Pub Date : 2020-04-01Epub Date: 2020-02-01DOI: 10.1080/01621424.2020.1723772
Brian Chun-Fai Chan, Shawna Cronin, Susan B Jaglal, Beverley Catharine Craven
The objectives of this study were to describe home care utilization and costs in community-dwelling individuals 2 years post-spinal cord injury (SCI) in Ontario, Canada. This retrospective incident cohort study uses administrative health care data to identify individuals with traumatic SCI (tSCI). Time to service delivery and frequency of service delivery and costs were calculated. A total of 798 individuals with tSCI comprised the cohort. In the first 2 years, personal support/homemaking was the most utilized service. Median cumulative home care 2 years post-discharge was $7,200 ($1,240-35,410 25-75% interquartile range). This study highlights the importance of home care to individuals with SCI.
{"title":"Publicly funded home care service use in the first 2 years after spinal cord injury in Ontario, Canada.","authors":"Brian Chun-Fai Chan, Shawna Cronin, Susan B Jaglal, Beverley Catharine Craven","doi":"10.1080/01621424.2020.1723772","DOIUrl":"https://doi.org/10.1080/01621424.2020.1723772","url":null,"abstract":"<p><p>The objectives of this study were to describe home care utilization and costs in community-dwelling individuals 2 years post-spinal cord injury (SCI) in Ontario, Canada. This retrospective incident cohort study uses administrative health care data to identify individuals with traumatic SCI (tSCI). Time to service delivery and frequency of service delivery and costs were calculated. A total of 798 individuals with tSCI comprised the cohort. In the first 2 years, personal support/homemaking was the most utilized service. Median cumulative home care 2 years post-discharge was $7,200 ($1,240-35,410 25-75% interquartile range). This study highlights the importance of home care to individuals with SCI.</p>","PeriodicalId":45875,"journal":{"name":"HOME HEALTH CARE SERVICES QUARTERLY","volume":"39 2","pages":"95-106"},"PeriodicalIF":1.4,"publicationDate":"2020-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/01621424.2020.1723772","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37602351","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-04-01Epub Date: 2020-02-10DOI: 10.1080/01621424.2020.1726849
Chang-Ming Hsieh, Gretchen P Kenagy
Homecare services play an important role in enabling older adults with chronic illness or functional impairment to continue living in their homes and communities. Previous research on homecare services has not fully explored the potential psychological benefits of homecare services. This study investigates the association between quality of homecare services and psychological well-being by analyzing two surveys. The results showed that the association between well-being and the quality of homecare services was mediated by satisfaction with health (z = 4.36, p = .000), satisfaction with family life (z = 4.96, p = .000) and satisfaction with friendship (z = 3.56, p = .000). The top three most important life domains, health, family life, and friendships, combined fully mediated the association between well-being and the quality of homecare services. These findings suggest that quality homecare services could enhance clients' well-being in the areas of family life and friendships beyond health.
家庭护理服务在使患有慢性疾病或功能障碍的老年人能够继续在家中和社区生活方面发挥着重要作用。以往关于家庭护理服务的研究并没有充分挖掘家庭护理服务潜在的心理效益。本研究透过分析两项调查，探讨家庭照护服务品质与心理健康的关系。结果显示，幸福感与家庭护理服务质量之间存在中介关系:健康满意度(z = 4.36, p = 0.000)、家庭生活满意度(z = 4.96, p = 0.000)和友谊满意度(z = 3.56, p = 0.000)。健康、家庭生活和友谊这三个最重要的生活领域结合在一起，完全介导了幸福感和家庭护理服务质量之间的联系。这些发现表明，除了健康之外，优质的家庭护理服务还可以提高客户在家庭生活和友谊方面的幸福感。
{"title":"Exploring the association between quality of homecare services and older adults' well-being.","authors":"Chang-Ming Hsieh, Gretchen P Kenagy","doi":"10.1080/01621424.2020.1726849","DOIUrl":"https://doi.org/10.1080/01621424.2020.1726849","url":null,"abstract":"<p><p>Homecare services play an important role in enabling older adults with chronic illness or functional impairment to continue living in their homes and communities. Previous research on homecare services has not fully explored the potential psychological benefits of homecare services. This study investigates the association between quality of homecare services and psychological well-being by analyzing two surveys. The results showed that the association between well-being and the quality of homecare services was mediated by satisfaction with health (<i>z</i> = 4.36, <i>p</i> = .000), satisfaction with family life (<i>z</i> = 4.96, <i>p</i> = .000) and satisfaction with friendship (<i>z</i> = 3.56, <i>p</i> = .000). The top three most important life domains, health, family life, and friendships, combined fully mediated the association between well-being and the quality of homecare services. These findings suggest that quality homecare services could enhance clients' well-being in the areas of family life and friendships beyond health.</p>","PeriodicalId":45875,"journal":{"name":"HOME HEALTH CARE SERVICES QUARTERLY","volume":"39 2","pages":"65-79"},"PeriodicalIF":1.4,"publicationDate":"2020-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/01621424.2020.1726849","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37626042","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-03-12DOI: 10.1201/9781315825380-15
J. Bok
{"title":"Organizing and financing PRS by a health insurance fund.","authors":"J. Bok","doi":"10.1201/9781315825380-15","DOIUrl":"https://doi.org/10.1201/9781315825380-15","url":null,"abstract":"","PeriodicalId":45875,"journal":{"name":"HOME HEALTH CARE SERVICES QUARTERLY","volume":"13 3-4 1","pages":"101-3"},"PeriodicalIF":1.4,"publicationDate":"2020-03-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44601314","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-01-02DOI: 10.1080/01621424.2019.1671932
N. Heydarikhayat, T. Ashktorab, C. Rohani
ABSTRACT Burn victims often require long-term treatments. Patients prefer to be at home while receiving care services but there are some deficiencies in conducting home care. To explore the challenges of nurse-led follow-up, 16 burn survivors who received home care for 6 months were interviewed. The theme, “barriers of care,” was extracted. It included two subthemes entitled “Barriers related to implementation of home care and “Barriers of ideality.” Providing home care for burn survivors encounters several barriers that were classified into two categories including modifiable and nonmodifiable barriers. Suitable infrastructure and policies are necessary to conduct home care for burn survivors.
{"title":"Lived experiences of burn survivors regarding the challenges of home care follow-ups: a phenomenological study","authors":"N. Heydarikhayat, T. Ashktorab, C. Rohani","doi":"10.1080/01621424.2019.1671932","DOIUrl":"https://doi.org/10.1080/01621424.2019.1671932","url":null,"abstract":"ABSTRACT Burn victims often require long-term treatments. Patients prefer to be at home while receiving care services but there are some deficiencies in conducting home care. To explore the challenges of nurse-led follow-up, 16 burn survivors who received home care for 6 months were interviewed. The theme, “barriers of care,” was extracted. It included two subthemes entitled “Barriers related to implementation of home care and “Barriers of ideality.” Providing home care for burn survivors encounters several barriers that were classified into two categories including modifiable and nonmodifiable barriers. Suitable infrastructure and policies are necessary to conduct home care for burn survivors.","PeriodicalId":45875,"journal":{"name":"HOME HEALTH CARE SERVICES QUARTERLY","volume":"39 1","pages":"33 - 49"},"PeriodicalIF":1.4,"publicationDate":"2020-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/01621424.2019.1671932","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48826166","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-01-01Epub Date: 2019-12-11DOI: 10.1080/01621424.2019.1701601
Michelle Ko, Robert J Newcomer, Andrew B Bindman, Taewoon Kang, Denis Hulett, Joanne Spetz
In California Medicaid home-and-community-based services (HCBS), recipients' family members receive payment as home care aides (HCAs). We analyzed data on first-time HCBS recipients to examine factors associated with the likelihood of switching HCAs within the first year of services. Those with family HCAs were less than half as likely to change than those with non-family HCAs and racial/ethnic minorities with non-family HCAs had the highest switching rates. Lower wages and local unemployment were associated with switching of non-family HCAs but not family HCAs. Policymakers can foster continuity of home care by paying family members for home care and raising worker wages.
{"title":"Changing home care aides: Differences between family and non-family care in California Medicaid home and community-based services.","authors":"Michelle Ko, Robert J Newcomer, Andrew B Bindman, Taewoon Kang, Denis Hulett, Joanne Spetz","doi":"10.1080/01621424.2019.1701601","DOIUrl":"https://doi.org/10.1080/01621424.2019.1701601","url":null,"abstract":"<p><p>In California Medicaid home-and-community-based services (HCBS), recipients' family members receive payment as home care aides (HCAs). We analyzed data on first-time HCBS recipients to examine factors associated with the likelihood of switching HCAs within the first year of services. Those with family HCAs were less than half as likely to change than those with non-family HCAs and racial/ethnic minorities with non-family HCAs had the highest switching rates. Lower wages and local unemployment were associated with switching of non-family HCAs but not family HCAs. Policymakers can foster continuity of home care by paying family members for home care and raising worker wages.</p>","PeriodicalId":45875,"journal":{"name":"HOME HEALTH CARE SERVICES QUARTERLY","volume":"39 1","pages":"1-16"},"PeriodicalIF":1.4,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/01621424.2019.1701601","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37448245","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-11-11DOI: 10.1080/01621424.2019.1691698
Debra Palesy, Samantha Jakimowicz
ABSTRACT Clear links have been established between low health literacy (HL) levels and poor health outcomes. One means of improvement may be found in the rapidly growing paid home care workforce, whose direct and frequent contact with aged/disabled care recipients positions them to provide HL support. This study examines Australian homecare worker (HCW) experiences in HL when providing assistance to their care recipients. A self-reported cross-sectional survey collected data from 75 HCWs. They reported concerns about their clients’ HL, yet were cautious about providing support in this area. HL levels of the HCWs themselves were unconvincing, and the majority requested targeted education and training. Further research is needed into HL levels of both HCWs and care recipients, client demographics, the types of HL support being requested of HCWs, a more detailed scoping of the HCW role, and the curriculum and pedagogies which may comprise a HL education and training program for HCWs.
{"title":"Health literacy support for Australian home-based care recipients: A role for homecare workers?","authors":"Debra Palesy, Samantha Jakimowicz","doi":"10.1080/01621424.2019.1691698","DOIUrl":"https://doi.org/10.1080/01621424.2019.1691698","url":null,"abstract":"ABSTRACT Clear links have been established between low health literacy (HL) levels and poor health outcomes. One means of improvement may be found in the rapidly growing paid home care workforce, whose direct and frequent contact with aged/disabled care recipients positions them to provide HL support. This study examines Australian homecare worker (HCW) experiences in HL when providing assistance to their care recipients. A self-reported cross-sectional survey collected data from 75 HCWs. They reported concerns about their clients’ HL, yet were cautious about providing support in this area. HL levels of the HCWs themselves were unconvincing, and the majority requested targeted education and training. Further research is needed into HL levels of both HCWs and care recipients, client demographics, the types of HL support being requested of HCWs, a more detailed scoping of the HCW role, and the curriculum and pedagogies which may comprise a HL education and training program for HCWs.","PeriodicalId":45875,"journal":{"name":"HOME HEALTH CARE SERVICES QUARTERLY","volume":"39 1","pages":"17 - 32"},"PeriodicalIF":1.4,"publicationDate":"2019-11-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/01621424.2019.1691698","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43053979","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-10-01Epub Date: 2019-07-11DOI: 10.1080/01621424.2019.1641450
Heli Vaartio-Rajalin, Yvonne Näsman, Regina Santamäki-Fischer, Jessica Hemberg
In order to describe nurses' experiences of working in home health care and their suggestions for the development of this public health-care sector, interviews with 18 home health-care nurses were analyzed with qualitative thematic content analysis. The nurses perceived the working shifts either affirmative or non-affirmative, depending on the contextual and organizational factors affecting nurses' workload. The more the nurses perceived they could influence their work, the more engaged they were in patient-related nursing activities, patient-centeredness, collaboration, and forward planning. Several concrete suggestions for the development of home healthcare on the organizational, interprofessional, team and individual levels were given.
{"title":"Working in home healthcare and suggestions for development.","authors":"Heli Vaartio-Rajalin, Yvonne Näsman, Regina Santamäki-Fischer, Jessica Hemberg","doi":"10.1080/01621424.2019.1641450","DOIUrl":"https://doi.org/10.1080/01621424.2019.1641450","url":null,"abstract":"<p><p>In order to describe nurses' experiences of working in home health care and their suggestions for the development of this public health-care sector, interviews with 18 home health-care nurses were analyzed with qualitative thematic content analysis. The nurses perceived the working shifts either affirmative or non-affirmative, depending on the contextual and organizational factors affecting nurses' workload. The more the nurses perceived they could influence their work, the more engaged they were in patient-related nursing activities, patient-centeredness, collaboration, and forward planning. Several concrete suggestions for the development of home healthcare on the organizational, interprofessional, team and individual levels were given.</p>","PeriodicalId":45875,"journal":{"name":"HOME HEALTH CARE SERVICES QUARTERLY","volume":"38 4","pages":"257-269"},"PeriodicalIF":1.4,"publicationDate":"2019-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/01621424.2019.1641450","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37413031","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-09-28DOI: 10.1080/01621424.2019.1673867
R. Ohta, Yoshinori Ryu, Takuji Katsube
ABSTRACT Effective interprofessional collaboration for care managers is vital for the care of older people. This study’s aim was to inquire into the obstacles to interprofessional collaboration faced by care managers in rural areas of Japan. Forty-six care managers participated in group discussions and semi-structured interviews, and the qualitative data were analyzed using thematic analysis. Five themes related to obstacles emerged from the analysis regarding relationships with physicians, professional competency, relationships among other professionals, environmental constraints, and relationships with nonprofessionals. Other professionals’ unfamiliarity with the care manager’s role and a lack of mutual understanding, boundaries, and information sharing among medical professionals were also cited as issues.
{"title":"Care managers in rural Japan: Challenges to interprofessional collaboration","authors":"R. Ohta, Yoshinori Ryu, Takuji Katsube","doi":"10.1080/01621424.2019.1673867","DOIUrl":"https://doi.org/10.1080/01621424.2019.1673867","url":null,"abstract":"ABSTRACT Effective interprofessional collaboration for care managers is vital for the care of older people. This study’s aim was to inquire into the obstacles to interprofessional collaboration faced by care managers in rural areas of Japan. Forty-six care managers participated in group discussions and semi-structured interviews, and the qualitative data were analyzed using thematic analysis. Five themes related to obstacles emerged from the analysis regarding relationships with physicians, professional competency, relationships among other professionals, environmental constraints, and relationships with nonprofessionals. Other professionals’ unfamiliarity with the care manager’s role and a lack of mutual understanding, boundaries, and information sharing among medical professionals were also cited as issues.","PeriodicalId":45875,"journal":{"name":"HOME HEALTH CARE SERVICES QUARTERLY","volume":"38 1","pages":"270 - 285"},"PeriodicalIF":1.4,"publicationDate":"2019-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/01621424.2019.1673867","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43168036","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-09-13DOI: 10.1080/01621424.2019.1661325
Mohammad K Bani Younis, Ahmad B. Al-Rawashdeh, Rafi M Alnajadat
ABSTRACT The purpose of this study was to evaluate the effect of palliative care intervention on the quality of life among Jordanian caregivers of cancer patients. Repeated measures design was used in this study. Data were collected from 137 Jordanian caregivers of cancer patients utilizing a self-administered questionnaire. An intervention program called SHARE was implemented to the experimental groups and its effectiveness in improving the overall quality of life for caregivers of cancer patients was evaluated using repeated measure ANOVA test. The results showed a statistically significant effect on the quality of life domains. For workshop experimental group (F = 26.822, p < .001) and for home visit experimental group (F = 10.236, p = .003).
{"title":"The effect of palliative care intervention program on the quality of life among Jordanian caregivers of cancer patients","authors":"Mohammad K Bani Younis, Ahmad B. Al-Rawashdeh, Rafi M Alnajadat","doi":"10.1080/01621424.2019.1661325","DOIUrl":"https://doi.org/10.1080/01621424.2019.1661325","url":null,"abstract":"ABSTRACT The purpose of this study was to evaluate the effect of palliative care intervention on the quality of life among Jordanian caregivers of cancer patients. Repeated measures design was used in this study. Data were collected from 137 Jordanian caregivers of cancer patients utilizing a self-administered questionnaire. An intervention program called SHARE was implemented to the experimental groups and its effectiveness in improving the overall quality of life for caregivers of cancer patients was evaluated using repeated measure ANOVA test. The results showed a statistically significant effect on the quality of life domains. For workshop experimental group (F = 26.822, p < .001) and for home visit experimental group (F = 10.236, p = .003).","PeriodicalId":45875,"journal":{"name":"HOME HEALTH CARE SERVICES QUARTERLY","volume":"38 1","pages":"286 - 296"},"PeriodicalIF":1.4,"publicationDate":"2019-09-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/01621424.2019.1661325","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43625548","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-07-01Epub Date: 2019-05-22DOI: 10.1080/01621424.2019.1616025
Noelle Junod Perron, Julien Le Breton, Olivier Perrier-Gros-Claude, Séverine Schusselé Filliettaz, Patricia Hudelson, Sophie Pautex
ABSTRACT The aim of this study was to explore the practices and perceptions of Swiss home care professionals with regards to written interprofessional communication. We analyzed 11 home care notebooks and conducted six focus groups with home health-care professionals in 2015–2016. Interprofessional written communication was rarely explicit. Health professionals reported a lack of clarity about what to document and for whom. They felt unsure how to reconcile the need for confidential information-sharing among health professionals and the desire for patient/families’ active involvement. An ideal (electronic) tool should allow patients to formulate goals and use the platform while allowing health professionals to communicate confidentially among themselves in order to avoid information retention.
{"title":"Written interprofessional communication in the context of home healthcare: A qualitative exploration of Swiss perceptions and practices.","authors":"Noelle Junod Perron, Julien Le Breton, Olivier Perrier-Gros-Claude, Séverine Schusselé Filliettaz, Patricia Hudelson, Sophie Pautex","doi":"10.1080/01621424.2019.1616025","DOIUrl":"https://doi.org/10.1080/01621424.2019.1616025","url":null,"abstract":"ABSTRACT The aim of this study was to explore the practices and perceptions of Swiss home care professionals with regards to written interprofessional communication. We analyzed 11 home care notebooks and conducted six focus groups with home health-care professionals in 2015–2016. Interprofessional written communication was rarely explicit. Health professionals reported a lack of clarity about what to document and for whom. They felt unsure how to reconcile the need for confidential information-sharing among health professionals and the desire for patient/families’ active involvement. An ideal (electronic) tool should allow patients to formulate goals and use the platform while allowing health professionals to communicate confidentially among themselves in order to avoid information retention.","PeriodicalId":45875,"journal":{"name":"HOME HEALTH CARE SERVICES QUARTERLY","volume":"38 3","pages":"224-240"},"PeriodicalIF":1.4,"publicationDate":"2019-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/01621424.2019.1616025","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37263683","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
扫码关注我们
求助内容：
应助结果提醒方式：
京公网安备 11010802042870号