Please use this identifier to cite or link to this item: https://doi.org/10.3390/ijerph182111352
Title: Governance of assisted living in long-term care: A systematic literature review
Authors: Poh, Luting 
Tan, Si-Ying 
Lim, Jeremy 
Keywords: Ageing
assisted living
Governance
Long-term care
Policy
Regulation
Review
Issue Date: 28-Oct-2021
Publisher: MDPI
Citation: Poh, Luting, Tan, Si-Ying, Lim, Jeremy (2021-10-28). Governance of assisted living in long-term care: A systematic literature review. International Journal of Environmental Research and Public Health 18 (21) : 11352. ScholarBank@NUS Repository. https://doi.org/10.3390/ijerph182111352
Rights: Attribution 4.0 International
Abstract: 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, con-ducted between 1990 to 2020, identified from three major databases (PubMed, Medline, and Sco-pus), 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 pro-vision 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 provi-sions of micro-, meso-and macro-level regulations. © 2021 by the au-thors. Licensee MDPI, Basel, Switzerland.
Source Title: International Journal of Environmental Research and Public Health
URI: https://scholarbank.nus.edu.sg/handle/10635/233624
ISSN: 1661-7827
DOI: 10.3390/ijerph182111352
Rights: Attribution 4.0 International
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