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. 2011;31(1):111-142.
doi: 10.1891/0198-8794.31.111.

Planning and Decision Making for Care Transitions

Silvia Sörensen, Wingyun Mak, Martin Pinquart

Planning and Decision Making for Care Transitions

Silvia Sörensen et al. Annu Rev Gerontol Geriatr. 2011.

Abstract

The need to plan for future health care and residential adjustments increases with age, growing frailty, and restrictions in coverage of long-term care and will continue to grow with population aging. Older adults' lack of financial preparation for health care costs, insufficient knowledge about available options, and inadequate communication about care-related values has become an increasing public health challenge. This chapter describes a model of Preparation for Future Care (PFC), which encompasses different levels and domains of planning. Research about the extent to which planning is helpful in navigating care transitions is reviewed, and barriers and facilitators of planning including individual, familial, cultural, and national long-term care policy factors are discussed. Planning in the context of dementia and practical approaches that can be taken to enhance PFC is addressed, as well as recommendations for future research in the area of planning and decision making in the context of care transitions.

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Figures

FIGURE 6.1
FIGURE 6.1
Theoretical model of preparation for future care. Note. LTC = long-term care.
FIGURE 6.2
FIGURE 6.2
Preparation for future care as explained by the integrated model of behavioral prediction. Note. LTCI = long-term care insurance; PFC = preparation for future care.
See this image and copyright information in PMC

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