{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T23:20:58Z","timestamp":1787008858035,"version":"build-2736575974"},"reference-count":31,"publisher":"Oxford University Press (OUP)","issue":"4","license":[{"start":{"date-parts":[[2018,6,15]],"date-time":"2018-06-15T00:00:00Z","timestamp":1529020800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"funder":[{"DOI":"10.13039\/100000049","name":"National Institute on Aging","doi-asserted-by":"publisher","award":["R01AG044368"],"award-info":[{"award-number":["R01AG044368"]}],"id":[{"id":"10.13039\/100000049","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2019,7,16]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background and Objectives<\/jats:title>\n                    <jats:p>Assisted living (AL) is a popular residential long-term care option for frail older adults in the United States. Most residents have multiple comorbidities and considerable health care needs, but little is known about their health care arrangements, particularly over time. Our goal is to understand how health care is managed and experienced in AL by residents and their care network members.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Research Design and Methods<\/jats:title>\n                    <jats:p>This grounded theory analysis focuses on the delivery of health care in AL. Qualitative data were gathered from 28 residents and 114 of their care network members followed over a 2-year period in 4 diverse settings as part of the larger study, \u201cConvoys of Care: Developing Collaborative Care Partnerships in Assisted Living.\u201d<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Findings show that health care in AL involves routine, acute, rehabilitative, and end-of-life care, is provided by residents, formal and informal caregivers, and occurs on- and off-site. Our conceptual model derived from grounded theory analysis, \u201cindividualizing health care,\u201d reflects the variability found in care arrangements over time and the multiple, multilevel factors we identified related to residents and caregivers (e.g., age, health), care networks (e.g., size, composition), residences (e.g., ownership), and community and regulatory contexts. This variability leads to individualization and a mosaic of health care among AL residents and communities.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion and Implications<\/jats:title>\n                    <jats:p>Our consideration of health care and emphasis on care networks draw attention to the importance of communication and need for collaboration within care networks as key avenues for improving care for this and other frail populations.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/geront\/gny065","type":"journal-article","created":{"date-parts":[[2018,5,9]],"date-time":"2018-05-09T15:12:52Z","timestamp":1525878772000},"page":"644-654","source":"Crossref","is-referenced-by-count":22,"title":["Individualization and the Health Care Mosaic in Assisted Living"],"prefix":"10.1093","volume":"59","author":[{"given":"Candace L","family":"Kemp","sequence":"first","affiliation":[{"name":"The Gerontology Institute, Georgia State University, Atlanta"},{"name":"Department of Sociology, Georgia State University, Atlanta"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mary M","family":"Ball","sequence":"additional","affiliation":[{"name":"Division of General and Geriatric Medicine, Emory School of Medicine, Emory University, Atlanta, Georgia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Molly M","family":"Perkins","sequence":"additional","affiliation":[{"name":"Division of General and Geriatric Medicine, Emory School of Medicine, Emory University, Atlanta, Georgia"},{"name":"Department of Sociology, Emory University, Atlanta, Georgia"},{"name":"Birmingham\/Atlanta VA Geriatric Research, Education, and Clinical Center (GRECC), Alabama"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2018,6,15]]},"reference":[{"key":"2020010209080701000_CIT0001","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1016\/j.jaging.2014.02.002","article-title":"\u201cThis is our last stop\u201d: Negotiating end-of-life transitions in assisted living","volume":"30","author":"Ball","year":"2014","journal-title":"Journal of Aging Studies"},{"key":"2020010209080701000_CIT0002","doi-asserted-by":"crossref","DOI":"10.56021\/9780801894930","volume-title":"Frontline workers in assisted living","author":"Ball","year":"2010"},{"key":"2020010209080701000_CIT0003","doi-asserted-by":"crossref","DOI":"10.56021\/9780801881947","volume-title":"Communities of care: Assisted living for African American elders","author":"Ball","year":"2005"},{"key":"2020010209080701000_CIT0004","doi-asserted-by":"publisher","first-page":"805","DOI":"10.1111\/jgs.12786","article-title":"Licensed nurse staffing and health service availability in residential care and assisted living","volume":"62","author":"Beeber","year":"2014","journal-title":"Journal of the American Geriatrics Society"},{"key":"2020010209080701000_CIT0005","first-page":"1","article-title":"Residents living in residential care facilities: United States, 2010","author":"Caffrey","year":"2012"},{"key":"2020010209080701000_CIT0006","volume-title":"Compendium of residential care and assisted living regulation and policy: 2015 edition","author":"Carder","year":"2015"},{"key":"2020010209080701000_CIT0007","volume-title":"Basics of qualitative research: Techniques and procedures for developing grounded theory","author":"Corbin","year":"2015","edition":"4"},{"key":"2020010209080701000_CIT0008","doi-asserted-by":"publisher","first-page":"1153","DOI":"10.1111\/jgs.13429","article-title":"Hospice care in assisted living facilities versus at home: Results of a multisite cohort study","volume":"63","author":"Dougherty","year":"2015","journal-title":"Journal of the American Geriatrics Society"},{"key":"2020010209080701000_CIT0009","doi-asserted-by":"crossref","DOI":"10.1353\/book.3347","volume-title":"Inside assisted living: The search for home","author":"Eckert","year":"2009"},{"issue":"(38)","key":"2020010209080701000_CIT0010","first-page":"1","article-title":"Long-term care providers and services users in the United States: Data from the national study of long-term care providers, 2013\u20132014","author":"Harris-Kojetin","year":"2016","journal-title":"Vital & Health Statistics. 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