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The Role of Place in Person‐ and Family‐Oriented Long‐Term Services and Supports
Journal article   Open access   Peer reviewed

The Role of Place in Person‐ and Family‐Oriented Long‐Term Services and Supports

CHANEE D. Fabius, SAFIYYAH M. Okoye, MINGCHE M. J. WU, ANDREW D. Jopson, LINDA C. Chyr, JULIA G. Burgdorf, JEROMIE Ballreich, DANNY Scerpella and JENNIFER L. Wolff
The Milbank quarterly, v 101(4), pp 1076-1138
Dec 2023
PMID: 37503792
url
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10726875View
Published, Version of Record (VoR)Open Access (License Unspecified) Open

Abstract

Original Scholarship
Policy Points Little attention to date has been directed at examining how the long‐term services and supports (LTSS) environmental context affects the health and well‐being of older adults with disabilities. We develop a conceptual framework identifying environmental domains that contribute to LTSS use, care quality, and care experiences. We find the LTSS environment is highly associated with person‐reported care experiences, but the direction of the relationship varies by domain; increased neighborhood social and economic deprivation are highly associated with experiencing adverse consequences due to unmet need, whereas availability and generosity of the health care and social services delivery environment are inversely associated with participation restrictions in valued activities. Policies targeting local and state‐level LTSS‐relevant environmental characteristics stand to improve the health and well‐being of older adults with disabilities, particularly as it relates to adverse consequences due to unmet need and participation restrictions.

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6 citations in Scopus

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UN Sustainable Development Goals (SDGs)

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#3 Good Health and Well-Being

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Collaboration types
Domestic collaboration
Web of Science research areas
Health Care Sciences & Services
Health Policy & Services
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