A systematic review to compare residential care facilities for older people in developed countries: Practical implementations for Iran

Figures & data

Table 1. The aim, objectives, and research methods

Aim	Determine the structure of purpose-built, modified housing, self-contained dwellings, residential care, and nursing homes for older people around the developed countries and Iran.
Objectives	Utilize the types of residential care settings (RCSs) for older people in Iran. Utilize the types of RCSs for older people in developed countries. Identify the available services for older adults in RCSs in Iran. Identify the available services for older adults in RCSs in developed countries. Identify the skilled and unskilled staffs for delivering care services in RCSs in Iran. Identify the skilled and unskilled staffs for delivering care services in RCSs in developed countries. Utilize the amenities and facilities in different kind of RCSs in developed countries.
Method	Systematic review.

Table 2. Available services at assisted living facilities

Authors	Personal care	Nursing care	Nutrition services	Home care services	Social support	Supervision	Medical care	Transportation	Counseling	Rehabilitation services	Palliative care	Preventive care services	Alternative medicine
Just et al., 1995	*	*		*	*	*	*	*	*
Mollica, Wilson, Ryther, & Lamarche, 1995	*	*	*	*	*	*	*	*	*	*		*
Hawes, Rose, & Phillips, 1999	*	*	*	*		*
Mollica et al., 1995	*	*	*	*	*	*	*	*	*			*
Hawes, Phillips, & Rose, 2000	*	*	*	*		*		*			*
Heumann, Winter-Nelson, & Anderson, 2001	*			*		*
Kraditor, Dollard, Hodlewsky, Kyllo, & Sabo, 2001	*	*	*	*	*	*		*	*	*	*
Mulvenna et al., 2011		*							*
Wilden & Redfoot, 2002	*	*	*	*	*	*	*	*
Wink & Holcomb, 2002	*	*	*	*	*	*		*
Kovner & Harrington, 2003	*	*	*	*	*	*	*
Hawes, Phillips, Rose, Holan, & Sherman, 2003	*	*	*	*			*	*
Salmon, Thompson, & Sims, 2003	*		*	*	*		*			*
Sloane et al., 2003	*	*	*	*			*				*
Mollica, 2003					*		*	*		*
Chao & Dwyer, 2004	*		*		*	*	*
Mitty, 2004	*	*	*	*	*						*
Hawes et al., 2005	*	*	*	*		*					*
Lee, 2006	*	*	*	*	*	*		*
Mitty & Flores, 2007	*	*	*	*					*
Hyde et al., 2007		*	*				*					*	*
Zimmerman & Sloane, 2007	*	*	*	*	*	*	*	*
Jones et al., 2010	*	*	*	*	*		*	*
Allen, 2012	*	*	*		*	*				*
Heumann, 2005	*	*	*	*	*	*		*	*	*
Stachel, Bornschlegel, & Balter, 2012	*	*			*							*
Jenkens et al., 2005	*	*	*	*	*	*	*	*
Elkins, 2013	*	*	*	*	*	*	*		*
Memon, Wagner, Pedersen, Beevi, & Hansen, 2014.						*	*
Camarinha-Matos, Ferrada, Oliveira, Rosas, & Monteiro, 2014	*	*		*	*		*			*	*	*
Camarinha-Matos et al., 2015	*	*			*	*			*	*	*	*
Kisling, Paul, & Coustasse, 2016	*		*		*				*

Table 3. Available services at sheltered housings

Authors	Personal care	Social support	Medical care	Rehabilitation services	Nutrition services	Homemaker services	Supervision
Jones et al., 2010	A	A	NA	NA	A	A	A
Egbu et al., 2011	NA	NA	NA	NA	NA	A	A
Iecovich, 2016	A	A	A	NA	NA	A	NA

Note: A: available; NA: not available.

Table 4. Available services at ECH facilities

Authors	Personal care	Nutrition services	Medical care	Home care services	Supervision	Counseling	Social support	Rehabilitation services	Transportation	Alternative medicine
Habell, 2001	*	*	*	*		*	*		*	*
Riseborough & Fletcher, 2003	*		*				*	*
Reynold, 2005	*	*		*
Tinker et al., 2008	*	*			*	*
Darton et al., 2008			*				*	*
Dutton, 2010	*	*			*	*
Wright, Tinker, Hanson, Wojgani, & Mayagoitia, 2009	*	*		*	*
Wanless et al., 2006		*	*	*	*
Learning & Network, 2006	*	*	*		*			*
Evans & Vallelly, 2007	*		*			*	*		*	*
Jones et al., 2010	*	*	*		*
Netten et al., 2011	*	*	*	*	*
Batty et al., 2017	*			*			*	*

Table 5. Available services at NORC

Authors	Personal care	Social support	Medical care	Transportation	Nutrition services	Home care services	Nursing care	Rehabilitation services	Preventive care services	Counseling	Palliative care	Alternative medicine
Greenfield et al., 2013	*	*	*	*	*
Sprigg, 2010	*						*
Scharlach et al., 2011		*		*		*
Xia et al., 2015	*	*	*		*
Golant, 2008	*	*	*	*	*	*	*	*	*	*	*	*
Gelfand, 2006	*	*	*	*	*	*	*	*	*
MacLaren et al., 2007	*	*	*	*	*	*		*	*	*
Hu et al., 2017	*		*	*	*	*		*

Table 6. Available services at nursing homes

Authors	Nursing care	Medical care	Personal care	Rehabilitation services	Social services	Hospice care	Nutrition services	Transportation	Homemaker services	Education	Other therapy
Ribbe et al., 1997		*		*	*	*
Weisman et al., 2004	*		*							*	*
Chu & Chi, 2008	*	*	*		*
Kim et al., 2010	*	*	*	*	*
Ishizaki et al., 1998	*	*		*
Davis et al., 2007	*	*	*	*	*		*		*
Molinari et al., 2009		*			*
Cates, 1994	*	*	*	*			*
Day, 2013	*	*	*	*
Jones, 2002	*			*	*	*		*
Rosewarne, 2002	*		*		*

Table 7. Available services at residential care settings

Authors	Nursing care	Personal care	Nutrition services	Social support	Medical care	Palliative care	Rehabilitation services	Psychosocial services	Bereavement services	Transportation	Home care services	Education	Pet, art, and music therapy
Rosewarne, 2002	*	*		*
Trahan & Caris, 2002	*	*	*	*	*	*	*	*		*
Kwong & Kwan, 2002	*	*	*	*	*						*
Weisman et al., 2004	*	*										*	*
Brown et al., 2005						*			*
Picardi et al., 2006	*		*				*	*

Table 8. Comparison residential care facilities based on the literature review

Features	Residential care settings
	Assisted living facility	Extra care housing	Naturally occurring retirement community	Nursing home Setting	Residential care Setting	Nursing home institution in Iran
Involving tenants in decision making	*	*
Promotion of autonomy	*	*
Promotion of privacy	*	*
Promotion of independence	*	*	*
Promotion of dignity	*	*
Maintain quality of life	*	*	*
Create homelike environment	*	*
Safe and modified environment	*	*			*
Allow older adults to aging in place	*		*		*
Motivate social interactions	*	*	*
Providing self-contained accommodations	*	*
Providing support services	*	*	*	*	*	*
Providing health services	*	*	*	*		*

Just, G., De Young, S., & Van Dyk, R. (1995). Assisted living: Challenges for nursing practice: The assisted-living model: What does it provide, and for whom? Geriatric Nursing, 16(4), 165–168. doi:10.1016/s0197-4572(05)80023-0

 PubMed Web of Science ®Google Scholar

Mollica, R. L., Wilson, K. B., Ryther, B. S., & Lamarche, H. J. (1995). Guide to assisted living and state policy. Contract No. HHS-100-94-0024). National Long Term Care Resource Center, University of Minnesota School of Public Health and the National Academy for State Health Policy. Minneapolis, MN: University of Minnesota, National Long Term Care Resource Center.

 Google Scholar

Hawes, C., Rose, M., & Phillips, C. D. (1999). A national study of assisted living for the frail elderly: Results of a national survey of facilities. Washington, DC: US Department of Health and Human Services.

 Google Scholar

Hawes, C., Phillips, C. D., & Rose, M. (2000). High service or high privacy assisted living facilities, their residents and staff: Results from a national survey. Washington, DC: US Department of Health and Human Services.

 Google Scholar

Heumann, L. F., Winter-Nelson, K., & Anderson, J. R. (2001). The 1999 national survey of Section 202 elderly housing. Washington, DC: AARP Public Policy Institute.

 Google Scholar

Kraditor, K., Dollard, K. J., Hodlewsky, R. T., Kyllo, D., & Sabo, S. (2001). Facts and trends: The assisted living sourcebook. Washington, DC: National Center for Assisted Living.

 Google Scholar

Mulvenna, M., Carswell, W., McCullagh, P., Augusto, J. C., Zheng, H., Jeffers, P., & Martin, S. (2011). Visualization of data for ambient assisted living services. IEEE Communications Magazine, 49, 1. doi:10.1109/mcom.2011.5681023

 Web of Science ®Google Scholar

Wilden, R., & Redfoot, D. L. (2002). Adding assisted living services to subsidized housing: Serving frail older persons with low incomes. Washington, DC: Public Policy Institute, AARP.

 Google Scholar

Wink, D. M., & Holcomb, L. O. (2002). Assisted living facilities as a site for np practice. Journal of the American Academy of Nurse Practitioners, 14(6), 251–256. doi:10.1111/j.1745-7599.2002.tb00121.x

 PubMedGoogle Scholar

Kovner, C. T., & Harrington, C. (2003). Nursing care in assisted living facilities. The American Journal of Nursing, 103(1), 97–98. doi:10.1097/00000446-200301000-00081

 PubMed Web of Science ®Google Scholar

Hawes, C., Phillips, C. D., Rose, M., Holan, S., & Sherman, M. (2003). A national survey of assisted living facilities. The Gerontologist, 43(6), 875–882. doi:10.1093/geront/43.6.875

 PubMed Web of Science ®Google Scholar

Salmon, J. R., Thompson, S., & Sims, V. M. (2003). Affordable assisted living facilities: Government-sponsored benefits for reimbursing assisted living services, room, and board. Tampa: University of South Florida.

 Google Scholar

Sloane, P. D., Zimmerman, S., Hanson, L., Mitchell, C. M., Riedel‐Leo, C., & Custis‐Buie, V. (2003). End‐of‐life care in assisted living and related residential care settings: comparison with nursing homes. Journal of the American Geriatrics Society, 51(11), 1587–1594.

 PubMed Web of Science ®Google Scholar

Mollica, R. (2003). Coordinating services across the continuum of health, housing, and supportive services. Journal of Aging and Health, 15(1), 165–188. doi:10.1177/0898264302239022

 PubMed Web of Science ®Google Scholar

Chao, S., & Dwyer, J. (2004). Food and nutrition services in assisted living facilities boon or big disappointment for elder nutrition? Generations, 28(3), 72–77.

 Web of Science ®Google Scholar

Mitty, E. L. (2004). Assisted living: Aging in place and palliative care. Geriatric Nursing, 25(3), 149–163. doi:10.1016/j.gerinurse.2004.04.019

 PubMed Web of Science ®Google Scholar

Hawes, C., Phillips, C. D., Holan, S., Sherman, M., & Hutchison, L. L. (2005). Assisted living in rural America: Results from a national survey. The Journal of Rural Health, 21(2), 131–139. doi:10.1111/j.1748-0361.2005.tb00073.x

 PubMed Web of Science ®Google Scholar

Lee, J. H. (2006). Post occupancy evaluation of assisted living facility (Order No. 3254373). Available from Nursing & Allied Health Database; ProQuest Dissertations & Theses A&I; ProQuest Dissertations & Theses Global. (305329982). Retrieved from https://search.proquest.com/docview/305329982?accountid=34366

 Google Scholar

Mitty, E., & Flores, S. (2007). Understanding defining characteristics of assisted living. Geriatric Nursing, 28(4), 221–224. doi:10.1016/j.gerinurse.2007.06.003

 PubMed Web of Science ®Google Scholar

Hyde, J., Perez, R., & Forester, B. (2007). Dementia and assisted living. The Gerontologist, 47(suppl 1), 51–67. doi:10.1093/geront/47.supplement_1.51

 PubMed Web of Science ®Google Scholar

Zimmerman, S., & Sloane, P. D. (2007). Definition and classification of assisted living. The Gerontologist, 47(suppl 1), 33–39. doi:10.1093/geront/47.supplement_1.33

 PubMed Web of Science ®Google Scholar

Jones, A., Howe, A., Tilse, C., Barlett, H. P., & Stimson, R. (2010). Service integrated housing for Australians in later life —AHURI final report no. 141. Melbourne: Australian Housing and Urban Research Institute.

 Google Scholar

Allen, J. (2012). A clearer national picture of assisted living. Geriatric Nursing, 33(3), 243–245. doi:10.1016/j.gerinurse.2012.03.011

 PubMed Web of Science ®Google Scholar

Heumann, L. F. (2005). Assisted living for lower-income and frail older persons from the housing and built environment perspective. Journal of Housing for the Elderly, 18(3–4), 165–178. doi:10.1300/j081v18n03_07

 Google Scholar

Stachel, A. G., Bornschlegel, K., & Balter, S. (2012). Characteristics, services, and infection control practices of New York City assisted living facilities, 2010. Journal of the American Geriatrics Society, 60(2), 284–289. doi:10.1111/j.1532-5415.2011.03817.x

 PubMed Web of Science ®Google Scholar

Jenkens, R., Carder, P. C., & Maher, L. (2005). The coming home program: Creating a state road map for affordable assisted living policy, programs, and demonstrations. Journal of Housing for the Elderly, 18(3–4), 179–201. doi:10.1300/j081v18n03_08

 Google Scholar

Elkins, J. S. (2013). Diverse facilities, aging residents: Assisted living through the lens of the 2010 National Survey of Residential Care Facilities ( Doctoral dissertation). The Texas A&M University, Bryan, United States.

 Google Scholar

Memon, M., Wagner, S. R., Pedersen, C. F., Beevi, F. H. A., & Hansen, F. O. (2014). Ambient assisted living healthcare frameworks, platforms, standards, and quality attributes. Sensors, 14(3), 4312–4341. doi:10.3390/s140304312

 PubMed Web of Science ®Google Scholar

Camarinha-Matos, L. M., Ferrada, F., Oliveira, A. I., Rosas, J., & Monteiro, J. (2014). Care services provision in ambient assisted living. IRBM, 35(6), 286–298. doi:10.1016/j.irbm.2014.08.001

 Web of Science ®Google Scholar

Camarinha-Matos, L. M., Rosas, J., Oliveira, A. I., & Ferrada, F. (2015). Care services ecosystem for ambient assisted living. Enterprise Information Systems, 9(5–6), 607–633. doi:10.1080/17517575.2013.852693

 Web of Science ®Google Scholar

Kisling, A., Paul, D. P., III, & Coustasse, A. (2016). Costs, staffing, and services of assisted living in the United States: A literature review. Health Care Manag, 35(2), 156–163. doi:10.1097/HCM.0000000000000107

 Google Scholar

Egbu, J. U., Wood, G. D., & Egbu, C. O. (2011). The changing face of sheltered housing for the elderly: Past, present and the future. In Proceedings 27th Annual ARCOM Conference (pp. 573–581), 5–7 September 2011, Bristol, UK, Association of Researchers in Construction Management.

 Google Scholar

Iecovich, E. (2016). Live-in care workers in sheltered housing for older adults in Israel: The new sheltered housing law. Journal of Aging & Social Policy, 28(4), 277–291. doi:10.1080/08959420.2016.1162657

 PubMed Web of Science ®Google Scholar

Habell, M. (2001). The evolution of close care as user-led care of the elderly in the UK. The Journal of the Royal Society for the Promotion of Health, 121(3), 165–173. doi:10.1177/146642400112100313

 PubMedGoogle Scholar

Riseborough, M., & Fletcher, P. (2003). Extra care housing: What is it? London: Department of Health.

 Google Scholar

Reynold, K. (2005). Housing for people with dementia. Working with Older People, 9(2), 30–32. doi:10.1108/13663666200500029

 Google Scholar

Tinker, A., Wright, F., Hanson, J., Mayagoitia, R., Wojgani, H., & Holmans, A. (2008). Remodeling to extra care housing: Some implications for policy and practice. Quality in Ageing and Older Adults, 9(1), 4–12. doi:10.1108/14717794200800002

 Google Scholar

Darton, R., Baumker, T., Callaghan, L., Holder, J., Netten, A., & Towers, A. (2008). Evaluation of the extra care housing funding initiative: Initial report. PSSRU Discussion Paper 2506/2. Personal Social Services Research Unit. Canterbury: University of Kent.

 Google Scholar

Dutton, R. (2010). People with dementia living in extra care housing: Learning from the evidence. Working with Older People, 14(1), 8–11. doi:10.5042/wwop.2010.0071

 Google Scholar

Wright, F., Tinker, A., Hanson, J., Wojgani, H., & Mayagoitia, R. (2009). Some social consequences of remodeling English sheltered housing and care homes to ‘extra care’. Ageing and Society, 29, 135–153. doi:10.1017/s0144686x08007630

 Web of Science ®Google Scholar

Wanless, D., Forder, J., Fernández, J. L., Poole, T., Beesley, L., Henwood, M., & Moscone, F. (2006). Wanless social care review: Securing good care for older people, taking a long-term view. London, UK: King’s Fund.

 Google Scholar

Learning, H., & Network, I. (2006). The extra care housing toolkit. London: Care Services Improvement Partnership, Department of Health.

 Google Scholar

Netten, A., Darton, R., Baumker, T., & Callaghan, L. (2011). Improving housing with care choices for older people: An evaluation of extra care housing. Canterbury: Personal Social Services Research Unit, University of Kent.

 Google Scholar

Batty, E., Foden, M., Green, S., Mccarthy, L., Robinson, D., & Wilson, I. (2017). Evaluation of extra care housing in Wales. Cardiff: Welsh Government, GSR report number 61/2017. Digital ISBN 978-1-78859-592-6. Retrieved from http://gov.wales/statistics-and-research/evaluation-extra-care/?lang=en

 Google Scholar

Greenfield, E. A., Scharlach, A. E., Lehning, A. J., Davitt, J. K., & Graham, C. L. (2013). A tale of two community initiatives for promoting aging in place: Similarities and differences in the national implementation of NORC programs and villages. The Gerontologist, 53(6), 928–938. doi:10.1093/geront/gnt035

 PubMed Web of Science ®Google Scholar

Sprigg, P. E. (2010). Continuing care retirement communities in North Carolina. NorthCarolina Medica Journal, 71, 2.

 Google Scholar

Scharlach, A., Graham, C., & Lehning, A. (2011). The “Village” model: A consumer-driven approach for aging in place. The Gerontologist, 52(3), 418–427. doi:10.1093/geront/gnr083

 PubMed Web of Science ®Google Scholar

Xia, B., Zuo, J., Skitmore, M., Chen, Q., & Rarasati, A. (2015). Sustainable retirement village for older people: A case study in Brisbane, Australia. International Journal of Strategic Property Management, 19(2), 149–158. doi:10.3846/1648715x.2015.1029564

 Web of Science ®Google Scholar

Golant, S. M. (2008). Affordable clustered housing-care: A category of long-term care options for the elderly poor. Journal of Housing for the Elderly, 22(1–2), 3–44. doi:10.1080/02763890802096906

 Google Scholar

Gelfand, D. E. (2006). The aging network: Programs and services. New York: Springer Publishing Company.

 Google Scholar

MacLaren, C., Landsberg, G., & Schwartz, H. (2007). History, accomplishments, issues and prospects of supportive service programs in naturally occurring retirement communities in New York state: Lessons learned. Journal of Gerontological Social Work, 49(1–2), 127–144. doi:10.1300/J083v49n01_08

 PubMedGoogle Scholar

Hu, X., Xia, B., Buys, L., & Skitmore, M. (2017). Availability of services in registered retirement villages in Queensland, Australia: A content analysis. Australasian Journal on Ageing, 36(4), 308–312. doi:10.1111/ajag.12445

 PubMed Web of Science ®Google Scholar

Ribbe, M. W., Ljunggren, G., Steel, K., Topinkova, E. V. A., Hawes, C., Ikegami, N., & Jonson, P. V. (1997). Nursing homes in 10 nations: A comparison between countries and settings. Age and Ageing, 26(suppl 2), 3–12.

 PubMed Web of Science ®Google Scholar

Weisman, G. D., Kovach, C., & Cashin, S. E. (2004). Differences in dementia services and settings across place type and regions. American Journal of Alzheimer’s Disease & Other Dementias, 19(5), 291–298. doi:10.1177/153331750401900510

 PubMedGoogle Scholar

Chu, L. W., & Chi, I. (2008). Nursing homes in China. Journal of the American Medical Directors Association, 9(4), 237–243. doi:10.1016/j.jamda.2008.01.008

 PubMed Web of Science ®Google Scholar

Kim, S. H., Kim, D. H., & Kim, W. S. (2010). Long-term care needs of the elderly in Korea and elderly long-term care insurance. Social Work in Public Health, 25(2), 176–184. doi:10.1080/19371910903116979

 PubMed Web of Science ®Google Scholar

Ishizaki, T., Kobayashi, Y., & Tamiya, N. (1998). The role of geriatric intermediate care facilities in long-term care for the elderly in Japan. Health Policy, 43(2), 141–151. doi:10.1016/s0168-8510(97)00094-8

 PubMed Web of Science ®Google Scholar

Davis, J. A., Marino, L. D., & Davis, L. (2007). Senior services: Exploring nursing home services for community-based seniors. International Journal of Pharmaceutical and Healthcare Marketing, 1(4), 304–317. doi:10.1108/17506120710840152

 Google Scholar

Molinari, V., Hedgecock, D., Branch, L., Brown, L. M., & Hyer, K. (2009). Mental health services in nursing homes: A survey of nursing home administrative personnel. Aging and Mental Health, 13(3), 477–486. doi:10.1080/13607860802607280

 PubMed Web of Science ®Google Scholar

Cates, N. (1994). Denmark: Changes in health and social services for the elderly and comparative observations. Home Health Care Services Quarterly, 15(1), 57–71. doi:10.1300/j027v15n01_05

 PubMedGoogle Scholar

Jones, A. (2002). The national nursing home survey: 1999 summary. Vital and Health Statistics. Series 13, Data from the National Health Survey, (152), 1–116. doi:10.1037/e309012005-001

 PubMedGoogle Scholar

Rosewarne, R. C. (2002). Australian approaches to resident classification and quality assurance in residential care. Journal of Aging & Social Policy, 13(2–3), 117–135. doi:10.1300/j031v13n02_09

 Google Scholar

Trahan, L., & Caris, P. (2002). The system of care and services for frail older persons in Canada and Quebec. Aging Clinical and Experimental Research, 14(4), 226–232. doi:10.1007/bf03324443

 PubMed Web of Science ®Google Scholar

Kwong, E. W. Y., & Kwan, A. Y. H. (2002). A review of private residential care in Hong Kong: Implications for policy and practice. Journal of Aging & Social Policy, 13(4), 73–89. doi:10.1300/j031v13n04_05

 Google Scholar

Brown, M., Grbich, C., Maddocks, I., Parker, D., & Willis, E. (2005). Documenting end of life decisions in residential aged care facilities in South Australia. Australian and New Zealand Journal of Public Health, 29(1), 85–90. doi:10.1111/j.1467-842x.2005.tb00754.x

 PubMed Web of Science ®Google Scholar

Picardi, A., De Girolamo, G., Santone, G., Falloon, I., Fioritti, A., Micciolo, R., & Zanalda, E. (2006). The environment and staff of residential facilities: Findings from the Italian ‘Progres’ national survey. Community Mental Health Journal, 42(3), 263–279. doi:10.1007/s10597-005-9031-6

 PubMed Web of Science ®Google Scholar