Abstract
Introduction A national consensus panel was convened to develop recommendations on future directions for home-based dementia care (HBDC). Methods The panel summarized advantages and challenges of shifting to HBDC as the nexus of care and developed consensus-based recommendations. Results The panel developed five core recommendations: (1) HBDC should be considered the nexus of new dementia models, from diagnosis to end of life in dementia; (2) new payment models are needed to support HBDC and reward integration of care; (3) a diverse new workforce that spans the care continuum should be prepared urgently; (4) new technologies to promote communication, monitoring/safety, and symptoms management must be tested, integrated, and deployed; and (5) targeted dissemination efforts for HBDC must be employed. Discussion HBDC represents a promising paradigm shift to improve care for those living with dementia and their family caregivers: these recommendations provide a framework to chart a course forward for HBDC.
Original language | English (US) |
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Pages (from-to) | 104-114 |
Number of pages | 11 |
Journal | Alzheimer's and Dementia |
Volume | 14 |
Issue number | 1 |
DOIs | |
State | Published - Jan 2018 |
Keywords
- Alzheimer's and related dementias (ADRD)
- Care financing
- Community-based care
- Cost effectiveness
- Dementia
- Home-based care
- Payment models
- Technology
- Workforce
ASJC Scopus subject areas
- Clinical Neurology
- Geriatrics and Gerontology
- Psychiatry and Mental health
- Cellular and Molecular Neuroscience
- Health Policy
- Developmental Neuroscience
- Epidemiology