Home Health Care Management and Practice最新文献_第3页

Health System Quality and Performance Indicators for Evaluating Home Care Programming: A Scoping Review 卫生系统质量和绩效指标评估家庭护理规划:范围审查

IF 1.1

Home Health Care Management and Practice Pub Date : 2023-05-08 DOI: 10.1177/10848223231170019

Max Jajszczok, C. Eastwood, H. Quan, Laurel D. Scott, Abram Gutscher, R. Zhao

{"title":"Health System Quality and Performance Indicators for Evaluating Home Care Programming: A Scoping Review","authors":"Max Jajszczok, C. Eastwood, H. Quan, Laurel D. Scott, Abram Gutscher, R. Zhao","doi":"10.1177/10848223231170019","DOIUrl":"https://doi.org/10.1177/10848223231170019","url":null,"abstract":"A systematic scoping review of health system Performance and Quality Indicators (PQI) related literature for evaluating publicly funded home care programming was conducted. Through the scoping review we identify PQIs, map these based on quadrants of the Institute for Healthcare Improvement’s (IHI) Quadruple Aim, classify these PQIs under general “areas of focus” categories, and present recommendations for use. We selected all articles that identified, referenced, proposed, and/or described at least 1 PQI to measure home care service programming. Minimum inclusion criteria were a description of 1 or more PQIs designed to evaluate and/or measure home care programming, outcomes of home care clients and/or caregivers, or overall system impacts of home care service provision. The review identified 3,475 citations. A review of the abstracts led to the retrieval of 510 full-text articles for assessment of which 105 articles were selected for detailed review and extraction of identified PQIs. Of the 105 identified articles a total of 829 unique PQIs were gathered. Based on the IHI Quadruple Aim, 661 unique measures were identified as Clinical Outcome, 35 as Healthcare Provider Satisfaction, 99 Patient Experience, and 34 in the Financial/Sustainability quadrants. Many patient outcome specific PQIs exist, followed by patient experience measures. Very few PQIs exist in the financial or healthcare provider experience quadrants. The lack of indicators across all the IHI Quadruple Aim quadrants is an opportunity for further development supporting home care quality oversight.","PeriodicalId":45762,"journal":{"name":"Home Health Care Management and Practice","volume":"16 1","pages":""},"PeriodicalIF":1.1,"publicationDate":"2023-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73192385","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}

引用次数: 1

“It’s Just Too Much”: The Financial Calculus in Medicare Hospice “太多了”:医疗保险临终关怀的财务计算

IF 1.1

Home Health Care Management and Practice Pub Date : 2023-05-01 DOI: 10.1177/10848223221102544

W. Cabin

{"title":"“It’s Just Too Much”: The Financial Calculus in Medicare Hospice","authors":"W. Cabin","doi":"10.1177/10848223221102544","DOIUrl":"https://doi.org/10.1177/10848223221102544","url":null,"abstract":"There is extensive literature on the significance of financial incentives in the Hospice Medicare Benefit (HMB) and the growth of proprietary ownership of hospices in the United States. A literature review indicates a paucity of information on hospice nurses’ and hospice social workers’ perceptions of the impact of the HMB’s financial structure on care planning and delivery decisions. In a previous issue of this journal, the author addressed the literature gap by presenting a study on hospice nurses’ perceptions of the impact of financial factors on their decision-making regarding care for Medicare hospice beneficiaries. The study presented in this article is a companion qualitative study to the nurses’ study. This article presents background on the topic and an initial, exploratory study to address the literature gap, based on interviews of a convenience sample of 37 hospice social workers from 6 different hospices between December 1, 2018 and January 31, 2020, in the New York City metropolitan area. Six themes emerged from the interviews: finances are the guiding principle in care planning and service delivery decisions; balancing patient care needs, cost, and finance-related length of stay (LOS) is a challenge; the emphasis on finance diminishes the social workers’ ability to address hospice patient needs; the emphasis on finance diminishes the social workers’ ability to address hospice caregiver needs; the social work role is diminished because of the role of nurses in developing and implementing the plan of treatment, which influences finances; and the Interdisciplinary Team (IDT) is the crucial clinical and financial decision-making setting, but gives limited weight to social work input.","PeriodicalId":45762,"journal":{"name":"Home Health Care Management and Practice","volume":"35 1","pages":"86 - 96"},"PeriodicalIF":1.1,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45438760","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}

引用次数: 0

Optimizing recovery following critical illness: A systematic review of home-based interventions. 优化危重疾病后的康复:以家庭为基础的干预措施的系统回顾

IF 0.8

Home Health Care Management and Practice Pub Date : 2023-05-01 Epub Date: 2022-10-17 DOI: 10.1177/10848223221127440

Alicia F Holod, JiYeon Choi, Judith Tate

{"title":"Optimizing recovery following critical illness: A systematic review of home-based interventions.","authors":"Alicia F Holod, JiYeon Choi, Judith Tate","doi":"10.1177/10848223221127440","DOIUrl":"10.1177/10848223221127440","url":null,"abstract":"<p><p>Around 5 million Americans are treated in an intensive care unit (ICU) annually. Upon discharge, it is not uncommon for ICU survivors to experience psychological, physical, or cognitive symptoms related to their ICU stay. Home-based interventions have been touted as a potential treatment modality for post-ICU sequelae. However, limited evidence exists regarding the effectiveness of home-based interventions for patients in the post-ICU recovery period. As such, the purpose of this review was to aggregate and summarize the findings of studies focused on post-ICU rehabilitation, following critical illness, delivered in the home setting. A literature search was performed in MEDLINE, CINAHL, EMBASE, APA PsycINFO, and Google Scholar. Studies were included if they: used a RCT or quasi-experimental study design; included participants aged ≥18 years discharged home from an ICU; examined the effectiveness of a home-based, post-ICU intervention; were published in English after the year 2010; and were peer-reviewed. Nine studies met inclusion criteria. Sample sizes ranged from 21 to 386, with most participants receiving mechanical ventilation. Target outcomes included: physical function, psychological well-being, cognitive function, quality of life, and healthcare utilization. Interventions included face-to-face, web-based, telephone, or self-directed activities. Findings of included studies were mixed or inconclusive. Limitations of this review include: inclusion of only adult ICU survivors, exclusion of Post-Intensive Care Syndrome as a search term, and search restricted to pre-pandemic studies. Findings suggest a need for more rigorous research to develop and test home-based interventions.</p>","PeriodicalId":45762,"journal":{"name":"Home Health Care Management and Practice","volume":"35 1","pages":"140-149"},"PeriodicalIF":0.8,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11824921/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41519570","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Clinical Leadership – An Important Precondition for the Success of Proactive and Interdisciplinary Follow-up of Frail Older Recipients of Home Healthcare 临床领导-一个重要的先决条件，为家庭保健的体弱多病的老年人接受积极和跨学科的随访成功

IF 1.1

Home Health Care Management and Practice Pub Date : 2023-04-27 DOI: 10.1177/10848223231170599

Gro Næss, T. Wyller, E. Gjevjon

{"title":"Clinical Leadership – An Important Precondition for the Success of Proactive and Interdisciplinary Follow-up of Frail Older Recipients of Home Healthcare","authors":"Gro Næss, T. Wyller, E. Gjevjon","doi":"10.1177/10848223231170599","DOIUrl":"https://doi.org/10.1177/10848223231170599","url":null,"abstract":"Early identification and follow-up of sub-acute and acute functional decline in older persons living with multimorbidity at home require integrated and proactive care by interdisciplinary health personnel. Yet, in the context of the task-oriented and fragmented home healthcare services, early identification is challenging. Therefore, the aim of this study was to identify preconditions for the success of a proactive and interdisciplinary follow-up of older recipients of home healthcare. We conducted a qualitative secondary analysis of data from 6 focus group interviews with registered nurses and nurse leaders. In addition, we performed and analyzed data from 2 new focus group interviews with general practitioners and RNs who had a role as super users in a developmental project which introduced a clinical instrument for early identification of sub-acute and acute functional decline (sub-acute functional decline in the elderly—SAFE). Their experiences with using SAFE constituted the backdrop for the study. In total, 41 representatives of the interprofessional primary care staff of 3 city districts participated. Having a common goal, sharing tasks and having reciprocal understanding of each health profession’s contribution, systems and tools and clinical leadership were all seen as important factors for succeeding in the proactive and interdisciplinary follow-up of older recipients of home healthcare. Clinical leadership was deemed the strongest precondition, and clear leadership which promotes integrative and proactive care by facilitating interdisciplinary collaboration appears to be the main key for success.","PeriodicalId":45762,"journal":{"name":"Home Health Care Management and Practice","volume":"18 1","pages":""},"PeriodicalIF":1.1,"publicationDate":"2023-04-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80538343","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}

引用次数: 1

“They Are Measures Without Impact”: Home Care Social Workers Criticize OASIS-E “他们是没有影响的措施”:家庭护理社会工作者批评绿洲- e

IF 1.1

Home Health Care Management and Practice Pub Date : 2023-04-25 DOI: 10.1177/10848223231169038

W. Cabin

{"title":"“They Are Measures Without Impact”: Home Care Social Workers Criticize OASIS-E","authors":"W. Cabin","doi":"10.1177/10848223231169038","DOIUrl":"https://doi.org/10.1177/10848223231169038","url":null,"abstract":"There is significant literature about the Medicare Outcome and Information Assessment (OASIS). A new OASIS Version E, effective January 2023, makes significant changes in assessing patient mental health. However, a literature review indicates no studies of the anticipated effectiveness of the OASIS-E on improving psychosocial care of Medicare home health beneficiaries. This article summarizes an initial, exploratory study to address the literature gap, based on interviews of a convenience sample of 36 home care social workers from 5 different home health agencies in the New York City metropolitan area between August 1, 2022, and November 30, 2022. Four themes emerged from the study, namely that social workers believe the OASIS-E revisions: are an improvement over prior OASIS versions; are cumbersome and do not require administration by a social worker; do not impose specific guidance requirements on using new measures scoring results in making care decisions; and do not address coverage of specific interventions that address patients with significant mental health issues. Policymakers are urged to modify the OASIS-E guidance manual to require use of new mental health assessment scores in care planning and to expand coverage of evidence-based treatment interventions for patients with significant assessed mental health conditions.","PeriodicalId":45762,"journal":{"name":"Home Health Care Management and Practice","volume":"s3-43 1","pages":""},"PeriodicalIF":1.1,"publicationDate":"2023-04-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90833144","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}

引用次数: 0

Unpaid Caregiver Costs in Canada: A Systematic Review 加拿大无薪看护费用:系统回顾

IF 1.1

Home Health Care Management and Practice Pub Date : 2023-04-21 DOI: 10.1177/10848223231169504

H. Marani, Allie Peckham

{"title":"Unpaid Caregiver Costs in Canada: A Systematic Review","authors":"H. Marani, Allie Peckham","doi":"10.1177/10848223231169504","DOIUrl":"https://doi.org/10.1177/10848223231169504","url":null,"abstract":"As utilization of home care increases across Canada, questions are emerging concerning the extent to which home care expenses, many of which are not publicly covered, are borne by unpaid caregivers of home care recipients. In this systematic review, we review English-language literature published between 2001 and 2022 exploring the magnitude and sources of home care costs incurred by unpaid caregivers in Canada. Of particular interest were empirical, cost-of-illness studies that describe the implications of these costs across domains of financial risk, including caregivers’ income level, employment status, and personal health. Following the screening of 492 studies derived across 6 databases (OVID Medline, CINAHL, PsycINFO, AMED, EconLit, and EMBASE), 24 studies were included in this review. Overall, few studies describe how home care expenses incurred by unpaid caregivers contribute to their financial risk. While some studies characterize the direct costs of caregiving incurred by caregivers, including out-of-pocket expenditure on transportation to medical appointments, respite care, home renovations, supplemental housekeeping, and prescription medications, limited studies attempt to estimate the magnitude of these expenses. Concerning financial risk, the literature is chiefly concerned with indirect costs of caregiving, including consequences on caregivers’ employment (foregone wages). Findings from this literature review suggest further work is needed in Canadian context to document costs associated with unpaid home care provision.","PeriodicalId":45762,"journal":{"name":"Home Health Care Management and Practice","volume":"1 1","pages":""},"PeriodicalIF":1.1,"publicationDate":"2023-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78508184","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}

引用次数: 0

Access and Quality of Pediatric Home Healthcare: A Systematic Review 儿童家庭保健的可及性和质量:一项系统综述

IF 1.1

Home Health Care Management and Practice Pub Date : 2023-04-17 DOI: 10.1177/10848223231167878

C. Foster, L. Morales, Andrea J. Fawcett, Cara Coleman

{"title":"Access and Quality of Pediatric Home Healthcare: A Systematic Review","authors":"C. Foster, L. Morales, Andrea J. Fawcett, Cara Coleman","doi":"10.1177/10848223231167878","DOIUrl":"https://doi.org/10.1177/10848223231167878","url":null,"abstract":"Despite the rising prevalence of children with medical complexity who need extensive medical care at home, the literature evaluating pediatric home healthcare has not been well summarized. Our objective was to systematically review the evidence-base of pediatric home healthcare to understand what is currently know about access and quality of home healthcare for children. Pubmed, Ovid Medline, Embase, CINAHL, Cochrane Library, Proquest Dissertations and Theses Global were searched for studies in the United States, United Kingdom, Canada, and Australia English publications (1980-2020) regarding children (≤18 years) using shift-based home healthcare services. Blinded independent review was conducted followed by extraction of study characteristics including how each study examined access and/or quality, which was categorized using the National Academy of Medicine quality dimensions. Of 9533 abstracts, 101 were included. Most were US (82%) and regional (72%) studies. Half (54%) focused on home nursing followed by home services generally (43%). The majority (77%) evaluated access and patient-family centeredness (62%); their results identified consistent limitations in access and quality resulting in negative impacts on patients and families. Less than 20% of publications addressed safety, effectiveness or equity. Bias scoring found that quantitative studies were universally weak, but qualitative studies were mostly moderate or strong. Results are limited by design heterogeneity and exclusion of training research. While research in pediatric home healthcare has increased, studies remain observational and rarely evaluate quality in reproducible ways. More rigorous measures and interventional research are needed to improve this healthcare sector for children.","PeriodicalId":45762,"journal":{"name":"Home Health Care Management and Practice","volume":"8 1","pages":""},"PeriodicalIF":1.1,"publicationDate":"2023-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88718908","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}

引用次数: 0

The Role of Animal-Assisted Therapy (AAT) in Neurocognitive Disorder Group Interventions: Benefits for Participants and Care Partners 动物辅助治疗(AAT)在神经认知障碍群体干预中的作用:对参与者和护理伙伴的益处

IF 1.1

Home Health Care Management and Practice Pub Date : 2023-04-07 DOI: 10.1177/10848223231166372

Brigitte Belanger, Olivia Weeks, Ashli Suiters, Paul Arthur

{"title":"The Role of Animal-Assisted Therapy (AAT) in Neurocognitive Disorder Group Interventions: Benefits for Participants and Care Partners","authors":"Brigitte Belanger, Olivia Weeks, Ashli Suiters, Paul Arthur","doi":"10.1177/10848223231166372","DOIUrl":"https://doi.org/10.1177/10848223231166372","url":null,"abstract":"An emerging crisis of care exists in the United States in the treatment of aging adults with neurocognitive disorders (NCD). Families face great obstacles locating resources and finding appropriate caregiving options for their needs. Occupational therapy practitioners are well suited to assist both persons with NCD and their care partners through training and support services to promote safety and independence and maximize participation in activities of daily living. Occupational therapy practitioners increasingly employ Animal Assisted Therapy (AAT) programs with tailored activities to foster problem-solving skills to enhance performance and behavior, improving quality of life. This feasibility study employed mixed-methodology to establish a proof of concept by offering a series of six 90-minute AAT group intervention sessions with persons with NCD and care partners at an Alzheimer’s Resource Center in Florida. While quantitative results were not significant, many promising qualitative themes emerged to direct future inquiry in AAT interventions with this population.","PeriodicalId":45762,"journal":{"name":"Home Health Care Management and Practice","volume":"35 1","pages":"222 - 230"},"PeriodicalIF":1.1,"publicationDate":"2023-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42242815","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}

引用次数: 0

Symptoms Experienced at Home and Self-Care Requisites of Patients After Heart Transplantation: A Retrospective Study 心脏移植后患者在家经历的症状和自我护理要求:一项回顾性研究

IF 1.1

Home Health Care Management and Practice Pub Date : 2023-04-07 DOI: 10.1177/10848223231165754

R. Saglam Aksut, Busra Yavuz, Mehmet Aksut, Deniz Gunay, M. Kırali

{"title":"Symptoms Experienced at Home and Self-Care Requisites of Patients After Heart Transplantation: A Retrospective Study","authors":"R. Saglam Aksut, Busra Yavuz, Mehmet Aksut, Deniz Gunay, M. Kırali","doi":"10.1177/10848223231165754","DOIUrl":"https://doi.org/10.1177/10848223231165754","url":null,"abstract":"Heart transplantation is the most important treatment option in end-stage heart failure, and heart transplant recipients should be monitored at home by healthcare professionals in terms of symptoms and self-care requisites. The aim of this study is to examine symptoms and self-care requisites of patients with heart transplantation after discharge. Symptoms and self-care requisites of 81 patients who had heart transplantation between 2015 and 2020 were evaluated retrospectively in this study. Survey data were collected using the telephone interview method. It was determined that 77.8% of the patients were male and their mean age was 41.87 ± 2.51 years. Fatigue (91.4%), pain in the back, neck, and joints (86.4%), restlessness/agitation (81.5%), weight gain (71.6%), and edema in the lower extremities (71.6%) were the first 5 common symptoms experienced at home after heart transplantation. It was also found that the vast majority of patients (80.2%) answered negatively to the question of eliminating the lack of knowledge about the disease, and some of the patients were found not to pay attention to some important issues (e.g., regular blood pressure check, quitting smoking, etc.). Findings revealed that patients with heart transplantation experience a series of symptoms, and their self-care requisites were mostly focused on education and information specific to the disease after discharge. As a part of public health nursing practices, home care concentrating on symptoms and learning needs of patients should be planned and organized with a multidisciplinary approach to decrease rehospitalization and contribute to cost-effectiveness after heart transplantation.","PeriodicalId":45762,"journal":{"name":"Home Health Care Management and Practice","volume":"2 1","pages":""},"PeriodicalIF":1.1,"publicationDate":"2023-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83790388","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}

引用次数: 0

Factors Influencing the Preferences of Older Japanese People for Long-term Care 影响日本老年人长期护理偏好的因素

IF 1.1

Home Health Care Management and Practice Pub Date : 2023-04-07 DOI: 10.1177/10848223231166114

Zihan Zhang, Chieko Kato, Otsuka Yoshiomi

引用次数: 1