Quincy M Samus1, Betty Smith Black2, Diane Bovenkamp3, Michael Buckley3, Christopher Callahan4, Karen Davis5, Laura N Gitlin6, Nancy Hodgson7, Deirdre Johnston2, Helen C Kales8, Michele Karel9, John Jay Kenney10, Shari M Ling11, Maï Panchal12, Melissa Reuland2, Amber Willink5, Constantine G Lyketsos2. 1. Department of Psychiatry, School of Medicine, Johns Hopkins University, Baltimore, MD, USA. Electronic address: qmiles@jhmi.edu. 2. Department of Psychiatry, School of Medicine, Johns Hopkins University, Baltimore, MD, USA. 3. BrightFocus Foundation, Clarksburg, MD, USA. 4. Department of Medicine, Indiana University School of Medicine, Center for Aging Research, Indianapolis, IN, USA. 5. Department of Health Policy and Management, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD, USA. 6. Department of Community Public Health, Johns Hopkins University School of Nursing, Baltimore, MD, USA. 7. Department of Gerontology, School of Nursing, University of Pennsylvania, Philadelphia, PA, USA. 8. Department of Psychiatry, University of Michigan, Ann Arbor, MI, USA; Department of Veterans Affairs, HSR&D Center for Clinical Management Research, Washington, DC, USA. 9. Veterans Administration Central Office, Washington, DC, USA. 10. Aging & Disability Services, Montgomery Department of Health & Human Services, Rockville, MD, USA. 11. Center for Clinical Standards and Quality, Centers for Medicare and Medicaid Services, Baltimore, MD, USA. 12. Fondation Vaincre Alzheimer, Paris, France; Alzheimer Forschung Initiative, Düsseldorf, Germany; Alzheimer Nederland, Amersfoort, Amersfoort, The Netherlands.
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.
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.
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