HOME HEALTH CARE SERVICES QUARTERLY最新文献_第8页

O17.1 What makes Sense? Strategical use of eHealth technology to stimulate self-care in public sexual health care O17.1什么有意义?策略性地使用电子保健技术，促进公共性保健中的自我保健

IF 1.4

HOME HEALTH CARE SERVICES QUARTERLY Pub Date : 2021-07-01 DOI: 10.1136/SEXTRANS-2021-STI.146

F. Zimbile

引用次数: 0

O17.2 Exploring Freddie: Lessons from a Novel Virtual HIV PrEP Care Model in Canada O17.2探索弗雷迪:加拿大新型虚拟HIV PrEP护理模式的经验教训

IF 1.4

HOME HEALTH CARE SERVICES QUARTERLY Pub Date : 2021-07-01 DOI: 10.1136/sextrans-2021-sti.147

T. Trombetta, H. Moloo, C. Shukalek

{"title":"O17.2 Exploring Freddie: Lessons from a Novel Virtual HIV PrEP Care Model in Canada","authors":"T. Trombetta, H. Moloo, C. Shukalek","doi":"10.1136/sextrans-2021-sti.147","DOIUrl":"https://doi.org/10.1136/sextrans-2021-sti.147","url":null,"abstract":"Background/PurposeTo combat the HIV Epidemic, the concept of pre-exposure prophylaxis (PrEP) has gained considerable traction since demonstrating efficacy in 2012 and approval in Canada in 2016. Unfortunately, this HIV prevention method has not been ubiquitously taken up by those most at risk for many reasons, including difficulty in accessing care. Innovation, and necessity during the COVID pandemic, has increased the use of technology with new care models providing 100% of PrEP care virtually.ApproachThis presentation will focus on the impacts and early findings of Freddie, a novel and entirely virtual PrEP care model in Canada focused on gender and sexual minority communities. This online health program connects those most at risk of HIV transmission with affirming prescribers across multiple provinces to break down physical and social barriers to PrEP initiation and ongoing use.Outcomes/ImpactFreddie has reached the benchmark of 1,000 patients in Canada, the majority of which have never been on PrEP before, representing a quick uptake in virtual PrEP services in Canada. The observations made thus far affirm theories that inclusive virtual care models can lead to increased access to STBBI prevention methods.Innovation and SignificancePresenters will discuss the innovative components of Freddie’s virtual care model, explore findings as they relate to PrEP uptake and initiation by speaking to its initial successes and challenges, as well as how it addresses PrEP access barriers in Canada. This includes Freddie’s focus on LGBTQ2S+ Canadians who are known to be at higher risk of HIV and historically have faced extraordinary barriers accessing sexual health care in inclusive settings. The intervention explored in this presentation continues to address such barriers through an innovative and accessible care model.","PeriodicalId":45875,"journal":{"name":"HOME HEALTH CARE SERVICES QUARTERLY","volume":"67 1","pages":""},"PeriodicalIF":1.4,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86012680","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

Rethinking adherence to home care in heart failure: the lessons learned from Diego Maradona's death. 重新思考心力衰竭患者是否坚持家庭护理:从迭戈·马拉多纳去世中吸取的教训。

IF 1.4

HOME HEALTH CARE SERVICES QUARTERLY Pub Date : 2021-07-01 Epub Date: 2021-07-20 DOI: 10.1080/01621424.2021.1945519

Gustavo Saposnik, Florencia Saposnik, Pedro Saposnik

引用次数: 0

Framing the front door: co-creating a home health care assessment of service need for children with disabilities. 搭建前门:共同创建残疾儿童服务需求的家庭保健评估。

IF 1.4

HOME HEALTH CARE SERVICES QUARTERLY Pub Date : 2021-07-01 Epub Date: 2021-07-27 DOI: 10.1080/01621424.2021.1952132

Darcy Jones McMaughan, Jennifer P Ozmetin, Melissa L Welch, Abigail Mulcahy, Sara Imanpour, Judith G Beverly, Emily Naiser

{"title":"Framing the front door: co-creating a home health care assessment of service need for children with disabilities.","authors":"Darcy Jones McMaughan, Jennifer P Ozmetin, Melissa L Welch, Abigail Mulcahy, Sara Imanpour, Judith G Beverly, Emily Naiser","doi":"10.1080/01621424.2021.1952132","DOIUrl":"https://doi.org/10.1080/01621424.2021.1952132","url":null,"abstract":"This paper details the co-creation of a home health assessment tool for children with disabilities in the context of state-level systems change from traditional Medicaid to Medicaid managed care. A community based, sequential, mixed methods design was used to co-develop the assessment. A process evaluation highlighted community members' experiences with Medicaid managed care. Community members identified issues related to appropriateness of items and loss of services and recommended a dual assessment process to address concerns. Results indicated that 72% of items functioned well. Community members felt that organizational policies and the accuracy of clinical information obtained during assessment processes led directly to loss of services. Co-creating the assessment with caregivers of children with disabilities led to a comprehensive, person-centered, and holistic tool. The process buttressed several concrete systems and policy actions to improve home health care for children with disabilities in Medicaid managed care.","PeriodicalId":45875,"journal":{"name":"HOME HEALTH CARE SERVICES QUARTERLY","volume":"40 3","pages":"231-246"},"PeriodicalIF":1.4,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/01621424.2021.1952132","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39227047","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

A comparative analysis of state adoption of the Community First Choice program. 各州采用社区优先选择计划的比较分析。

IF 1.4

HOME HEALTH CARE SERVICES QUARTERLY Pub Date : 2021-07-01 Epub Date: 2021-07-26 DOI: 10.1080/01621424.2021.1947926

Lisa Kalimon Beauregard, Edward Alan Miller

引用次数: 2

O17.5 Blood borne viruses screening (BBVS) for temporarily housed rough sleepers in Brighton & Hove during the Covid-19 pandemic O17.5在Covid-19大流行期间，布莱顿和霍夫临时安置的露宿者的血源性病毒筛查(BBVS)

IF 1.4

HOME HEALTH CARE SERVICES QUARTERLY Pub Date : 2021-07-01 DOI: 10.1136/sextrans-2021-sti.150

G. Dean, M. Coskry, Marc Tweed, M. O’Sullivan, J. Vera

{"title":"O17.5 Blood borne viruses screening (BBVS) for temporarily housed rough sleepers in Brighton & Hove during the Covid-19 pandemic","authors":"G. Dean, M. Coskry, Marc Tweed, M. O’Sullivan, J. Vera","doi":"10.1136/sextrans-2021-sti.150","DOIUrl":"https://doi.org/10.1136/sextrans-2021-sti.150","url":null,"abstract":"BackgroundAt the start of the Coronavirus pandemic the UK Government pledged to house all rough-sleepers in temporary accommodation. This provided healthcare workers with a unique opportunity to access this ‘hard-to-find’ group, offer blood borne viruses screening (BBVS) and link clients testing positive into individualised treatment.ApproachA collaborative working group (HIV clinicians, HIV prevention specialists, hepatitis C outreach nurses and rough-sleepers health-engagement workers) established comprehensive risk-assessments, PPE supplies and dried blood spot procurement. Two experienced outreach workers worked along-side trusted homeless key-workers to offer BBVS (HIV, hepatitis BC192 (72%) tested. 148 (77%) tested ‘mainly due to the incentive’. Of the 192 testers the median age (range) was 40y (18–69). Clients were mainly male 161 (83%);white-British 164 (85%) and heterosexual 179 (93%). 54 (28%) stated previous IVDU;39 (20%) other drug use and 92 (48%) prison as risk-factors. 70 (36%) had not previously tested. 31 (16%) were hepatitis C antibody positive;13 (7%) RNA positive. To date 4 have started treatment;5 deferred;3 did not engage with services despite being aware of the diagnosis;1 left the area. No new HIV diagnoses (two clients re-engaged with care). Most clients considered the service good or excellent, and would recommend (99%). Challenges included lab delays due to competing Covid-19 testing and engaging disenfranchised clients.Innovation and SignificanceThis project brought together a multidisciplinary collaboration, drawing on specialist knowledge to meet complex needs. Despite challenges during a pandemic, we obtained a useful snap-shot of BBV rates. Offering an incentive to a cohort sensitised to BBVS was important. New outreach testing opportunities were identified which will be progressed in 2021.","PeriodicalId":45875,"journal":{"name":"HOME HEALTH CARE SERVICES QUARTERLY","volume":"12 1","pages":""},"PeriodicalIF":1.4,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87841970","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 of a drug distribution support device and survey of medication management burden on group home staff. 一种药物分配辅助装置的研制及对集体之家工作人员药物管理负担的调查。

IF 1.4

HOME HEALTH CARE SERVICES QUARTERLY Pub Date : 2021-07-01 Epub Date: 2021-07-22 DOI: 10.1080/01621424.2021.1947927

Ryoji Suzuki

引用次数: 1

Facilitators and challenges in the adoption of a virtual nurse visit in the home health setting. 在家庭健康环境中采用虚拟护士访问的促进因素和挑战。

IF 1.4

HOME HEALTH CARE SERVICES QUARTERLY Pub Date : 2021-04-01 DOI: 10.1080/01621424.2021.1906374

Susan D Birkhoff, Julie McCulloh Nair, Kelly Bald, Tracey Frankum, Sophie R Sanchez, Alicia L Salvatore

{"title":"Facilitators and challenges in the adoption of a virtual nurse visit in the home health setting.","authors":"Susan D Birkhoff, Julie McCulloh Nair, Kelly Bald, Tracey Frankum, Sophie R Sanchez, Alicia L Salvatore","doi":"10.1080/01621424.2021.1906374","DOIUrl":"https://doi.org/10.1080/01621424.2021.1906374","url":null,"abstract":"The COVID-19 pandemic created an opportunity to incorporate nurse-led virtual home care visits into heart failure patients' plan of care. As a supplemental nurse visit to traditional in-person home visits, the Virtual Nurse Visit (VNV) service was deployed using Zoom teleconferencing technology enabling telehealth nurses to remotely communicate, assess, and educate their patients. This mixed methods study explored heart failure patients' abilities, experience, and satisfaction to use and adopt a virtual nurse visit. Sociodemographic, semi-structured interview questions, and the System Usability Scale data were collected. Thirty-four participants completed the study. Over half of participants perceived the VNV usable and four qualitative themes emerged: perceived safety during COVID-19, preferences for care delivery, user experiences and challenges, and satisfaction with the VNV service. Findings from this study builds the science around telehealth that will inform future studies examining this type of nurse-led virtual visit and subsequent patient outcomes.","PeriodicalId":45875,"journal":{"name":"HOME HEALTH CARE SERVICES QUARTERLY","volume":"40 2","pages":"105-120"},"PeriodicalIF":1.4,"publicationDate":"2021-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/01621424.2021.1906374","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9446958","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: 10

Don't give up when communication is difficult: Online well-being advice for caregivers of people with Alzheimer's and dementia. 沟通困难时不要放弃:阿尔茨海默氏症和痴呆症患者护理人员的在线健康建议。

IF 1.4

HOME HEALTH CARE SERVICES QUARTERLY Pub Date : 2021-04-01 Epub Date: 2021-04-02 DOI: 10.1080/01621424.2021.1907266

Olivia E Jones, Elizabeth S Parks

{"title":"Don't give up when communication is difficult: Online well-being advice for caregivers of people with Alzheimer's and dementia.","authors":"Olivia E Jones, Elizabeth S Parks","doi":"10.1080/01621424.2021.1907266","DOIUrl":"https://doi.org/10.1080/01621424.2021.1907266","url":null,"abstract":"Sixteen million people in the United States are unpaid caregivers to people with Alzheimer's or dementia. Although caregiver investment is associated with personal and relational benefits, there are also emotional, mental, relational, and physical costs. This study explores online well-being advice for nonprofessional caregivers of people with Alzheimer's and dementia, resulting in 332 online resources that offer informational support for nonprofessional caregivers. Although competent communication directly impacts the well-being of caregiving relationships, only 39 of these texts offered advice related to communication strategies. Thematic analysis of these 39 sources resulted in 1,024 discrete pieces of caregiver advice related to three overarching themes: Daily Routine, Care Recipient Well-Being, and Caregiver Self-Care. We examine the Caregiver Self-Care theme to understand informational support available to caregivers. These self-care advice themes reveal a need for intentional focus on the home health quality of nonprofessional caregivers about ways that communication impacts their everyday lives.","PeriodicalId":45875,"journal":{"name":"HOME HEALTH CARE SERVICES QUARTERLY","volume":" ","pages":"136-147"},"PeriodicalIF":1.4,"publicationDate":"2021-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/01621424.2021.1907266","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25539225","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

Home health aides' experiences of their occupational health: a qualitative meta-synthesis. 家庭健康护理员的职业健康经验:一项质的综合研究。

IF 1.4

HOME HEALTH CARE SERVICES QUARTERLY Pub Date : 2021-04-01 Epub Date: 2021-05-05 DOI: 10.1080/01621424.2021.1921650

Sunniva Grønoset Grasmo, Ingeborg Frostad Liaset, Skender Elez Redzovic

{"title":"Home health aides' experiences of their occupational health: a qualitative meta-synthesis.","authors":"Sunniva Grønoset Grasmo, Ingeborg Frostad Liaset, Skender Elez Redzovic","doi":"10.1080/01621424.2021.1921650","DOIUrl":"https://doi.org/10.1080/01621424.2021.1921650","url":null,"abstract":"Home health aides (HHA) have high sickness absence while the need for home care services is rapidly growing. The aim of this study was to derive new conceptual understandings by identifying, describing and interpreting key concepts across qualitative studies on how HHA experience their occupational health related to their working conditions.A qualitative ethnographic meta-synthesis was used as a method to analyze 27 articles included from systematic searches in CINAHL, MEDLINE and PsycINFO.HHA experience physical strenuous work task demands in combination with unfortunate organizational conditions in an uncontrolled and ever-changing psychosocial and physical working environment as the main obstacle to their occupational health, although many positive presence factors with opposite effects were reported.More research is needed to investigate whether physical demanding work tasks can have positive effects on HHA's occupational health by reorganizing their work while preserving patients' empowerment at their home.","PeriodicalId":45875,"journal":{"name":"HOME HEALTH CARE SERVICES QUARTERLY","volume":" ","pages":"148-176"},"PeriodicalIF":1.4,"publicationDate":"2021-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/01621424.2021.1921650","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38960994","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: 9