34881National Tsing-Hua University, Hsinchu City, Taiwan.
Center for Rehabilitation and Outcomes Research, 581932Shirley Ryan AbilityLab, Chicago, IL, USA.
J Appl Gerontol. 2023 Mar;42(3):493-504. doi: 10.1177/07334648221139476. Epub 2022 Nov 17.
Home and community-based services (HCBS) assist people with disabilities and older adults to remain in their homes. Direct support professionals and care managers who facilitate the development of support plans need to employ person-centered approaches to ensure services are tailored to peoples' needs and preferences. The aims were to identify the key competencies needed for delivery of person-centered supports and examine the relationship between HCBS and its' outcomes in the United States. We used the competencies developed by the National Center on advancing Person-Centered Practices and Systems as a framework. We conducted a systematic review to identify the skills necessary to deliver person-centered HCBS. We coded 43 articles and identified seven competencies. Most frequently mentioned competencies related to and . Policy makers should create training standards for person-centered practices to ensure that people receiving HCBS live the lives they want.
居家和社区为基础的服务（HCBS）帮助残疾人和老年人留在自己的家中。直接支持专业人员和护理经理需要采用以个人为中心的方法来制定支持计划，以确保服务能够满足人们的需求和偏好。本研究旨在确定提供以个人为中心的支持所需的关键能力，并研究美国 HCBS 与其结果之间的关系。我们使用国家推进以个人为中心的实践和系统中心制定的能力作为框架。我们进行了系统综述，以确定提供以个人为中心的 HCBS 所需的技能。我们对 43 篇文章进行了编码，并确定了七个能力。提到最多的能力与 、 相关。政策制定者应制定以个人为中心的实践培训标准，以确保接受 HCBS 的人过上他们想要的生活。
