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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
Caring burden and quality of life among the caregivers of people living with dementia - a cross-sectional study in Udupi district of Karnataka. 卡纳塔克邦乌杜皮地区痴呆症患者照顾者的照顾负担和生活质量--一项横断面研究。
IF 1.2
HOME HEALTH CARE SERVICES QUARTERLY Pub Date : 2024-07-01 Epub Date: 2024-01-08 DOI: 10.1080/01621424.2023.2301417
Clarita Shynal Martis, Rajeshkrishna Panambur Bhandary, Ramesh Chandrababu, Vani Lakshmi R, Panambur Venkataraya Bhandary, Judith Angelitta Noronha, Jyothi Chakrabarty, Debbie Tolson, Elsa Sanatombi Devi
{"title":"Caring burden and quality of life among the caregivers of people living with dementia - a cross-sectional study in Udupi district of Karnataka.","authors":"Clarita Shynal Martis, Rajeshkrishna Panambur Bhandary, Ramesh Chandrababu, Vani Lakshmi R, Panambur Venkataraya Bhandary, Judith Angelitta Noronha, Jyothi Chakrabarty, Debbie Tolson, Elsa Sanatombi Devi","doi":"10.1080/01621424.2023.2301417","DOIUrl":"10.1080/01621424.2023.2301417","url":null,"abstract":"<p><p>Dementia is a chronic disorder of the brain that affects cognitive performance. The caregivers of individuals with dementia experience a greater burden that affects their Quality of Life (QoL). This cross-sectional study conducted in India was designed to assess the caring burden and QoL among the caregivers of people with dementia, as well as to ascertain the relationship between QoL scores and burden. Our sample included 80 caregivers of people with dementia. Most of the caregivers (<i>n</i> = 59, 73.8%) had a higher level of caregiver burden. There was a negative correlation between caregiver burden scores and QoL. A higher level of caregiver stress and low QoL were experienced by caregivers of dementia patients. In developing countries like India, counseling, and education on home health care for people with dementia should be provided to reduce the burden and enhance the QoL of caregivers.</p>","PeriodicalId":45875,"journal":{"name":"HOME HEALTH CARE SERVICES QUARTERLY","volume":" ","pages":"191-204"},"PeriodicalIF":1.2,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139404732","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
Describing providers' perspectives on the needs and challenges of family caregivers of African American people living with dementia. 描述服务提供者对非裔美国人痴呆症患者家庭照护者的需求和挑战的看法。
IF 1.2
HOME HEALTH CARE SERVICES QUARTERLY Pub Date : 2024-04-01 Epub Date: 2023-12-26 DOI: 10.1080/01621424.2023.2299486
Araya Dimtsu Assfaw, Kerstin M Reinschmidt, Thomas A Teasdale, Lancer Stephens, Keith L Kleszynski, Kathleen Dwyer
{"title":"Describing providers' perspectives on the needs and challenges of family caregivers of African American people living with dementia.","authors":"Araya Dimtsu Assfaw, Kerstin M Reinschmidt, Thomas A Teasdale, Lancer Stephens, Keith L Kleszynski, Kathleen Dwyer","doi":"10.1080/01621424.2023.2299486","DOIUrl":"10.1080/01621424.2023.2299486","url":null,"abstract":"<p><p>The primary purpose of this study was to explore the needs and challenges of African American family caregivers of People living with dementia (PLWD) from the perspective of service providers including healthcare and social service providers. The study conducted three online semi-structured focus group interviews with service providers (<i>n</i> = 15). Data were analyzed using Braun & Clarke's guide to thematic analysis approach. Five themes emerged from the analysis of the focus group data: (i) Inadequate information about resources; (ii) Dementia education; (iii) Burden of dementia on families; (iv) Limited financial support and funding; and (v) Suggestions for needed resources. Service providers expressed the lack of community-based dementia service and support programs in African American communities. Findings from the study indicated the need to provide culturally appropriate information on dementia caregiving. This study adds to the scope of knowledge by exploring the processes of seeking help and using services.</p>","PeriodicalId":45875,"journal":{"name":"HOME HEALTH CARE SERVICES QUARTERLY","volume":" ","pages":"133-153"},"PeriodicalIF":1.2,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139040704","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
Occupational safety in homecare organizations: the design and implementation of a train-the-trainer program. 家庭护理机构的职业安全：培训员培训计划的设计与实施。
IF 1.2
HOME HEALTH CARE SERVICES QUARTERLY Pub Date : 2024-04-01 Epub Date: 2023-12-17 DOI: 10.1080/01621424.2023.2292193
Federico Fraboni, Sofia Morandini, Salvatore Zappalà, Dina Guglielmi, Marco Giovanni Mariani, Marco De Angelis, Luca Pietrantoni
{"title":"Occupational safety in homecare organizations: the design and implementation of a train-the-trainer program.","authors":"Federico Fraboni, Sofia Morandini, Salvatore Zappalà, Dina Guglielmi, Marco Giovanni Mariani, Marco De Angelis, Luca Pietrantoni","doi":"10.1080/01621424.2023.2292193","DOIUrl":"10.1080/01621424.2023.2292193","url":null,"abstract":"<p><p>Homecare workers face significant occupational risks, necessitating effective safety training programs. This paper presents a comprehensive Train-the-Trainer (TTT) program developed to enhance occupational safety in homecare organizations. Through an analysis of 229 reported safety events, the frequency and type of incidents, such as injuries during handling, road crashes, slips, trips, and falls, were identified and primarily attributed to human errors and violations. Based on the results, a TTT program was designed and implemented. The TTT successfully engaged Health, Safety, and Environment managers, fostering collaborative activities, knowledge sharing, and resource discussions. The program modules address critical areas, including distractions and inattentions, fatigue, time pressure, frustration and aggressiveness, and safety behaviors. This innovative approach provides valuable insights for organizations seeking to improve homecare workers' safety. The findings add to the broader comprehension of occupational safety in the homecare sector, proposing a pragmatic framework for future interventions.</p>","PeriodicalId":45875,"journal":{"name":"HOME HEALTH CARE SERVICES QUARTERLY","volume":" ","pages":"87-113"},"PeriodicalIF":1.2,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138811875","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
"I'll fill in the gaps": perspectives of HHAs on promoting aging in place for older adults with low incomes. "我来填补空白"：居家养老护理员对促进低收入老年人居家养老的看法。
IF 1.2
HOME HEALTH CARE SERVICES QUARTERLY Pub Date : 2024-04-01 Epub Date: 2023-12-20 DOI: 10.1080/01621424.2023.2296061
Graciela Bolanos, Claudia Hentschel, Momana Jahan, Sonia Gupta, Mona Akhiary, Tiffany Wisdom-Goulbourne, David Reyes-Farias, Barbara Resnick, Rebecca T Brown
{"title":"\"I'll fill in the gaps\": perspectives of HHAs on promoting aging in place for older adults with low incomes.","authors":"Graciela Bolanos, Claudia Hentschel, Momana Jahan, Sonia Gupta, Mona Akhiary, Tiffany Wisdom-Goulbourne, David Reyes-Farias, Barbara Resnick, Rebecca T Brown","doi":"10.1080/01621424.2023.2296061","DOIUrl":"10.1080/01621424.2023.2296061","url":null,"abstract":"<p><p>Older adults with low incomes experience disproportionate rates of cognitive and functional impairment and an elevated risk of nursing home admission. Home health aides (HHAs) may have insight into how to optimize aging in place for this population, yet little is known about HHAs' perspectives on this topic. We conducted 6 focus groups with 21 English-speaking and 10 Spanish-speaking HHAs in Pennsylvania and New Jersey. Transcripts were analyzed using qualitative thematic analysis, and three themes emerged. First, HHAs described the uniqueness of their role within multidisciplinary care teams. Second, HHAs shared concrete interventions they employ to help their clients improve their function at home. Third, HHAs discussed barriers they face when helping clients age in place. Our findings suggest that HHAs have important insights into improving aging in place for older adults with low incomes and that their perspectives should be incorporated into care planning and intervention delivery.</p>","PeriodicalId":45875,"journal":{"name":"HOME HEALTH CARE SERVICES QUARTERLY","volume":" ","pages":"114-132"},"PeriodicalIF":1.2,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10978290/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138811872","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
The relationship between Medicaid policy and realized access to home- and community-based services. 医疗补助政策与实现家庭和社区服务之间的关系。
IF 1.2
HOME HEALTH CARE SERVICES QUARTERLY Pub Date : 2024-04-01 Epub Date: 2024-01-07 DOI: 10.1080/01621424.2023.2300672
R Tamara Konetzka, Emily Ellis, Nadia Ghazali, Sijiu Wang
{"title":"The relationship between Medicaid policy and realized access to home- and community-based services.","authors":"R Tamara Konetzka, Emily Ellis, Nadia Ghazali, Sijiu Wang","doi":"10.1080/01621424.2023.2300672","DOIUrl":"10.1080/01621424.2023.2300672","url":null,"abstract":"<p><p>Medicaid funding for home- and community-based services (HCBS) has increased substantially in recent decades. Prior research has investigated the effects of this expansion on outcomes for individuals as well as costs to Medicaid, often using state policy as a proxy for access to HCBS or implicitly assuming that more generous policies affect outcomes through access, an assumption that may not hold. In this study, using survey data linked to Medicaid claims, we assess the extent to which common measures of state Medicaid HCBS generosity correspond to increased individual use of HCBS among older adults with potential needs. We find several measures to have strong predictive power, but only with relatively large changes in policy generosity. Our findings imply that increased funding of HCBS is not sufficient to ensure access to services and that researchers should be careful when using state policy generosity as a proxy for access.</p>","PeriodicalId":45875,"journal":{"name":"HOME HEALTH CARE SERVICES QUARTERLY","volume":" ","pages":"154-172"},"PeriodicalIF":1.2,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10978281/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139378511","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
Understanding the home environment of older adults living with dementia: A scoping review of assessment tools. 了解老年痴呆症患者的家庭环境：评估工具范围综述。
IF 1.2
HOME HEALTH CARE SERVICES QUARTERLY Pub Date : 2024-01-01 Epub Date: 2024-01-22 DOI: 10.1080/01621424.2023.2290708
Cindy Louis-Delsoin, Alicia Ruiz-Rodrigo, Jacqueline Rousseau
{"title":"Understanding the home environment of older adults living with dementia: A scoping review of assessment tools.","authors":"Cindy Louis-Delsoin, Alicia Ruiz-Rodrigo, Jacqueline Rousseau","doi":"10.1080/01621424.2023.2290708","DOIUrl":"10.1080/01621424.2023.2290708","url":null,"abstract":"<p><p>Rigorous assessments to better understand the person-environment interaction are essential to comprehend how neurocognitive disorders influence in-home functioning of older people living with dementia. No recent synthesis identifies validated instruments targeting the human (e.g. caregivers) and nonhuman (e.g. objects) elements of the home environment interacting with this population and used with the perspective of aging in place. Consequently, following Arksey and O'Malley's (2005) scoping review method, 2,182 articles were identified in six databases and in gray literature. Two reviewers independently selected 23 relevant articles describing 19 validated assessment tools targeting elements of the home interacting with older people with dementia, namely: nonhuman environment (<i>n</i> = 13), human environment (<i>n</i> = 3), and person-environment interaction (<i>n</i> = 3). This overview highlights the scarcity of tools addressing the human environment and the person-environment interaction to foster sustainable at-home living for older people with neurocognitive disorders, demonstrating the need to incorporate new evidence-based, holistic methods into dementia home care.</p>","PeriodicalId":45875,"journal":{"name":"HOME HEALTH CARE SERVICES QUARTERLY","volume":" ","pages":"54-86"},"PeriodicalIF":1.2,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139038052","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
Creating 'good' hospital to home transfers in the rural north of Sweden: informal workarounds and opportunities for improvement. 在瑞典北部农村地区创建“良好”的医院到家庭转移：非正式的变通办法和改进机会。
IF 1.2
HOME HEALTH CARE SERVICES QUARTERLY Pub Date : 2024-01-01 Epub Date: 2023-07-13 DOI: 10.1080/01621424.2023.2235321
Dean Bradley Carson, Ronja Messmer, Emmy Leuf Fjällberg
{"title":"Creating 'good' hospital to home transfers in the rural north of Sweden: informal workarounds and opportunities for improvement.","authors":"Dean Bradley Carson, Ronja Messmer, Emmy Leuf Fjällberg","doi":"10.1080/01621424.2023.2235321","DOIUrl":"10.1080/01621424.2023.2235321","url":null,"abstract":"<p><p>Hospital to home transfers for older people require effective communication, coordination and collaboration across multiple service settings. Rural Nursing Theory and the Beyond Periphery model explain why this is particularly difficult in rural areas, but there are few examples of how rural services respond. This paper presents a case study of the district of Tärnaby in the inland north of Sweden. Data are drawn from interviews with health and care staff in Tärnaby, observations, and experiences of the researchers. Data were analyzed thematically, with four main themes emerging - role clarity, communication, geography, and understanding of the rural context. Responses to challenges included increasing opportunities for communication between service providers and improving documentation. The paper concludes that informal \"workarounds\" run the risk of further disconnecting rural service settings from \"the city\". Rather, the aim needs to be to improve contextual understanding through formally incorporating \"the rural\" in service design.</p>","PeriodicalId":45875,"journal":{"name":"HOME HEALTH CARE SERVICES QUARTERLY","volume":" ","pages":"18-38"},"PeriodicalIF":1.2,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9764314","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
A suggested mortality benefit with integrated health care versus conventional home health care in Taiwan. 在台湾，综合医疗保健与传统的家庭医疗保健相比，对死亡率有一定的益处。
IF 1.2
HOME HEALTH CARE SERVICES QUARTERLY Pub Date : 2024-01-01 Epub Date: 2023-04-12 DOI: 10.1080/01621424.2023.2195810
Shao-Chang Ho, Chi-Jeng Hsieh, Lun-Chien Lo, Jaung-Geng Lin
{"title":"A suggested mortality benefit with integrated health care versus conventional home health care in Taiwan.","authors":"Shao-Chang Ho, Chi-Jeng Hsieh, Lun-Chien Lo, Jaung-Geng Lin","doi":"10.1080/01621424.2023.2195810","DOIUrl":"10.1080/01621424.2023.2195810","url":null,"abstract":"<p><p>In Taiwan, the Integrated Home Care (IHC) project was introduced for medically compromised patients living at home receiving Home Health Care (HHC) in 2016. The focus of the project was on organizing care teams and managing care for patients. The aim of this study was to investigate the benefits and impacts of IHC in Taiwan. The primary outcome measure was the mortality rate of patients who received IHC versus those who did not receive IHC (non-IHC). The secondary outcomes were medical utilization and expenditure. The results showed that IHC was associated with a statistically significant reduction in mortality compared to non-IHC for home-dwelling patients over 90-, 180-, and 365-days periods. Additionally, IHC users were less likely to be hospitalized and had shorter hospitalization times compared to non-IHC users. Furthermore, IHC was found to reduce medical expenditure compared to non-IHC.</p>","PeriodicalId":45875,"journal":{"name":"HOME HEALTH CARE SERVICES QUARTERLY","volume":" ","pages":"1-17"},"PeriodicalIF":1.2,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9289160","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
“Qualitative evaluation of a digital software solution for documentation and training in 24-hour home care” "对用于 24 小时家庭护理记录和培训的数字软件解决方案进行定性评估"
IF 1.4
HOME HEALTH CARE SERVICES QUARTERLY Pub Date : 2023-12-08 DOI: 10.1080/01621424.2023.2290284
Elisabeth Kupka-Klepsch, Carina Hauser, Franz Werner, E. Haslinger-Baumann
{"title":"“Qualitative evaluation of a digital software solution for documentation and training in 24-hour home care”","authors":"Elisabeth Kupka-Klepsch, Carina Hauser, Franz Werner, E. Haslinger-Baumann","doi":"10.1080/01621424.2023.2290284","DOIUrl":"https://doi.org/10.1080/01621424.2023.2290284","url":null,"abstract":"","PeriodicalId":45875,"journal":{"name":"HOME HEALTH CARE SERVICES QUARTERLY","volume":"43 39","pages":""},"PeriodicalIF":1.4,"publicationDate":"2023-12-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138588703","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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