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

They Live in an Isolation Chamber: Medicare Fails the Depressed Homebound Elderly 他们生活在一个孤立的房间:医疗保险辜负了沮丧的居家老人

IF 1.1

Home Health Care Management and Practice Pub Date : 2023-04-07 DOI: 10.1177/10848223231165274

W. Cabin

{"title":"They Live in an Isolation Chamber: Medicare Fails the Depressed Homebound Elderly","authors":"W. Cabin","doi":"10.1177/10848223231165274","DOIUrl":"https://doi.org/10.1177/10848223231165274","url":null,"abstract":"There is significant literature on the existence and adverse effects of social isolation and depression among the elderly, exacerbated by the recent COVID-19 pandemic. A literature review indicates no studies of how the Medicare home health benefit addresses social isolation and depression, including no studies of home care social workers’ perceptions of the nature and consequences of Medicare 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. Six themes emerged from the study. Social workers believe: (1) extensive social isolation and depression exist among Medicare home health beneficiaries; (2) Medicare home health policy provides no systematic measure to detect or monitor social isolation and a limited measure for depression among the homebound elderly; (3) Medicare home health policy provides no coverage to treat either depression or social isolation; (4) effective interventions are available to prevent and treat depression and social isolation. Social workers also believe that: (5) the lack of social isolation and depression coverage results in additional mental and physical health conditions; (6) lack of social isolation and depression coverage exacerbates existing mental and physical health conditions. Policymakers are urged to modify the Medicare home health benefit to improve detection and monitoring of social isolation and depression as well as coverage of appropriate evidence-based preventative and treatment interventions.","PeriodicalId":45762,"journal":{"name":"Home Health Care Management and Practice","volume":"52 1","pages":""},"PeriodicalIF":1.1,"publicationDate":"2023-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77754542","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

Examination of Factors Associated With Informal Caregivers’ Reactions to Different Problem Behaviors Among Persons With Alzheimer’s Disease 非正式照顾者对阿尔茨海默病患者不同问题行为的反应相关因素的研究

IF 1.1

Home Health Care Management and Practice Pub Date : 2023-03-28 DOI: 10.1177/10848223231162861

Junrong Shi, C. Scott

{"title":"Examination of Factors Associated With Informal Caregivers’ Reactions to Different Problem Behaviors Among Persons With Alzheimer’s Disease","authors":"Junrong Shi, C. Scott","doi":"10.1177/10848223231162861","DOIUrl":"https://doi.org/10.1177/10848223231162861","url":null,"abstract":"Problem behaviors among persons with Alzheimer’s Disease (AD) have a significant impact on caregivers. However, caregivers’ subjective reaction to the problem behaviors better predicts the caregiving outcomes than the objective frequency of problem behaviors. With a sample recruited from community agencies serving Alzheimer’s Disease (AD) caregivers (n = 108), this study examined the effect of various factors on the caregivers ’reaction to different types of problem behaviors, including demographics, caregivers’ knowledge about the AD, and resilience level, controlling for the frequency of problem behaviors and other caregiving context factors. Caregivers’ reaction to problem behaviors was measured by the Revised Memory and Behavior Problem Checklist. Findings indicated that African American caregivers had a lower level of reactions to disruptive ( B = −3.956; p < .01) and depressive behaviors ( B = −2.443; p < .05) than white caregivers, but not for memory-loss problems. Age, being spousal caregivers, and knowledge of AD only affected reactions to memory-loss problems but not for other types of behaviors. No effects were observed for personal resilience. Intervention should be tailored to the varied needs of family caregivers to deal with problem behaviors among people with AD to delay institutionalization. More training/resources at the skill level over the information-only caregiver intervention should be promoted.","PeriodicalId":45762,"journal":{"name":"Home Health Care Management and Practice","volume":"7 1","pages":""},"PeriodicalIF":1.1,"publicationDate":"2023-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74646459","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

Development and Validation of the Self-management of Dementia by Family Carers (SMDFC) Scale 家庭照顾者痴呆自我管理量表的编制与验证

IF 1.1

Home Health Care Management and Practice Pub Date : 2023-03-22 DOI: 10.1177/10848223231160273

A. Shehadeh, S. Hunter, S. Jeong

引用次数: 0

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

IF 1.1

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

IF 1.1

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