Family Caregivers Employed by Home Care Agencies: Lessons Learned From Switzerland and the United States.

IF 3.5 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
PUBLIC HEALTH REVIEWS Pub Date : 2023-11-24 eCollection Date: 2023-01-01 DOI:10.3389/phrs.2023.1605849
Iren Bischofberger, Mary Jo Vetter
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引用次数: 0

Abstract

Background: Increasing demands for home care staff has been triggered in the past decades by shorter hospital length of stay, and a shift of responsibility for complex care regimens to private households. Therefore, an innovative model to employ family caregivers in home care agencies is expanding in Switzerland and the United States. This policy brief aims to identify core characteristics of the model and analyze its potential benefits and challenges. Evidence: The model is expanding based on legal ground but without the requisite scientific evidence. After an initial patient assessment by a registered nurse, and assigned hands-on tasks to family caregivers, the salary is derived from payer reimbursement. Policy Options and Recommendations: Standards need to be in place to determine the family caregivers qualification that are specific to the client situation of all age groups. Supervision of quality of care, labor law, and blurred roles of biographical relationships remains at the responsibility of the home care agency. Conclusion: Further research for the data-driven exploration of the model is needed to inform the many stakeholders involved.

家庭护理机构雇佣的家庭护理人员:瑞士和美国的经验教训。
背景:在过去的几十年里,由于住院时间缩短,以及复杂护理方案的责任转移到私人家庭,对家庭护理人员的需求不断增加。因此,一种在家庭护理机构中雇佣家庭护理人员的创新模式正在瑞士和美国推广。本政策简报旨在确定该模式的核心特征,并分析其潜在的益处和挑战。证据:该模式的推广有法律依据,但缺乏必要的科学证据。在注册护士对患者进行初步评估并为家庭护理人员分配动手任务后,工资来自支付方的报销。政策选择和建议:需要制定标准来确定家庭护理人员的资格,这些标准应针对所有年龄组客户的具体情况。对护理质量、劳动法和角色模糊的传记关系的监督仍由家庭护理机构负责。结论需要进一步开展以数据为驱动的模式探索研究,以便为众多利益相关者提供信息。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
PUBLIC HEALTH REVIEWS
PUBLIC HEALTH REVIEWS Nursing-Community and Home Care
CiteScore
8.30
自引率
1.80%
发文量
47
审稿时长
5 weeks
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