Governance of Assisted Living in Long-Term Care: A Systematic Literature Review

Assisted living (AL) is an emerging model of care in countries where long-term care needs are escalating, with emphasis given to promoting independence and autonomy among the residents to achieve active and healthy ageing. Unlike established nursing homes, the governance of AL is nebulous due to its...

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Autores principales:	Luting Poh, Si-Ying Tan, Jeremy Lim
Formato:	article
Lenguaje:	EN
Publicado:	MDPI AG 2021
Materias:	assisted living long-term care ageing governance regulation policy Medicine R
Acceso en línea:	https://doaj.org/article/c67009ee785d42c3b0430c31e5e8cf1f
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spelling	oai:doaj.org-article:c67009ee785d42c3b0430c31e5e8cf1f2021-11-11T16:28:58ZGovernance of Assisted Living in Long-Term Care: A Systematic Literature Review10.3390/ijerph1821113521660-46011661-7827https://doaj.org/article/c67009ee785d42c3b0430c31e5e8cf1f2021-10-01T00:00:00Zhttps://www.mdpi.com/1660-4601/18/21/11352https://doaj.org/toc/1661-7827https://doaj.org/toc/1660-4601Assisted living (AL) is an emerging model of care in countries where long-term care needs are escalating, with emphasis given to promoting independence and autonomy among the residents to achieve active and healthy ageing. Unlike established nursing homes, the governance of AL is nebulous due to its novelty and diverse nature of operations in many jurisdictions. A comprehensive understanding of how AL is governed globally is important to inform regulatory policies as the adoption of AL increases. A systematic literature review was undertaken to understand the different levels of regulations that need to be instituted to govern AL effectively. A total of 65 studies, conducted between 1990 to 2020, identified from three major databases (PubMed, Medline, and Scopus), were included. Using a thematic synthesis analytical approach, we identified macro-level regulations (operational authorisation, care quality assessment and infrastructural requirements), meso-level regulations (operational management, staff management and distribution, service provision and care monitoring, and crisis management), and micro-level regulations (clear criteria for resident admission and staff hiring) that are important in the governance of AL. Large-scale adoption of AL without compromising the quality, equity and affordability would require clear provisions of micro-, meso- and macro-level regulations.Luting PohSi-Ying TanJeremy LimMDPI AGarticleassisted livinglong-term careageinggovernanceregulationpolicyMedicineRENInternational Journal of Environmental Research and Public Health, Vol 18, Iss 11352, p 11352 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	assisted living long-term care ageing governance regulation policy Medicine R
spellingShingle	assisted living long-term care ageing governance regulation policy Medicine R Luting Poh Si-Ying Tan Jeremy Lim Governance of Assisted Living in Long-Term Care: A Systematic Literature Review
description	Assisted living (AL) is an emerging model of care in countries where long-term care needs are escalating, with emphasis given to promoting independence and autonomy among the residents to achieve active and healthy ageing. Unlike established nursing homes, the governance of AL is nebulous due to its novelty and diverse nature of operations in many jurisdictions. A comprehensive understanding of how AL is governed globally is important to inform regulatory policies as the adoption of AL increases. A systematic literature review was undertaken to understand the different levels of regulations that need to be instituted to govern AL effectively. A total of 65 studies, conducted between 1990 to 2020, identified from three major databases (PubMed, Medline, and Scopus), were included. Using a thematic synthesis analytical approach, we identified macro-level regulations (operational authorisation, care quality assessment and infrastructural requirements), meso-level regulations (operational management, staff management and distribution, service provision and care monitoring, and crisis management), and micro-level regulations (clear criteria for resident admission and staff hiring) that are important in the governance of AL. Large-scale adoption of AL without compromising the quality, equity and affordability would require clear provisions of micro-, meso- and macro-level regulations.
format	article
author	Luting Poh Si-Ying Tan Jeremy Lim
author_facet	Luting Poh Si-Ying Tan Jeremy Lim
author_sort	Luting Poh
title	Governance of Assisted Living in Long-Term Care: A Systematic Literature Review
title_short	Governance of Assisted Living in Long-Term Care: A Systematic Literature Review
title_full	Governance of Assisted Living in Long-Term Care: A Systematic Literature Review
title_fullStr	Governance of Assisted Living in Long-Term Care: A Systematic Literature Review
title_full_unstemmed	Governance of Assisted Living in Long-Term Care: A Systematic Literature Review
title_sort	governance of assisted living in long-term care: a systematic literature review
publisher	MDPI AG
publishDate	2021
url	https://doaj.org/article/c67009ee785d42c3b0430c31e5e8cf1f
work_keys_str_mv	AT lutingpoh governanceofassistedlivinginlongtermcareasystematicliteraturereview AT siyingtan governanceofassistedlivinginlongtermcareasystematicliteraturereview AT jeremylim governanceofassistedlivinginlongtermcareasystematicliteraturereview
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Governance of Assisted Living in Long-Term Care: A Systematic Literature Review

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