Navigating Dual Logics in Long-Term Post-Acute Care: A Framework for Person-Centered Integration

The transition from acute care to long-term, post-acute settings (LTPAC)—such as nursing homes and rehabilitation facilities—typically shifts goals from cure to quality of life, heightening the importance of person-centered care that aligns treatment with each person's values and daily needs.1 At the same time, settings must meet safety and accountability regulations. Tension arises when standardized protocols constrain individualized care.2 For example, high nursing turnover in US nursing homes (mean 128%, median 94% annually) reduces continuity in personalized care.