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Review
. 2018 Jan;14(1):104-114.
doi: 10.1016/j.jalz.2017.10.006. Epub 2017 Nov 21.

Home is where the future is: The BrightFocus Foundation consensus panel on dementia care

Quincy M Samus  1 , Betty Smith Black  2 , Diane Bovenkamp  3 , Michael Buckley  3 , Christopher Callahan  4 , Karen Davis  5 , Laura N Gitlin  6 , Nancy Hodgson  7 , Deirdre Johnston  2 , Helen C Kales  8 , Michele Karel  9 , John Jay Kenney  10 , Shari M Ling  11 , Maï Panchal  12 , Melissa Reuland  2 , Amber Willink  5 , Constantine G Lyketsos  2
Affiliations
Review

Home is where the future is: The BrightFocus Foundation consensus panel on dementia care

Quincy M Samus et al. Alzheimers Dement. 2018 Jan.

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.

Keywords: Alzheimer's and related dementias (ADRD); Care financing; Community-based care; Cost effectiveness; Dementia; Home-based care; Payment models; Technology; Workforce.

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