Veterans Health Administration: A Model for Transforming Nursing Home Care

被引：6
|
作者：
Lemke, Sonne [1 ]
机构：
[1] VA Palo Alto Hlth Care Syst, Ctr Hlth Care Evalut 152MPD, 795 Willow Rd, Menlo Pk, CA 94025 USA
来源：
JOURNAL OF HOUSING FOR THE ELDERLY | 2012年 / 26卷 / 1-3期
关键词：
long-term care; nursing homes; culture transformation; veterans;
D O I：
10.1080/02763893.2012.658286
中图分类号：
R4 [临床医学]; R592 [老年病学];
学科分类号：
1002 ; 100203 ; 100602 ;
摘要：
The Veterans Health Administration nursing homes, now called Community Living Centers (CLCs), are engaged in systematic transformation of their environments and their care and work practices. A brief history of nursing home care for Veterans illustrates the competing values that influence CLCs. Monitoring data show that CLCs have reduced institutional features, improved the personalization of care, and empowered direct care staff. Although CLCs differ in many respects from community nursing homes, their experiences offer valuable lessons for culture change, underline the complementary importance of top-level commitment and grassroots engagement, and offer untapped opportunities for research in environmental gerontology.
引用
收藏
页码：183 / 204
页数：22
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