and protection of persons with dementia: environmental features, staffing, and use of chemical restraints. We then step back to consider the state policymaking environment and assess the feasibility of developing a minimum standard of regulations from one state to the next. This Forum concludes with a historical comparison between the contemporary AL market and the nursing home care market prior to the Nursing Home Reform Act of 1987, and we discuss how an increased amount of federal interest could improve existing state efforts to protect persons with dementia residing in AL.