Conducting Clinical Research in Post-acute and Long-term Nursing Home Care Settings: Regulatory Challenges

J Am Med Dir Assoc. 2019 Jul;20(7):798-803. doi: 10.1016/j.jamda.2019.04.022.

Abstract

Despite multiple initiatives in post-acute and long-term nursing home care settings (NHs) to improve the quality of care while reducing health care costs, research in NHs can prove challenging. Extensive regulation for both research and NHs is designed to protect a highly vulnerable population but can be a deterrent to conducting research. This article outlines regulatory challenges faced by NHs and researchers, such as protecting resident privacy as well as health information and obtaining informed consent. The article provides lessons learned to help form mutually beneficial partnerships between researchers and NHs to conduct studies that grow and advance NH research initiatives and clinical care.

Keywords: Post-acute care; long-term care; nursing homes; research regulation.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, U.S. Gov't, Non-P.H.S.

MeSH terms

  • Confidentiality
  • Health Services Research / legislation & jurisprudence*
  • Humans
  • Informed Consent
  • Nursing Homes*
  • Patient Safety
  • Subacute Care*