Journal
ALZHEIMERS & DEMENTIA
Volume 14, Issue 1, Pages 104-114Publisher
ELSEVIER SCIENCE INC
DOI: 10.1016/j.jalz.2017.10.006
Keywords
Alzheimer's and related dementias (ADRD); Dementia; Home-based care; Community-based care; Workforce; Technology; Cost effectiveness; Payment models; Care financing
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Funding
- BrightFocus Foundation [CA2016637]
- National Institutes of Health [R01AG046274]
- Centers for Medicare and Medicaid [1C1CMS331332]
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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. (c) 2017 the Alzheimer's Association. Published by Elsevier Inc. All rights reserved.
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