Interventions to facilitate access to long-term care for community-dwelling older adults: A scoping review

Accessing long-term care can be challenging due to complex care systems. This study aimed to identify evidence on interventions designed to improve access to long-term care for community-dwelling older adults. A systematic search of five databases identified 16 studies published between 2013 and 2023. Interventions were categorized into four types: early identification (n = 6), integrated care (n = 5), partnership (n = 2), and other (n = 3). Common strategies included providing information, making referrals, and providing coordinated care. Most interventions were delivered by healthcare professionals, targeted high-risk older adults, and focused on nursing home admissions, with less attention to other long-term care services. Interventions could target older adults with advanced age or specific health conditions and identify unmet needs at early stages. Future research could document intervention length, explore its impact on service access, and evaluate the feasibility and effectiveness of involving non-healthcare professionals in delivering interventions.