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Meeting the challenges of measuring outcomes of home care programs: The Australian Community Outcomes Measurement (ACCOM) tool. 应对测量家庭护理项目结果的挑战:澳大利亚社区结果测量(ACCOM)工具。
IF 1.4
HOME HEALTH CARE SERVICES QUARTERLY Pub Date : 2020-07-01 Epub Date: 2020-05-12 DOI: 10.1080/01621424.2020.1759477
Beatriz Cardona, Michael Fine, Shaun Riley
{"title":"Meeting the challenges of measuring outcomes of home care programs: The Australian Community Outcomes Measurement (ACCOM) tool.","authors":"Beatriz Cardona,&nbsp;Michael Fine,&nbsp;Shaun Riley","doi":"10.1080/01621424.2020.1759477","DOIUrl":"https://doi.org/10.1080/01621424.2020.1759477","url":null,"abstract":"<p><p>Measuring the impact of care delivered at home for frail older people is a complex task given many confounding variables that may impact on the ability of service providers to identify the direct impact of their programs on their clients' well-being and quality of life. The recent publication of the 2018 Wellness and Reablement Report Outcomes indicated that organizations lack formal processes to measure the impact of their programs on service users. There are therefore limited data exits on measuring outcomes and the performance of the ACCOM tool in the real world. Knowledge of a strong causal relationship between services provided and outcomes enables confidence in assuming the care provided was largely responsible for the outcome achieved. This paper will reflect on the experiences of one service provider in Brisbane, in implementing the Australian Community Care Outcomes Measurement (ACCOM) tool to measure and demonstrate the impact of their programs.</p>","PeriodicalId":45875,"journal":{"name":"HOME HEALTH CARE SERVICES QUARTERLY","volume":"39 3","pages":"141-153"},"PeriodicalIF":1.4,"publicationDate":"2020-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/01621424.2020.1759477","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37923497","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
The Effect of Home Base Physical Activity Program based on the BASNEF Model on Motor Recovery in Patients with Stroke. 基于BASNEF模型的家庭基础体育锻炼计划对脑卒中患者运动恢复的影响。
IF 1.4
HOME HEALTH CARE SERVICES QUARTERLY Pub Date : 2020-07-01 Epub Date: 2020-05-13 DOI: 10.1080/01621424.2020.1765938
Fatemeh Esteki-Ghashghaei, Mohammad Saadatnia, Fariborz Khorvash, Hossein Shahnazi
{"title":"The Effect of Home Base Physical Activity Program based on the BASNEF Model on Motor Recovery in Patients with Stroke.","authors":"Fatemeh Esteki-Ghashghaei,&nbsp;Mohammad Saadatnia,&nbsp;Fariborz Khorvash,&nbsp;Hossein Shahnazi","doi":"10.1080/01621424.2020.1765938","DOIUrl":"https://doi.org/10.1080/01621424.2020.1765938","url":null,"abstract":"<p><p>The present study aimed to determine the effect of education based on the BASNEF model on the physical activity and improvement of motor activity in patients with stroke. This randomized control trial study was conducted on 40 patients with acute ischemic stroke admitted to a teaching hospital in Isfahan, Iran from August 2017 to September 2018. The patients were randomly divided into intervention and control groups. The intervention included personal education and a manual CD of physical activity for the intervention group. After education, the mean scores of the BASNEF model's constructs in the intervention group were significantly higher than those of the control group (<i>P</i> < .001). Furthermore, the motor ability of the intervention group in upper and lower extremities was significantly higher than that of the control group (<i>p</i> < .001). Interventions based on educational models can increase the motivation of patients with stroke in performing recommended physical activity.</p>","PeriodicalId":45875,"journal":{"name":"HOME HEALTH CARE SERVICES QUARTERLY","volume":"39 3","pages":"154-167"},"PeriodicalIF":1.4,"publicationDate":"2020-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/01621424.2020.1765938","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37931018","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
Home care workers' judgments about users' acute conditions: A qualitative study on interprofessional collaboration. 家庭护工对使用者急性病的判断:跨专业合作的质性研究。
IF 1.4
HOME HEALTH CARE SERVICES QUARTERLY Pub Date : 2020-07-01 Epub Date: 2020-03-01 DOI: 10.1080/01621424.2020.1736228
Ryuichi Ohta, Yoshinori Ryu, Takuji Katsube
{"title":"Home care workers' judgments about users' acute conditions: A qualitative study on interprofessional collaboration.","authors":"Ryuichi Ohta,&nbsp;Yoshinori Ryu,&nbsp;Takuji Katsube","doi":"10.1080/01621424.2020.1736228","DOIUrl":"https://doi.org/10.1080/01621424.2020.1736228","url":null,"abstract":"<p><p>Home care workers' (HCWs) approaches to home care users' acute symptoms are critical for users' safety and quality of life. However, the processes of these approaches are unclear. This study investigates how HCWs assess users' conditions. Focus group discussions and semi-structured interviews with HCWs were conducted in a rural Japanese city. HCWs' decisions were affected by interactions and previous relationships with care managers, home care nurses, physicians, and users' families. Rural HCWs act flexibly, changing the professionals and families they consult with. Understanding HCWs' behaviors and improving relationships among medical/care professionals and families can improve management of users' acute conditions.</p>","PeriodicalId":45875,"journal":{"name":"HOME HEALTH CARE SERVICES QUARTERLY","volume":"39 3","pages":"184-195"},"PeriodicalIF":1.4,"publicationDate":"2020-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/01621424.2020.1736228","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37691438","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: 5
Theorizing eldercare work: An orders of worth analysis. 老年护理工作理论化:一个值得分析的问题。
IF 1.4
HOME HEALTH CARE SERVICES QUARTERLY Pub Date : 2020-04-01 Epub Date: 2020-03-17 DOI: 10.1080/01621424.2020.1740130
Arthur Chia
{"title":"Theorizing eldercare work: An orders of worth analysis.","authors":"Arthur Chia","doi":"10.1080/01621424.2020.1740130","DOIUrl":"https://doi.org/10.1080/01621424.2020.1740130","url":null,"abstract":"<p><p>Eldercare is often regarded as \"dirty work\" due to its association with dysfunctional, decaying, and diseased bodies. This paper focuses on eldercare work, and studies how current practices and organization of eldercare have been justified and legitimized in different and sometimes conflicting ways. Drawing on ethnographic fieldwork with workers in nursing homes for the elderly and homecare service, this paper examines eldercare work through the theoretical lens of \"orders of worth.\" The concept of orders of worth affords a moral political analysis of eldercare work that helps to explain those dilemmas and situations which eldercare workers encounter and negotiate. Through the analysis, the moral entanglements between individual practices, institutional logics, and the political economy of care labor are systematically revealed.</p>","PeriodicalId":45875,"journal":{"name":"HOME HEALTH CARE SERVICES QUARTERLY","volume":"39 2","pages":"107-125"},"PeriodicalIF":1.4,"publicationDate":"2020-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/01621424.2020.1740130","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37745837","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
Utilization of social workers in home care: An analysis of service use. 社会工作者在家庭护理中的利用:服务使用的分析。
IF 1.4
HOME HEALTH CARE SERVICES QUARTERLY Pub Date : 2020-04-01 Epub Date: 2020-04-07 DOI: 10.1080/01621424.2020.1749920
Angela Hovey, Cole Edick, Keith Brownlee
{"title":"Utilization of social workers in home care: An analysis of service use.","authors":"Angela Hovey,&nbsp;Cole Edick,&nbsp;Keith Brownlee","doi":"10.1080/01621424.2020.1749920","DOIUrl":"https://doi.org/10.1080/01621424.2020.1749920","url":null,"abstract":"<p><p>Social workers are well positioned to address mental health complications impacting home care populations, yet social work has one of the lowest utilization rates of offered home care supports in Ontario. This study analyzed care plan data of frontline in-home social work services. Results identified adjustment to illness as the most common category and that seniors required significantly fewer visits and days on service than non-seniors. Most patients were able to accomplish their social work-based goals. Results highlight a need for further research and for capitalizing on the untapped potential value of social work home care services for patients.</p>","PeriodicalId":45875,"journal":{"name":"HOME HEALTH CARE SERVICES QUARTERLY","volume":"39 2","pages":"80-94"},"PeriodicalIF":1.4,"publicationDate":"2020-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/01621424.2020.1749920","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37813207","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
Certificate of need and the cost of competition in home healthcare markets. 家庭保健市场的需求证明和竞争成本。
IF 1.4
HOME HEALTH CARE SERVICES QUARTERLY Pub Date : 2020-04-01 Epub Date: 2020-02-14 DOI: 10.1080/01621424.2020.1728464
Susan L Ettner, Jacqueline S Zinn, Haiyong Xu, Heather Ladd, Eugene Nuccio, Dara H Sorkin, Dana B Mukamel
{"title":"Certificate of need and the cost of competition in home healthcare markets.","authors":"Susan L Ettner,&nbsp;Jacqueline S Zinn,&nbsp;Haiyong Xu,&nbsp;Heather Ladd,&nbsp;Eugene Nuccio,&nbsp;Dara H Sorkin,&nbsp;Dana B Mukamel","doi":"10.1080/01621424.2020.1728464","DOIUrl":"https://doi.org/10.1080/01621424.2020.1728464","url":null,"abstract":"<p><p>We used 2010-16 Medicare Cost Reports for 10,737 freestanding home health agencies (HHAs) to examine the impact of home health (HH) and nursing home (NH) certificate-of-need (CON) laws on HHA caseload, total and per-patient variable costs. After adjusting for other HHA characteristics, total costs were higher in states with only HH CON laws ($2,975,698), only NH CON laws ($1,768,097), and both types of laws ($3,511,277), compared with no CON laws ($1,538,536). Higher costs were driven by caseloads, as CON reduced per-patient costs. Additional research is needed to distinguish whether this is due to skimping on quality vs. economies of scale.</p>","PeriodicalId":45875,"journal":{"name":"HOME HEALTH CARE SERVICES QUARTERLY","volume":"39 2","pages":"51-64"},"PeriodicalIF":1.4,"publicationDate":"2020-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/01621424.2020.1728464","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37644887","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: 1
Challenges and solutions in the continuity of home care for rural older people: A thematic analysis. 农村老年人居家照护连续性的挑战和解决办法:专题分析。
IF 1.4
HOME HEALTH CARE SERVICES QUARTERLY Pub Date : 2020-04-01 Epub Date: 2020-03-14 DOI: 10.1080/01621424.2020.1739185
Ryuichi Ohta, Yoshinori Ryu, Jun Kitayuguchi, Tatsunosuke Gomi, Takuji Katsube
{"title":"Challenges and solutions in the continuity of home care for rural older people: A thematic analysis.","authors":"Ryuichi Ohta,&nbsp;Yoshinori Ryu,&nbsp;Jun Kitayuguchi,&nbsp;Tatsunosuke Gomi,&nbsp;Takuji Katsube","doi":"10.1080/01621424.2020.1739185","DOIUrl":"https://doi.org/10.1080/01621424.2020.1739185","url":null,"abstract":"<p><p>Home care is essential for the continuity of care, but rural communities struggle to procure these services regularly. As rural populations age, these difficulties may be exacerbated. This study examines the challenges and solutions for offering home care in rural areas. Healthcare professionals held focus groups and one-on-one interviews in rural communities, and these interviews were recorded and analyzed using thematic analysis. Changing rural contexts, stakeholder relationships, and sustainable communities were the primary themes. Increasing knowledge, sharing information, and dialogue among stakeholders were also crucial. Collaboration between professions may also create more sustainable home care in rural communities.</p>","PeriodicalId":45875,"journal":{"name":"HOME HEALTH CARE SERVICES QUARTERLY","volume":"39 2","pages":"126-139"},"PeriodicalIF":1.4,"publicationDate":"2020-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/01621424.2020.1739185","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37739940","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: 52
Publicly funded home care service use in the first 2 years after spinal cord injury in Ontario, Canada. 加拿大安大略省脊髓损伤后头两年公共资助家庭护理服务的使用情况。
IF 1.4
HOME HEALTH CARE SERVICES QUARTERLY Pub Date : 2020-04-01 Epub Date: 2020-02-01 DOI: 10.1080/01621424.2020.1723772
Brian Chun-Fai Chan, Shawna Cronin, Susan B Jaglal, Beverley Catharine Craven
{"title":"Publicly funded home care service use in the first 2 years after spinal cord injury in Ontario, Canada.","authors":"Brian Chun-Fai Chan,&nbsp;Shawna Cronin,&nbsp;Susan B Jaglal,&nbsp;Beverley Catharine Craven","doi":"10.1080/01621424.2020.1723772","DOIUrl":"https://doi.org/10.1080/01621424.2020.1723772","url":null,"abstract":"<p><p>The objectives of this study were to describe home care utilization and costs in community-dwelling individuals 2 years post-spinal cord injury (SCI) in Ontario, Canada. This retrospective incident cohort study uses administrative health care data to identify individuals with traumatic SCI (tSCI). Time to service delivery and frequency of service delivery and costs were calculated. A total of 798 individuals with tSCI comprised the cohort. In the first 2 years, personal support/homemaking was the most utilized service. Median cumulative home care 2 years post-discharge was $7,200 ($1,240-35,410 25-75% interquartile range). This study highlights the importance of home care to individuals with SCI.</p>","PeriodicalId":45875,"journal":{"name":"HOME HEALTH CARE SERVICES QUARTERLY","volume":"39 2","pages":"95-106"},"PeriodicalIF":1.4,"publicationDate":"2020-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/01621424.2020.1723772","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37602351","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 quality of homecare services and older adults' well-being. 探索家庭护理服务质量与老年人幸福感之间的关系。
IF 1.4
HOME HEALTH CARE SERVICES QUARTERLY Pub Date : 2020-04-01 Epub Date: 2020-02-10 DOI: 10.1080/01621424.2020.1726849
Chang-Ming Hsieh, Gretchen P Kenagy
{"title":"Exploring the association between quality of homecare services and older adults' well-being.","authors":"Chang-Ming Hsieh,&nbsp;Gretchen P Kenagy","doi":"10.1080/01621424.2020.1726849","DOIUrl":"https://doi.org/10.1080/01621424.2020.1726849","url":null,"abstract":"<p><p>Homecare services play an important role in enabling older adults with chronic illness or functional impairment to continue living in their homes and communities. Previous research on homecare services has not fully explored the potential psychological benefits of homecare services. This study investigates the association between quality of homecare services and psychological well-being by analyzing two surveys. The results showed that the association between well-being and the quality of homecare services was mediated by satisfaction with health (<i>z</i> = 4.36, <i>p</i> = .000), satisfaction with family life (<i>z</i> = 4.96, <i>p</i> = .000) and satisfaction with friendship (<i>z</i> = 3.56, <i>p</i> = .000). The top three most important life domains, health, family life, and friendships, combined fully mediated the association between well-being and the quality of homecare services. These findings suggest that quality homecare services could enhance clients' well-being in the areas of family life and friendships beyond health.</p>","PeriodicalId":45875,"journal":{"name":"HOME HEALTH CARE SERVICES QUARTERLY","volume":"39 2","pages":"65-79"},"PeriodicalIF":1.4,"publicationDate":"2020-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/01621424.2020.1726849","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37626042","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: 3
Organizing and financing PRS by a health insurance fund. 由健康保险基金组织和资助减贫战略。
IF 1.4
HOME HEALTH CARE SERVICES QUARTERLY Pub Date : 2020-03-12 DOI: 10.1201/9781315825380-15
J. Bok
{"title":"Organizing and financing PRS by a health insurance fund.","authors":"J. Bok","doi":"10.1201/9781315825380-15","DOIUrl":"https://doi.org/10.1201/9781315825380-15","url":null,"abstract":"","PeriodicalId":45875,"journal":{"name":"HOME HEALTH CARE SERVICES QUARTERLY","volume":"13 3-4 1","pages":"101-3"},"PeriodicalIF":1.4,"publicationDate":"2020-03-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44601314","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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