With the aging global population, an increasing number of older adults will need long-term
care (LTC). Although there is a trend to provide LTC in the community, nursing homes
remain a key component of the LTC continuum. Across countries, the care model and
resident population of nursing homes differs. Based on a 2012 survey of geriatric
experts from Australia, Europe, Asia, North America, and South America, most nursing
homes use nurse-led or social models of care.
1
Financing nursing home care also varies by country and can include social insurance
(eg, Japan), government funding (eg, Norway), or a combination or multiplayer systems
(eg, United States).
2
Although the care needs of nursing home residents differ between countries, nursing
facilities across the world will undoubtedly remain an essential LTC setting.
3
Research conducted in these settings has the potential to help improve the quality
of nursing home care.Keywords
To read this article in full you will need to make a payment
Purchase one-time access:
Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online accessOne-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:
Subscribe to Journal of the American Medical Directors AssociationAlready a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
References
- An international survey of nursing homes.J Am Med Dir Assoc. 2013; 14: 459-462
- An international mapping of medical care in nursing homes.Health Serv Insights. 2019; 12 (117863291882508)
- International transferability of research evidence in residential long-term care: A comparative analysis of aged care systems in 7 nations.J Am Med Dir Assoc. 2019; 20: 1558-1565
- Pragmatic trials.N Engl J Med. 2016; 375: 454-463
- Pragmatic trial of video education in nursing homes: The design and rationale for a pragmatic cluster randomized trial in the nursing home setting.Clin Trials. 2017; 14: 140-151
- Music Interventions for Dementia and Depression in ELderly care (MIDDEL): Protocol and statistical analysis plan for a multinational cluster-randomised trial.BMJ Open. 2019; 9: e023436
- Improving the quality of care of long-stay nursing home residents in France.J Am Geriatr Soc. 2016; 64: 193-199
- Improving nursing home residents’ oral hygiene: Results of a cluster randomized intervention trial.J Am Med Dir Assoc. 2018; 19: 1086-1091
- Preventive effect of a microclimate-regulating system on pressure ulcer development: A prospective, randomized controlled trial in Dutch nursing homes. Adv Skin Wound Care.. 2018; 31: 5
- The effects of small-scale, homelike facilities for older people with dementia on residents, family caregivers and staff: Design of a longitudinal, quasi-experimental study.BMC Geriatr. 2009; 9: 3
- Appropriate prescribing in nursing homes demonstration project (APDP) study protocol: Pragmatic, cluster-randomized trial and mixed methods process evaluation of an Ontario policy-maker initiative to improve appropriate prescribing of antipsychotics.Implementation Sci. 2015; 11: 45
- The PRECIS-2 tool: designing trials that are fit for purpose.BMJ. 2015; 350: h2147
- A dynamic application of PRECIS-2 to evaluate implementation in a pragmatic, cluster randomized clinical trial in two nursing home systems.Trials. 2018; 19: 453
- Understanding the applicability of results from primary care trials: Lessons learned from applying PRECIS-2.J Clin Epidemiol. 2017; 90: 119-126
- Use of PRECIS ratings in the National Institutes of Health (NIH) Health Care Systems Research Collaboratory.Trials. 2016; 17: 32
- Explanatory trials versus pragmatic trials.BMJ. 2014; 349: g6694
- Pragmatic trials and implementation science: Grounds for divorce?.BMC Med Res Methodol. 2019; 19: 176
- A pragmatic view on pragmatic trials.Dialogues Clin Neurosci. 2011; 13: 217-224
- Series: Pragmatic trials and real world evidence: Paper 2. Setting, sites, and investigator selection.J Clin Epidemiol. 2017; 88: 14-20
- Making pragmatic trials pragmatic in post-acute and long-term care settings.J Am Med Dir Assoc. 2019; 20: 107-109
Article info
Publication history
Published online: August 25, 2020
Footnotes
This research did not receive any funding from agencies in the public, commercial, or not-for-profit sectors.
The authors declare no conflicts of interest.
Identification
Copyright
Published by Elsevier Inc. on behalf of AMDA - The Society for Post-Acute and Long-Term Care Medicine.
