235994 An international study of promising practices for long-term residential care

Monday, October 31, 2011

Pat Armstrong, PHD , Sociology, York University, Toronto, ON, Canada
Pauline Vaillancourt Rosenau, PhD , Management, Policy and Community Health, University of Texas School of Public Health, Houston, TX
This is the first report of a seven-country study of innovative, promising practices for conceptualizing and organizing long-term residential care. It signals promising approaches to work organization within those facilities, to accountability for quality, to financing and where the goal is to treat both providers and residents with dignity and respect, to understand care as a relationship and to take differences and equity into account. The study's multi-method approach and four theme areas are explained. The challenges of employing key informant interviews in different countries, with team development between countries, and rapid ethnography techniques of residential care facilities in several locations, with protocols and web-based systems ensuring data sharing across the team in a timely and rigorous manner, will be presented. The goals of iterative analysis of theory and data and reflexive analysis methods are outlined. The research goal is to stimulate original thinking by constantly bringing fresh eyes to what is commonplace and ordinary to local observers, but completely new to colleagues and partners from another country. The need to confront opportunities for comparison and rigor with openness to new insights and diverse contexts will be outlined. The philosophical underpinnings of the project are that practical implications of theory and the theoretical implications of practices and processes can create conditions for breakthroughs in theory, empirical results, processes of collaboration, policy and practices not only about conceptualization of residential care and their implications but also about ways of doing and sharing research, filling major gaps in knowledge about long-term care.

Learning Areas:
Administration, management, leadership
Diversity and culture
Public health administration or related administration
Public health or related public policy
Systems thinking models (conceptual and theoretical models), applications related to public health

Learning Objectives:
--Members of the audience will be able to differentiate between the various approaches to long term residential care in several developed countries --They will be able to identify differences in long term residential care practices in their own communities compared to those in other countries --Members of the audience will be able to describe an innovative multi-method approach (with site switching and rapid ethnography techniques) designed for the study of long term residential care in several countries. --They will learn where to seek additional information about this innovative methodology should they wish to follow up on it and employ it in the assessment of long term care in their own communities.

Keywords: Long-Term Care, Aging

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: Principal Investigator for the project and first author on the abstract that we are proposing to give at the APHA annual meeting.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.