Overview of Systematic Reviews on Factors Related to the Structure and Functioning of Residential Long-Term Care Facilities for Older Adults

<b>Objective:</b> To identify factors influencing the structure and functioning of long-term residential care facilities for older adults worldwide, in order to uncover practices and support evidence-based improvements in care delivery. <b>Method:</b> An overview of systemati...

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Main Authors: Aurélio Matos Andrade, Karine Rodrigues Afonseca, Tatiana de Almeida Jube, Suelen Meira Góes, Maíra Catharina Ramos, Flavia Tavares da Silva Elias
Format: Article
Language:English
Published: MDPI AG 2025-05-01
Series:Geriatrics
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Online Access:https://www.mdpi.com/2308-3417/10/3/64
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author Aurélio Matos Andrade
Karine Rodrigues Afonseca
Tatiana de Almeida Jube
Suelen Meira Góes
Maíra Catharina Ramos
Flavia Tavares da Silva Elias
author_facet Aurélio Matos Andrade
Karine Rodrigues Afonseca
Tatiana de Almeida Jube
Suelen Meira Góes
Maíra Catharina Ramos
Flavia Tavares da Silva Elias
author_sort Aurélio Matos Andrade
collection DOAJ
description <b>Objective:</b> To identify factors influencing the structure and functioning of long-term residential care facilities for older adults worldwide, in order to uncover practices and support evidence-based improvements in care delivery. <b>Method:</b> An overview of systematic reviews was performed according to the PRISMA protocol and registered on the PROSPERO platform (no. CRD42023486204). Research was carried out on 21 September 2023, using the following databases: PubMed (via MedLine), EMBASE, Web of Science, Scopus, Virtual Health Library (VHL), and Epistemonikos. <b>Results:</b> The search yielded 12,040 articles, including 61 systematic reviews. Analyzing the primary outcomes, personnel structure, and risk management were the most-studied outcomes of the systematic reviews, followed by pharmaceuticals, food services, mobility/accessibility, and technological and physical structures. In terms of primary outcomes of the systematic reviews, the personnel structure was the most highlighted (in 39.34%), followed by risk management (in 32.79%), while the least highlighted was physical structure (in 9.84%). <b>Conclusions:</b> Personnel are critical to the safe and effective functioning of Long-Term Care Facility (LTCF) operations. Future research is needed to identify associations between models of care and structural concerns, including physical environment, as they relate to quality of care in LTCFs, particularly in low and middle-income countries (LMIC).
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spelling doaj-art-7df2b69a76da4f37910ae3e6ef5b778e2025-08-20T02:21:10ZengMDPI AGGeriatrics2308-34172025-05-011036410.3390/geriatrics10030064Overview of Systematic Reviews on Factors Related to the Structure and Functioning of Residential Long-Term Care Facilities for Older AdultsAurélio Matos Andrade0Karine Rodrigues Afonseca1Tatiana de Almeida Jube2Suelen Meira Góes3Maíra Catharina Ramos4Flavia Tavares da Silva Elias5Program of Evidence for Health Policy and Technologies (PEPTS), Fiocruz Brasília, Oswaldo Cruz Foundation (Fiocruz), Asa Norte, Brasilia 70904-130, DF, BrazilHealth Surveillance Department, State Health Department of the Federal, District SEPS-Qd. 712/912, Bl. D, Asa Sul, Brasilia 70390-125, DF, BrazilAgência Nacional de Vigilância Sanitária (Anvisa), SIA-Trecho 5-Área Especial 57-Bloco D, Brasilia 71205-050, DF, BrazilSaskatchewan Health Quality Council, Innovation Place, The Atrium, 111 Research Dr, Saskatoon, SK S7N 2X8, CanadaProgram of Evidence for Health Policy and Technologies (PEPTS), Fiocruz Brasília, Oswaldo Cruz Foundation (Fiocruz), Asa Norte, Brasilia 70904-130, DF, BrazilProgram of Evidence for Health Policy and Technologies (PEPTS), Fiocruz Brasília, Oswaldo Cruz Foundation (Fiocruz), Asa Norte, Brasilia 70904-130, DF, Brazil<b>Objective:</b> To identify factors influencing the structure and functioning of long-term residential care facilities for older adults worldwide, in order to uncover practices and support evidence-based improvements in care delivery. <b>Method:</b> An overview of systematic reviews was performed according to the PRISMA protocol and registered on the PROSPERO platform (no. CRD42023486204). Research was carried out on 21 September 2023, using the following databases: PubMed (via MedLine), EMBASE, Web of Science, Scopus, Virtual Health Library (VHL), and Epistemonikos. <b>Results:</b> The search yielded 12,040 articles, including 61 systematic reviews. Analyzing the primary outcomes, personnel structure, and risk management were the most-studied outcomes of the systematic reviews, followed by pharmaceuticals, food services, mobility/accessibility, and technological and physical structures. In terms of primary outcomes of the systematic reviews, the personnel structure was the most highlighted (in 39.34%), followed by risk management (in 32.79%), while the least highlighted was physical structure (in 9.84%). <b>Conclusions:</b> Personnel are critical to the safe and effective functioning of Long-Term Care Facility (LTCF) operations. Future research is needed to identify associations between models of care and structural concerns, including physical environment, as they relate to quality of care in LTCFs, particularly in low and middle-income countries (LMIC).https://www.mdpi.com/2308-3417/10/3/64agedhomes for the agedterminal carehealth of institutionalized elderly
spellingShingle Aurélio Matos Andrade
Karine Rodrigues Afonseca
Tatiana de Almeida Jube
Suelen Meira Góes
Maíra Catharina Ramos
Flavia Tavares da Silva Elias
Overview of Systematic Reviews on Factors Related to the Structure and Functioning of Residential Long-Term Care Facilities for Older Adults
Geriatrics
aged
homes for the aged
terminal care
health of institutionalized elderly
title Overview of Systematic Reviews on Factors Related to the Structure and Functioning of Residential Long-Term Care Facilities for Older Adults
title_full Overview of Systematic Reviews on Factors Related to the Structure and Functioning of Residential Long-Term Care Facilities for Older Adults
title_fullStr Overview of Systematic Reviews on Factors Related to the Structure and Functioning of Residential Long-Term Care Facilities for Older Adults
title_full_unstemmed Overview of Systematic Reviews on Factors Related to the Structure and Functioning of Residential Long-Term Care Facilities for Older Adults
title_short Overview of Systematic Reviews on Factors Related to the Structure and Functioning of Residential Long-Term Care Facilities for Older Adults
title_sort overview of systematic reviews on factors related to the structure and functioning of residential long term care facilities for older adults
topic aged
homes for the aged
terminal care
health of institutionalized elderly
url https://www.mdpi.com/2308-3417/10/3/64
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