The Medical Model and Person-Centered Care: A Blended Approach

Nursing homes have been a part of our history since the 17th century. They began as almshouses, and then in the 20th century transitioned into “convalescent homes” that provided basic care and meals. The Omnibus Budget Reconciliation Act (OBRA) in 1987 introduced new government provisions, oversight, and regulation to address improved quality of care in nursing homes, so the nursing home that we are familiar with today is actually a relatively new concept. Our “industry” is only 33 years old! We’ve certainly come a long way in these few decades, and the journey of creating a sustainable culture founded on integrated and person-centered practices has a long way to go.