Home Health Care Management and Practice最新文献_第4页

Corrigendum to Assessing the Structural Characteristics of the Japanese Version of the Adult Social Care Outcomes Toolkit for Carers 评估日文版照顾者成人社会照顾结果工具包的结构特征的勘误表

Home Health Care Management and Practice Pub Date : 2023-03-03 DOI: 10.1177/10848223231163902

引用次数: 0

Home-Based Primary Care for Older Adults: Matched Case-Control Evaluation of Program’s Impact on Healthcare Utilization 以家庭为基础的老年人初级保健:项目对医疗保健利用影响的匹配病例对照评估

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Home Health Care Management and Practice Pub Date : 2023-02-14 DOI: 10.1177/10848223231151975

S. M. Kling, Donn W. Garvert, A. Lessios, M. Yefimova, Marina Martin, Meera Sheffrin, M. Winget

{"title":"Home-Based Primary Care for Older Adults: Matched Case-Control Evaluation of Program’s Impact on Healthcare Utilization","authors":"S. M. Kling, Donn W. Garvert, A. Lessios, M. Yefimova, Marina Martin, Meera Sheffrin, M. Winget","doi":"10.1177/10848223231151975","DOIUrl":"https://doi.org/10.1177/10848223231151975","url":null,"abstract":"Home-based Primary Care (HBPC) is an alternative model for homebound older adults. Healthcare utilization in HBPC was evaluated with a matched case-control design. Medical providers and social workers provided in-home visits. Enrolled patients were matched to controls on age, prior hospitalizations, and frailty risk. Difference-in-differences in utilization of primary care, specialty, and hospital services between 1-year pre- and 1-year post-enrollment were evaluated with hierarchical linear models. Analyses included 117 HBPC cases and 328 controls. HBPC cases had a significant increase in primary care visits compared to controls (7.8 ± 0.6; p < .0001) but significantly decreased utilization of in-clinic primary care visits (−3.2 ± 0.6; p < .0001). In-clinic specialty visits and hospital services did not differ between cases and controls (all p’s ≥ .75). Homebound patients accessed high-touch primary and social care, which is typically unachievable in clinic settings; however, additional work is needed to optimize services and target in-home care to impact healthcare utilization.","PeriodicalId":45762,"journal":{"name":"Home Health Care Management and Practice","volume":"35 1","pages":"213 - 221"},"PeriodicalIF":1.1,"publicationDate":"2023-02-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43367787","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

Providing Physical Assistance for Family or Friends: An Overview for the Home Health Care Professional—Part 2 为家人或朋友提供身体帮助:家庭保健专业人员概述-第2部分

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Home Health Care Management and Practice Pub Date : 2023-02-01 DOI: 10.1177/10848223221123270

Rodney L. Weir, Donald L. Hoover PT

引用次数: 0

Data-Driven Analysis of Employee Churn in the Home Care Industry 家庭护理行业员工流失的数据驱动分析

IF 1.1

Home Health Care Management and Practice Pub Date : 2022-12-13 DOI: 10.1177/10848223221137354

Guillaume Vergnolle, N. Lahrichi

引用次数: 1

A Retrospective Cohort Study Evaluating the Association Between Implementation of a Digital Care Plan and Hospitalization Rates for Home Care Residents in the United Kingdom 一项回顾性队列研究评估数字护理计划的实施与英国家庭护理居民住院率之间的关系

IF 1.1

Home Health Care Management and Practice Pub Date : 2022-12-05 DOI: 10.1177/10848223221135560

N. Windle, Azeem Alam, Horus Patel, Jonathan M. Street, Megan Lathwood, Tessa Farrington, M. Maruthappu

{"title":"A Retrospective Cohort Study Evaluating the Association Between Implementation of a Digital Care Plan and Hospitalization Rates for Home Care Residents in the United Kingdom","authors":"N. Windle, Azeem Alam, Horus Patel, Jonathan M. Street, Megan Lathwood, Tessa Farrington, M. Maruthappu","doi":"10.1177/10848223221135560","DOIUrl":"https://doi.org/10.1177/10848223221135560","url":null,"abstract":"Cera, a homecare provider, uses digital care plans (DCP), to streamline the provision of home care. DCP rollout is part of a larger digitization initiative, including carer visit reports collected through a mobile app and branch actions recorded in a web application supported by a secure central database. This retrospective cohort study aimed to assess the association of a DCP rollout with service user hospitalization rates. his study utilized retrospective data from 2 groups of service users, those for whom their first 30 days of Cera membership occurred prior to DCP rollout (pre-DCP group) versus those whose first 30 days of Cera membership occurred after DCP rollout (post-DCP group). The 30-day hospitalization rate was the primary outcome measure and was determined through a combination of carer reports, reporting from service users or their families, and branch staff follow-up. There were 55 hospitalizations among 392 users in the pre-DCP group in the 30 days after joining Cera (14.0% hospitalization rate), compared to 23 hospitalizations among 297 users in the post-DCP group (7.7% hospitalization rate). This represented a significant reduction in hospitalizations in the post-DCP group (6.3% absolute difference in hospitalization rate; 45% relative reduction; P < .001). This result was robust to multiple sensitivity analyses. The implementation of a DCP was associated with a 45% relative reduction in the 30-day hospitalization rate for new service users when compared to pre-DCP enrollment. These benefits could be further amplified by combining the DCP with additional initiatives aimed at the prediction and prevention of avoidable hospitalizations.","PeriodicalId":45762,"journal":{"name":"Home Health Care Management and Practice","volume":"35 1","pages":"123 - 128"},"PeriodicalIF":1.1,"publicationDate":"2022-12-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42019081","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

“What Were They Thinking?”: The Exclusion of Medicare Home Health From Providing Supplemental Social Needs Benefits “他们在想什么?”:将家庭医疗保险排除在提供补充社会需求福利之外

IF 1.1

Home Health Care Management and Practice Pub Date : 2022-11-28 DOI: 10.1177/10848223221135576

W. Cabin

{"title":"“What Were They Thinking?”: The Exclusion of Medicare Home Health From Providing Supplemental Social Needs Benefits","authors":"W. Cabin","doi":"10.1177/10848223221135576","DOIUrl":"https://doi.org/10.1177/10848223221135576","url":null,"abstract":"There is significant literature on social determinants of health (SDOH) to improve health outcomes. In response, Congress and the Centers for Medicare and Medicaid Services (CMS) have expanded Medicare Advantage Plans’ ability to cover SDOH-related services through supplemental benefits and Special Needs Plans (SNPs). Congress has not authorized Traditional Medicare to cover such services. A literature review indicates no studies of Medicare home health social worker awareness of this dichotomy and their resulting perceptions of the impacts of the lack of such coverage. This article summarizes an initial, exploratory study to address the literature gap, based on interviews of a convenience sample of 44 home care social workers from 5 different home health agencies in the New York City metropolitan area between November 1, 2021, and May 31, 2022. Results indicate social workers lacked awareness of the dichotomy in coverage of SNPs and supplemental benefits in Medicare Advantage Plans and traditional Medicare. Once made aware of the dichotomy, 4 additional themes emerged from the interviews: documented patient needs were being ignored; the supplemental needs coverage permitted for Medicare Advantage plans should be extended to beneficiaries receiving traditional Medicare; and the lack of such coverage increased the risk of onset of mental and physical health conditions, and revolving door-admissions and costs. Policymakers are urged to consider adding coverage of special needs and supplemental benefits covered in Medicare Advantage to traditional Medicare, through Medicare home health.","PeriodicalId":45762,"journal":{"name":"Home Health Care Management and Practice","volume":"42 1","pages":""},"PeriodicalIF":1.1,"publicationDate":"2022-11-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90106940","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: 2

Identification of Contributing Factors of Falls and Non-Fall Accidents Among Home Care Clients: A Retrospective Study Using Incident Reports 家庭护理客户中跌倒和非跌倒事故的影响因素的识别:一项使用事故报告的回顾性研究

IF 1.1

Home Health Care Management and Practice Pub Date : 2022-11-16 DOI: 10.1177/10848223221134095

Outi Kiljunen, P. Kankkunen, Tarja Välimäki

{"title":"Identification of Contributing Factors of Falls and Non-Fall Accidents Among Home Care Clients: A Retrospective Study Using Incident Reports","authors":"Outi Kiljunen, P. Kankkunen, Tarja Välimäki","doi":"10.1177/10848223221134095","DOIUrl":"https://doi.org/10.1177/10848223221134095","url":null,"abstract":"To prevent falls and other accidents among home care clients, it is essential to gather high-quality information on the factors contributing to the accidents. Incident reporting systems are used in home care units to generate information for risk management. This study aimed to explore the contributing factors of falls and non-fall accidents among home care clients and to evaluate the accuracy of the information on contributing factors gained from the incident reporting system. An existing dataset was used—safety incident reports concerning accidents involving home care clients. The incident reports (n = 323) were stored in the social- and health care organization’s incident reporting database from 2018 to 2020. The free-text narratives describing factors contributing to the event’s occurrence were analyzed using inductive content analysis, and the frequencies of the main category codes were recorded. The results were then compared with the frontline managers’ analyses of the narratives, where the managers used the classification of contributing factors provided by the system. According to incident reports, intrinsic (person-specific), behavior-related and extrinsic (environment-related) factors contributed to accidents among home care clients. Intrinsic and behavior-related factors were reported more often than extrinsic factors. The classified information on contributing factors did not correspond in all respects to the descriptions in the incident reports. To ensure high-quality information for safety management, incident reporting tools must be appropriate for use in the home care context. Both the reporter of an adverse event and the individual responsible for analyzing the report play essential roles in identifying contributing factors of accidents.","PeriodicalId":45762,"journal":{"name":"Home Health Care Management and Practice","volume":"35 1","pages":"163 - 171"},"PeriodicalIF":1.1,"publicationDate":"2022-11-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46294631","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

Obstacles and Pathways on the Journey to Access Home and Community Care by Older Adults Living With HIV/AIDS in British Columbia, Canada: Thrive, a Community-Based Research Study 加拿大不列颠哥伦比亚省艾滋病毒/艾滋病老年人获得家庭和社区护理的障碍和途径:Thrive，一项基于社区的研究

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Home Health Care Management and Practice Pub Date : 2022-10-28 DOI: 10.1177/10848223221130504

Anna E. Vorobyova, Rana Van Tuyl, Claudette Cardinal, Antonio Marante, Patience Magagula, Sharyle Lyndon, S. Parashar

{"title":"Obstacles and Pathways on the Journey to Access Home and Community Care by Older Adults Living With HIV/AIDS in British Columbia, Canada: Thrive, a Community-Based Research Study","authors":"Anna E. Vorobyova, Rana Van Tuyl, Claudette Cardinal, Antonio Marante, Patience Magagula, Sharyle Lyndon, S. Parashar","doi":"10.1177/10848223221130504","DOIUrl":"https://doi.org/10.1177/10848223221130504","url":null,"abstract":"Older adults living with HIV (OALHIV) (i.e., age ≥50) now constitute over 50% of all people accessing HIV treatment in British Columbia (BC), Canada. As OALHIV age, the need for supportive care in non-acute settings, including home and community care (HCC), is increasing. The Thrive research project was co-created alongside OALHIV in BC to support people to thrive with a good quality of life (as contrasted with just surviving). Phase 1 of the project linked treatment and demographic records for 5603 OALHIV accessing care in BC. Phase 2 took a community-based research approach with semi-structured interviews to understand obstacles and pathways experienced by 27 OALHIV in accessing HCC. This article summarizes previously published Phase 1 findings and explores Phase 2 findings in-depth. On the HCC journey traveled by OALHIV in BC, there are four main junctures at which obstacles and pathways appear: (1) before referral, (2) during the referral process, (3) at the assessment, and (4) while receiving services. Obstacles are largely related to fluctuating HCC priorities and funding cuts tied to election cycles, requiring systemic and policy changes to enable positive outcomes and impacts in the provision of HCC services. These obstacles can be transformed into pathways through public policy and client-centered, culturally safe care.","PeriodicalId":45762,"journal":{"name":"Home Health Care Management and Practice","volume":"35 1","pages":"172 - 179"},"PeriodicalIF":1.1,"publicationDate":"2022-10-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45868052","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

Tele Homecare in Premature Infants’ Post-Discharge Early Follow-Up: A Narrative Review 远程家庭护理对早产儿出院后早期随访的影响

IF 1.1

Home Health Care Management and Practice Pub Date : 2022-10-18 DOI: 10.1177/10848223221127437

Atefeh Shamsi, Asghar Ehteshami, H. Zandi, Mahboobeh Namnabati

{"title":"Tele Homecare in Premature Infants’ Post-Discharge Early Follow-Up: A Narrative Review","authors":"Atefeh Shamsi, Asghar Ehteshami, H. Zandi, Mahboobeh Namnabati","doi":"10.1177/10848223221127437","DOIUrl":"https://doi.org/10.1177/10848223221127437","url":null,"abstract":"The study was conducted to review, categorize and organize early tele-homecare follow-up research in premature infants based on research type, the focus of tele-homecare, and measured outcomes. This narrative review was conducted in 2021 through international databases, including PubMed, Scopus, ProQuest, and Web of Science databases. Studies selected for this purpose included original articles on premature infants. We reviewed 16 out of 267 identified articles. These studies were analyzed according to general characteristics, elements, and characteristics of tele-homecare intervention. Based on the obtained data, most studies had been conducted in Nordic countries as the pioneer in tele homecare. Also, most of them were on the psychological status of premature infants’ parents. Phone calls, video consultation, and applications were considered dominant tele-homecare communication tools. Overall, the qualitative studies on parents’ and health providers’ views about tele homecare revealed its hidden aspects as a supportive tool. The tele-homecare studies were distributed across different fields and countries, resulting in positive outcomes for infants and parents. However, further studies in the long-term periods are recommended to follow up on premature infants.","PeriodicalId":45762,"journal":{"name":"Home Health Care Management and Practice","volume":"35 1","pages":"129 - 139"},"PeriodicalIF":1.1,"publicationDate":"2022-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42309760","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

Promoting Medication Management Skills Among Home Health Occupational Therapists: A Quality Improvement Project 提高家庭健康职业治疗师的药物管理技能：一项质量改进项目

IF 1.1

Home Health Care Management and Practice Pub Date : 2022-10-17 DOI: 10.1177/10848223221127438

S. Frye, S. Rushanan

引用次数: 0