From Scoping Review to Research Priority Setting - 2025 07 17

 


Strategy for Patient Oriented Research funded a scoping review to learn what research had been published about evidence-based cost accounting in long-term care. Specifically, we were looking for cost accounting data about home-based long-term care for frail elders with complex needs (require caregiving 24/7).

In the process of conducting that review, we developed a proposed framework for cost accounting categories that could serve across diverse caregiving settings - the operation of long-term care beds in institutional and home-based settings. We hope to one day answer the question, "What is the cost of operating a long-term care bed in an institutional and home-based setting? How do these costs compare? What are the relative costs and benefits of operating long-term care in these settings? How do we decide where to allocate resources to support these operations? How much funding needs to flow to each of these operations to sustain caregiving infrastructure?

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