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The impact of lower extremity peripheral arterial disease on activities of daily living in home care patients.
IF 1.2
HOME HEALTH CARE SERVICES QUARTERLY Pub Date : 2025-02-08 DOI: 10.1080/01621424.2025.2463643
Nur Simsek Yurt, Esra Bocek Aker, Erdinc Yavuz, Mehmet Maruf Aydin
{"title":"The impact of lower extremity peripheral arterial disease on activities of daily living in home care patients.","authors":"Nur Simsek Yurt, Esra Bocek Aker, Erdinc Yavuz, Mehmet Maruf Aydin","doi":"10.1080/01621424.2025.2463643","DOIUrl":"https://doi.org/10.1080/01621424.2025.2463643","url":null,"abstract":"<p><p>Peripheral arterial disease (PAD) causes narrowing of the lower extremity arteries and impacts daily living activities. This retrospective study (April 2023 - April 2024) examined 171 home care patients, with 31.6% diagnosed with PAD. Of these, 37.4% were fully dependent, 36.3% (<i>n</i> = 62) were severely dependent, 16.4% (<i>n</i> = 28) were moderately dependent, 7.0% (<i>n</i> = 12) were mildly dependent, 2.9% (<i>n</i> = 5) were independent, and PAD prevalence was higher among severely dependent patients. Dementia was identified as a significant risk factor for PAD. The high prevalence of PAD among severely dependent individuals suggests a potential link between lifestyle factors and PAD risk. The study highlights the need for further research on whether modifying PAD risk factors can enhance patient independence.</p>","PeriodicalId":45875,"journal":{"name":"HOME HEALTH CARE SERVICES QUARTERLY","volume":" ","pages":"1-12"},"PeriodicalIF":1.2,"publicationDate":"2025-02-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143374626","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
Optimism and resilience among the precariat: a gendered analysis of community home-based care work in South Africa. 不稳定群体的乐观主义和复原力：对南非社区家庭护理工作的性别分析。
IF 1.2
HOME HEALTH CARE SERVICES QUARTERLY Pub Date : 2025-01-01 Epub Date: 2024-11-02 DOI: 10.1080/01621424.2024.2421537
Irene Marindi, Kezia Batisai
{"title":"Optimism and resilience among the precariat: a gendered analysis of community home-based care work in South Africa.","authors":"Irene Marindi, Kezia Batisai","doi":"10.1080/01621424.2024.2421537","DOIUrl":"10.1080/01621424.2024.2421537","url":null,"abstract":"<p><p>Community Home-Based Care (CHBC) workers around the world have not been satisfied with their work over the years. In South Africa, unfair labor practices and poor organization of CHBC work have recently led to strikes and unionization by caregivers. At the frontline of caregiving are black working-class women whose dominance illuminates how the intersections of gender, class and race contribute to care workers' precariat position. Regardless of the gendered precarious encounters, the 20 female CHBC workers from Soweto, South Africa, who participated in this study, are optimistic and resilient. This article visibilizes the optimism, resilience, positivity, self-empowerment, control, the gendered power, and agency that care workers exercise in response to the challenges that characterize care work. Beyond merely illuminating the gendered oppositional binaries, the article calls for the deconstruction of gendered hierarchies in care work to disrupt the exclusive participation of women in the global labor markets as care workers.</p>","PeriodicalId":45875,"journal":{"name":"HOME HEALTH CARE SERVICES QUARTERLY","volume":" ","pages":"1-25"},"PeriodicalIF":1.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142565262","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
Elderly Health Care Voucher Scheme in Hong Kong: needs assessment and an evaluation of outcomes. 香港長者醫療券計劃：需要評估及成效評估。
IF 1.2
HOME HEALTH CARE SERVICES QUARTERLY Pub Date : 2025-01-01 Epub Date: 2024-11-07 DOI: 10.1080/01621424.2024.2425932
Gigi Lam
{"title":"Elderly Health Care Voucher Scheme in Hong Kong: needs assessment and an evaluation of outcomes.","authors":"Gigi Lam","doi":"10.1080/01621424.2024.2425932","DOIUrl":"10.1080/01621424.2024.2425932","url":null,"abstract":"<p><p>Elderly Health Care Voucher Scheme represents a form of demand-side subsidy given to the elders to choose a spectrum of medical services in the private medical sector. The current paper aims at (a) conducting a needs assessment of the scheme with an analytical framework of the Four A 's approach (i.e., availability, awareness, accessibility, and acceptance regarding a social program) and (b) evaluating whether the outcome measures of the scheme (i.e., the use of private healthcare services, the use of primary care and the empowerment of the elders in the choice of services) were achieved. The needs assessment concludes that the utilization rate of the elders, awareness and satisfaction rate are high. The positive sides concluded from the needs assessment, however, failed to turn into the fulfillment of outcome measures due to the structural barriers. Recommendations at short-term, medium-term and long-term are made.</p>","PeriodicalId":45875,"journal":{"name":"HOME HEALTH CARE SERVICES QUARTERLY","volume":" ","pages":"26-46"},"PeriodicalIF":1.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142606814","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
Impacts of the COVID-19 pandemic on healthcare utilization among Home Care Aides in Washington, U.S. COVID-19 大流行对美国华盛顿州家庭护理助理使用医疗服务的影响
IF 1.2
HOME HEALTH CARE SERVICES QUARTERLY Pub Date : 2024-10-01 Epub Date: 2024-06-28 DOI: 10.1080/01621424.2024.2369079
Zhenhui Trinh, Ian Cogswell, Kate Causey
{"title":"Impacts of the COVID-19 pandemic on healthcare utilization among Home Care Aides in Washington, U.S.","authors":"Zhenhui Trinh, Ian Cogswell, Kate Causey","doi":"10.1080/01621424.2024.2369079","DOIUrl":"10.1080/01621424.2024.2369079","url":null,"abstract":"<p><p>This study assesses the impacts of the COVID-19 pandemic on healthcare access for Washington State Home Care Aides (HCAs). Analyzing 62 months of medical claims data from over 35,000 HCAs, the research reveals significant healthcare disruptions during the early pandemic, especially in outpatient settings. However, healthcare utilization rebounded swiftly, surpassing pre-COVID levels as new variants emerged. Furthermore, the analysis indicated significant decreases in healthcare utilization for respiratory conditions in later stages of the pandemic, suggesting that the implementation of non-pharmaceutical and pharmaceutical interventions played a crucial role in preventing the transmission of respiratory diseases. Notably, behavioral health-related utilization among HCAs increased significantly throughout most pandemic phases, underscoring the importance of enhancing behavioral health support during public health crises. This research represents the first comprehensive study unveiling the effects of the COVID-19 pandemic on HCAs' healthcare access and opening avenues for further research and policy development to support this essential workforce.</p>","PeriodicalId":45875,"journal":{"name":"HOME HEALTH CARE SERVICES QUARTERLY","volume":" ","pages":"285-310"},"PeriodicalIF":1.2,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141471465","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 interprofessional collaboration in long-term care from a multidisciplinary perspective: a case study approach. 从多学科角度看影响长期护理专业间合作的因素：案例研究法。
IF 1.2
HOME HEALTH CARE SERVICES QUARTERLY Pub Date : 2024-10-01 Epub Date: 2024-03-24 DOI: 10.1080/01621424.2024.2331452
Yuko Yoshida, Yoshihisa Hirakawa, Young Jae Hong, Md Razib Mamun, Hiroko Shimizu, Yoshihisa Nakano, Hiroshi Yatsuya
{"title":"Factors influencing interprofessional collaboration in long-term care from a multidisciplinary perspective: a case study approach.","authors":"Yuko Yoshida, Yoshihisa Hirakawa, Young Jae Hong, Md Razib Mamun, Hiroko Shimizu, Yoshihisa Nakano, Hiroshi Yatsuya","doi":"10.1080/01621424.2024.2331452","DOIUrl":"10.1080/01621424.2024.2331452","url":null,"abstract":"<p><p>Systematic assessments of interprofessional collaboration barriers and enablers in long-term care settings are critical for delivering person-centered healthcare. However, research on factors influencing interprofessional collaboration in long-term care settings is limited. For this study, 65 healthcare professionals across multiple facilities experienced in long-term care in Japan participated in online focus group discussions and individual interviews to discuss cases. The qualitative data were analyzed using qualitative content analysis. Seven themes emerged: coordination, the need for care manager training, hierarchy among healthcare professionals, specialization but not the mind-set of overspecialization, casual conversations, electronic group communication tools, and excessive fear of personal information protection. These findings highlight the need to develop coordinator roles and for interprofessional education on the proper approach to personal information protection laws. Furthermore, daily casual conversations, the use of online platforms, and the prevention of patients being left behind due to overspecialization are required.</p>","PeriodicalId":45875,"journal":{"name":"HOME HEALTH CARE SERVICES QUARTERLY","volume":" ","pages":"239-258"},"PeriodicalIF":1.2,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140194812","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
Exploring the association between sleep and health performance of migrant home care workers and elderly care recipients in Taiwan. 探讨台湾外来居家护理人员和老年护理对象的睡眠与健康表现之间的关系。
IF 1.2
HOME HEALTH CARE SERVICES QUARTERLY Pub Date : 2024-10-01 Epub Date: 2024-07-10 DOI: 10.1080/01621424.2024.2375711
Po-Ching Kuo, Mita Restinia, Shu-Huei Lin, Yuh-Huey Jou, Ching-Ju Chiu
{"title":"Exploring the association between sleep and health performance of migrant home care workers and elderly care recipients in Taiwan.","authors":"Po-Ching Kuo, Mita Restinia, Shu-Huei Lin, Yuh-Huey Jou, Ching-Ju Chiu","doi":"10.1080/01621424.2024.2375711","DOIUrl":"10.1080/01621424.2024.2375711","url":null,"abstract":"<p><p>This study, conducted in June and July 2022 through purposive sampling, aimed to explore the relationship between sleep and health performance in 33 pairs of elderly individuals and their migrant caregivers in southern Taiwan. Participants completed a structured questionnaire and wore an <i>Actiwatch</i> for seven days. Pearson correlation and independent t-test were used for analysis. Nearly 50% of foreign home care workers suffered from insomnia, and 80% of elderly care recipients with disabilities experienced sleep disorders. The number of chronic illnesses and/or dementia among the elderly and insomnia among care workers were associated with poor self-perceived health (<i>r</i> = -0.667, <i>p</i> < .001) and sleep disorders among the elderly (<i>r</i> = 0.368, <i>p</i> = .035). The problem of caregiving should be addressed. Future studies should increase the sample size and extend the duration of the study to enhance the generalizability of the findings.</p>","PeriodicalId":45875,"journal":{"name":"HOME HEALTH CARE SERVICES QUARTERLY","volume":" ","pages":"311-327"},"PeriodicalIF":1.2,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141564804","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
Resilience in home and community care registered practical nurses: a scoping review. 家庭和社区护理注册执业护士的复原力：范围界定综述。
IF 1.2
HOME HEALTH CARE SERVICES QUARTERLY Pub Date : 2024-10-01 Epub Date: 2024-05-16 DOI: 10.1080/01621424.2024.2349526
Denise M Connelly, Tracy Smith-Carrier, Emma Butler, Kristin Prentice, Anna Garnett, Nancy Snobelen, Jennifer Calver
{"title":"Resilience in home and community care registered practical nurses: a scoping review.","authors":"Denise M Connelly, Tracy Smith-Carrier, Emma Butler, Kristin Prentice, Anna Garnett, Nancy Snobelen, Jennifer Calver","doi":"10.1080/01621424.2024.2349526","DOIUrl":"10.1080/01621424.2024.2349526","url":null,"abstract":"<p><p>Critical nursing shortages and experiences of burnout present a significant challenge in the home and community care (HCC) health sector. Determining what factors influence resiliency could inform HCC organizations in developing recruitment and retention resources and strategies. This scoping review identified factors that influence professional resilience in nurses working in the HCC sector. From 1819 documents identified from database searches, using a librarian-informed strategy, eight articles were included. Two domains emerged for HCC nurses, that is, i) professional and work-related characteristics of being resilient; and ii) strategies to promote professional nurse resilience. One domain emerged addressing organizational infrastructure, policy and practices contributing to professional nurse resilience in the HCC sector. The findings revealed that resiliency in HCC nurses extends beyond individual characteristics as nurse professionals, and their personal \"self-care\" strategies as individual people. Further research is needed to disentangle personal and professional resilience in nurses working in the HCC sector.</p>","PeriodicalId":45875,"journal":{"name":"HOME HEALTH CARE SERVICES QUARTERLY","volume":" ","pages":"259-284"},"PeriodicalIF":1.2,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140959824","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
Overcoming barriers to implementation: mapping implementation strategies in four hospital in home programs within the Veterans Health Administration. 克服实施障碍：绘制退伍军人健康管理局内四个医院居家计划的实施策略图。
IF 1.2
HOME HEALTH CARE SERVICES QUARTERLY Pub Date : 2024-07-01 Epub Date: 2024-01-04 DOI: 10.1080/01621424.2023.2301413
A Alex Levine, Marlena H Shin, Omonyele L Adjognon, Ryann L Engle, Jennifer L Sullivan
{"title":"Overcoming barriers to implementation: mapping implementation strategies in four hospital in home programs within the Veterans Health Administration.","authors":"A Alex Levine, Marlena H Shin, Omonyele L Adjognon, Ryann L Engle, Jennifer L Sullivan","doi":"10.1080/01621424.2023.2301413","DOIUrl":"10.1080/01621424.2023.2301413","url":null,"abstract":"<p><p>The Hospital at Home model, called Hospital-in-Home (HIH) in the Department of Veterans Affairs, delivers coordinated, high-value care aligned with older adult and caregiver preferences. Documenting implementation barriers and corresponding strategies to overcome them can address challenges to widespread adoption. To evaluate HIH implementation barriers and identify strategies to address them, we conducted interviews with 8 HIH staff at 4 hospitals between 2010 and 2013. We utilized qualitative directed content analysis guided by the Consolidated Framework for Implementation Research (CFIR) and mapped identified barriers to possible strategies using the CFIR-Expert Recommendations for Implementing Change (ERIC) Matching Tool. We identified 11 barriers spanning 5 CFIR domains. Three implementation strategies - identifying and preparing champions, conducting educational meetings, and capturing and sharing local knowledge - achieved high expert endorsement for each barrier. A mix of strategies targeting resources, organizational readiness and fit, and leadership engagement should be considered to support the sustainability and spread of HIH.</p>","PeriodicalId":45875,"journal":{"name":"HOME HEALTH CARE SERVICES QUARTERLY","volume":" ","pages":"173-190"},"PeriodicalIF":1.2,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139088920","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
Motivation for becoming a paid caregiver for older people: a case study in Phuket Province, Thailand. 成为老年人有偿照顾者的动机：泰国普吉府的案例研究。
IF 1.2
HOME HEALTH CARE SERVICES QUARTERLY Pub Date : 2024-07-01 Epub Date: 2024-03-08 DOI: 10.1080/01621424.2024.2320100
Chayanit Luevanich, Ros Kane, Aimorn Naklong, Prapaipim Surachetkomson
{"title":"Motivation for becoming a paid caregiver for older people: a case study in Phuket Province, Thailand.","authors":"Chayanit Luevanich, Ros Kane, Aimorn Naklong, Prapaipim Surachetkomson","doi":"10.1080/01621424.2024.2320100","DOIUrl":"10.1080/01621424.2024.2320100","url":null,"abstract":"<p><p>This study aimed to explore the motivations, attitudes, care management strategies and training needs of paid caregivers. Data were collected through 51 semi-structured interviews with paid caregivers and analyzed using thematic analysis. Their motivations included economic stability, the inability to secure other employment, a desire to secure independence through regularly paid employment and a passion and a love of caring. Their role involved being a key communicator of care between medical personnel and relatives, and participants emphasized the importance of paid caregivers being loving, caring, calm, patient, having the ability and willingness to cope with challenging situations. They outlined some specific challenges of the role of caregiving and expressed the importance of gaining recognition for the role as well as the need for bespoke and tailored training to underpin it. This study adds to the growing international literature around the needs of the paid carer workforce and has the potential to inform policy and training around the provision of a better-equipped workforce to meet the growing needs of the aging population.</p>","PeriodicalId":45875,"journal":{"name":"HOME HEALTH CARE SERVICES QUARTERLY","volume":" ","pages":"220-237"},"PeriodicalIF":1.2,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140060724","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
Identifying the process and agency characteristics associated with poor utilization outcomes in home healthcare. 确定与家庭医疗使用效果不佳相关的流程和机构特征。
IF 1.2
HOME HEALTH CARE SERVICES QUARTERLY Pub Date : 2024-07-01 Epub Date: 2024-01-17 DOI: 10.1080/01621424.2024.2305933
Güneş Koru, Yili Zhang, Holly Felix
{"title":"Identifying the process and agency characteristics associated with poor utilization outcomes in home healthcare.","authors":"Güneş Koru, Yili Zhang, Holly Felix","doi":"10.1080/01621424.2024.2305933","DOIUrl":"10.1080/01621424.2024.2305933","url":null,"abstract":"<p><p>This study identified the process and agency characteristics associated with poor utilization outcomes - higher percentages of patients (<i>i</i>) admitted to an acute care organization and (<i>ii</i>) visited an emergency room (ER) unplanned without hospitalization - for home health agencies (HHAs) in the United States. We conducted a secondary analysis of data about HHAs' various characteristics, process adherence levels, and utilization outcomes collected from disparate public repositories for 2010-2022. We developed descriptive tree-based models using HHAs' hospital admission or ER visit percentages as response variables. Across the board, hospital admission percentages have steadily improved while ER percentages deteriorated for an extended period. Recently, checking for fall risks and depression was associated with improved outcomes for urban agencies. In general, rural HHAs had worse utilization outcomes than urban HHAs. Targeted investments and improvement initiatives can help rural HHAs close the urban-rural gap in the future.</p>","PeriodicalId":45875,"journal":{"name":"HOME HEALTH CARE SERVICES QUARTERLY","volume":" ","pages":"205-219"},"PeriodicalIF":1.2,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139477904","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
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