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Home Health Care Services Quarterly

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https://www.readbyqxmd.com/read/29889645/service-provision-and-quality-outcomes-in-home-health-for-rural-medicare-beneficiaries-at-high-risk-for-unplanned-care
#1
Tracy M Mroz, C Holly A Andrilla, Lisa A Garberson, Susan M Skillman, Davis G Patterson, Eric H Larson
Multiple barriers exist to providing home health care in rural areas. This study examined relationships between service provision and quality outcomes among rural, fee-for-service Medicare beneficiaries who received home health care between 2011 and 2013 for conditions associated with high-risk for unplanned care. More skilled nursing visits, visits by more types of providers, more timely care, and shorter lengths of stay were associated with significantly higher odds of hospital readmission and emergency department use and significantly lower odds of community discharge...
July 2018: Home Health Care Services Quarterly
https://www.readbyqxmd.com/read/29863449/the-effectiveness-of-home-health-care-for-reducing-readmissions-an-integrative-review
#2
Danielle M Siclovan
This integrative review analyzes research on the relationship of Home Health Care (HHC) to readmissions, specifically, identifying moderating and mediating factors and measurement constraints influencing effectiveness evaluations of HHC in reducing readmissions. HHC patients' readmission rates are higher than patients not receiving home health services but measurement of effectiveness is confounded by both practice variation and comparisons using noncomparable control groups. Effectiveness evaluations of HHC in reducing readmission requires attention to sample comparability and control for mediating variables...
July 2018: Home Health Care Services Quarterly
https://www.readbyqxmd.com/read/29856271/sizing-up-assisted-living-an-examination-of-long-term-care-ombudsman-complaint-data
#3
Karen J Magruder, Noelle L Fields, Ling Xu
Long-term care ombudsmen are resident advocates who receive, investigate, and resolve complaints relating to quality of care and violations of resident rights in assisted living (AL). More research is needed to understand systemic differences in source, type, and number of ombudsman complaints in AL. Ombudsman complaint data (n = 5,705 complaints) in small, medium, and large ALs in Dallas, Texas were analyzed using proportion Z tests. Findings suggest that all facilities had a high number of environmental complaints...
July 2018: Home Health Care Services Quarterly
https://www.readbyqxmd.com/read/29718782/protecting-workers-in-the-home-care-industry-workers-experienced-job-demands-resource-gaps-and-benefits-following-a-socially-supportive-intervention
#4
Linda Mabry, Kelsey N Parker, Sharon V Thompson, Katrina M Bettencourt, Afsara Haque, Kristy Luther Rhoten, Rob R Wright, Jennifer A Hess, Ryan Olson
The Community of Practice and Safety Support (COMPASS) program is a peer-led group intervention for home care workers. In a randomized controlled trial, COMPASS significantly improved workers' professional support networks and safety and health behaviors. However, quantitative findings failed to capture workers' complex emotional, physical, and social experiences with job demands, resource limitations, and the intervention itself. Therefore, we conducted qualitative follow-up interviews with a sample of participants (n = 28) in the program...
July 2018: Home Health Care Services Quarterly
https://www.readbyqxmd.com/read/29578846/understanding-complex-care-for-older-adults-within-canadian-home-care-a-systematic-literature-review
#5
Shanthi Johnson, Juanita Bacsu
In the context of an aging population, both the need for home care services and its complexity of care have increased in many high-income countries. Yet, the definition of what constitutes complex care is largely elusive. This systematic review examined the conceptual definition of complex care within the home care environment using several social and health science databases for research published from 2000 to 2017. Of the 25 articles and reports identified, only 16 addressed complex care specifically and included older adults, aging, and/or home care...
July 2018: Home Health Care Services Quarterly
https://www.readbyqxmd.com/read/29578844/home-health-nurse-decision-making-regarding-visit-intensity-planning-for-newly-admitted-patients-a-qualitative-descriptive-study
#6
Elliane Irani, Karen B Hirschman, Pamela Z Cacchione, Kathryn H Bowles
Despite patients referred to home health having diverse and complex needs, it is unknown how nurses develop personalized visit plans. In this qualitative descriptive study, we interviewed 26 nurses from three agencies about their decision-making process to determine visit intensity and analyzed data using directed content analysis. Following a multifactorial assessment of the patient, nurses relied on their experience and their agency's protocols to develop the personalized visit plan. They revised the plan based on changes in the patient's clinical condition, engagement, and caregiver availability...
July 2018: Home Health Care Services Quarterly
https://www.readbyqxmd.com/read/29578834/adverse-drug-events-and-medication-problems-in-hospital-at-home-patients
#7
Elizabeth Mann, Orlando Zepeda, Tacara Soones, Alex Federman, Bruce Leff, Albert Siu, Kenneth Boockvar
"Hospital at Home(HaH)" programs provide an alternative to traditional hospitalization. However, the incidence of adverse drug events in these programs is unknown. This study describes adverse drug events and potential adverse drug events in a new HaH program. We examined the charts of the first 50 patients admitted. We found 45 potential adverse drug events and 14 adverse drug events from admission to 30 days after HaH discharge. None of the adverse drug events were severe. Some events, like problems with medication administration, may be unique to the hospital at home setting...
July 2018: Home Health Care Services Quarterly
https://www.readbyqxmd.com/read/29558322/postnatal-women-s-perspectives-on-the-feasibility-of-introducing-postpartum-home-visits-a-jordanian-study
#8
Insaf A Shaban, Khetam Al-Awamreh, Khitam Mohammad, Huda Gharaibeh
In Jordan, there is a deficiency in postnatal care provided to women and their newborns. This study investigated the feasibility of initiating postnatal home visits in Jordan. Thirty Jordanian mothers who had recently given birth were recruited from two governmental hospitals in the northern region of Jordan to participate in a qualitative study through face-to-face, voice-recorded interviews. The findings revealed that initiating postnatal home visits as part of postnatal care was well-received by the participants...
July 2018: Home Health Care Services Quarterly
https://www.readbyqxmd.com/read/29424679/effects-of-respite-care-training-on-respite-provider-knowledge-and-confidence-and-outcomes-for-family-caregivers-receiving-respite-services
#9
Lynn Ackerman, Lois Sheaffer
Respite services are vital in supporting informal caregivers in need of a break from their caregiving duties. A respite training program aimed at developing respite provider competence and improving caregiver well-being was evaluated. Trainees experienced significant growth in their perceived respite knowledge and confidence to deliver respite from pretraining to posttraining. An objective core competency assessment confirmed posttraining knowledge in 10 core areas of respite. Family caregivers provided more favorable ratings on various measures of their well-being while receiving respite from a trained provider compared to before respite began and if respite were to end...
April 2018: Home Health Care Services Quarterly
https://www.readbyqxmd.com/read/29424667/caregiver-informational-support-in-different-patient-care-settings-at-end-of-life
#10
Susan A Lavalley
Caregivers of the terminally ill face many complicated tasks including providing direct patient care, communicating with clinicians, and managing the logistical demands of daily activities. They require instructive information at all points in the illness process and across several settings where patients receive end-of-life care. This study examines how the setting where a patient receives end-of-life care affects caregivers' informational support needs by thematically analyzing data from caregiver interviews and clinical observations...
April 2018: Home Health Care Services Quarterly
https://www.readbyqxmd.com/read/29424658/home-care-in-australia-an-integrative-review
#11
Debra Palesy, Samantha Jakimowicz, Carla Saunders, Joanne Lewis
The home care sector comprises one of Australia's fastest growing workforces, yet few papers capture the overall landscape of Australian home care. This integrative review investigates home care with the aim of better understanding care recipients and their needs, funding, and regulation; care worker skills, tasks, demographics, employment conditions, and training needs. Over 2,700 pieces of literature were analyzed to inform this review. Results suggest sector fragmentation and a home care workforce who, although well-placed to improve outcomes for care recipients, are in need of better training and employment support...
April 2018: Home Health Care Services Quarterly
https://www.readbyqxmd.com/read/29338664/qualitative-analysis-and-conceptual-mapping-of-patient-experiences-in-home-health-care
#12
Lisa M Lines, Wayne L Anderson, Brian D Blackmon, Cristalle R Pronier, Rachael W Allen, Anne E Kenyon
This study explored patient experiences in home health care through a literature review, focus groups, and interviews. Our goal was to develop a conceptual map of home health care patient experience domains. The conceptual map identifies technical and personal spheres of care, relating prior studies to new focus group and interview findings and identifying the most important domains of care. Study participants (n = 35) most frequently reported the most important domain as staff who are caring, supportive, patient, empathetic, respectful, and considerate (endorsed by 29% of participants)...
January 2018: Home Health Care Services Quarterly
https://www.readbyqxmd.com/read/29319428/the-relationship-between-caregiver-burden-and-depressive-symptoms-in-ontario-home-care-clients
#13
Nicole Williams, Samantha Jamal, Dawn M Guthrie
The onset of depressive symptoms is common in home care clients and their caregivers. Understanding the experience of the informal caregiver can assist clinicians in providing services to maximize the well-being of both the client and their caregivers. The objectives of this article are to examine risk factors for the development of depressive symptoms. A longitudinal analysis design was completed for clients with 2+ assessments. The development of depressive symptoms was defined as a Depression Rating Scale score of 3+ on re-assessment...
January 2018: Home Health Care Services Quarterly
https://www.readbyqxmd.com/read/29319423/availability-of-medicaid-home-and-community-based-services-for-older-americans-and-people-with-physical-disabilities
#14
Marissa R Meucci, Noelle K Kurth, Theresa I Shireman, Jean P Hall
This article provides an overview of Medicaid home- and community-based services (HCBS) for older adults and individuals with physical disabilities by describing eligibility criteria, availability, and types of services. All 50 state Medicaid programs provide supplementary HCBS in addition to mandatory services. The amount, type, and eligibility for HCBS varied widely between states. Variation in service provision and eligibility rules has led to a patchwork of services from state to state, with the same person eligible for services in one state but not another...
January 2018: Home Health Care Services Quarterly
https://www.readbyqxmd.com/read/29261436/a-qualitative-exploration-of-veteran-and-family-perspectives-on-medical-foster-homes
#15
Carrie Gilman, Leah Haverhals, Chelsea Manheim, Cari Levy
Since 2008, the Veterans Health Administration Medical Foster Home (MFH) program has served as an alternative to nursing home care for Veterans. As part of a larger national research study, 55 in-person interviews with 62 Veterans and/or their families were conducted to identify reasons for selecting or declining MFH placement. Enrollment was attributed to: a need for increased care and a preference for highly individualized care oversight and family-oriented settings. Reasons for declining placement included: costs, location of MFHs, lack of readiness of family or Veteran to move, and level of confidence that MFHs would meet care needs...
January 2018: Home Health Care Services Quarterly
https://www.readbyqxmd.com/read/29236599/editorial-board-eov
#16
(no author information available yet)
No abstract text is available yet for this article.
July 2017: Home Health Care Services Quarterly
https://www.readbyqxmd.com/read/29220629/personal-emergency-alarms-do-health-outcomes-differ-for-purchasers-and-nonpurchasers
#17
Kristen De San Miguel, Gill Lewin, E Lissa Burton, Peter Howat, Duncan Boldy, Christine Toye
The objective of this study was to assess whether purchasing a personal alarm service makes a difference in a range of health outcomes for community dwelling older adults. The prospective cohort study involved 295 individuals for whom data on emergencies experienced at home were collected over a period of 12 months. Purchasers of alarms, compared to nonpurchasers, benefitted in terms of feeling more safe and secure and being more active around their home. Outcomes experienced after an emergency were similar for both groups with no differences found in terms of time spent on floor, or hospitalizations...
July 2017: Home Health Care Services Quarterly
https://www.readbyqxmd.com/read/29048248/rationale-and-development-of-a-patient-tailored-complex-intervention-of-case-management-for-patients-suffering-from-chronic-obstructive-pulmonary-disease
#18
Sabrina Storgaard Sørensen, Ulla Møller Weinreich, Lars Ehlers
This article describes the rationale, considerations, and choices made in developing a complex intervention evaluating the effectiveness and cost-effectiveness of community-based case management for chronic obstructive pulmonary disease patients in a Danish setting. Inspired by the existing research methods for designing complex interventions, the intervention was developed using mixed methods entailing systematic review of available literature, interviews with key stakeholders, and discussions in a specialist-comprised project group...
July 2017: Home Health Care Services Quarterly
https://www.readbyqxmd.com/read/29048246/home-based-care-barriers-and-facilitators-to-expanded-personal-support-worker-roles-in-ontario-canada
#19
Margaret Saari, Erin Patterson, Tieghan Killackey, Julia Raffaghello, Alissa Rowe, Ann E Tourangeau
To accommodate the increasing demand for home care in Ontario, Canada, some care tasks traditionally performed by regulated health professionals are being transferred to personal support workers (PSW). However, this expansion of PSW roles is not uniform across the province. Between December 2014 and April 2015, barriers and facilitators to expansion of PSW roles in home care were explored in a series of 13 focus groups. Home care staff identified seven categories of factors affecting the expansion of PSW roles in home care including: communication and documentation; organization and structures of care; attitudes and perceptions of the expanding PSW role; adequate staffing; education, training and support; PSW role clarity and variation in practices, policies, and procedures...
July 2017: Home Health Care Services Quarterly
https://www.readbyqxmd.com/read/28937939/trend-and-predictors-of-unplanned-hospitalization-of-older-patients-during-the-first-year-after-admission-into-a-home-medical-service
#20
Rakhi Mittal, Chuen Seng Tan, Weng Yew Tham, Lydia P S Seong, Thai Lian Tan, Gerald Choon-Huat Koh
The primary aim was to determine the trend and predictors of unplanned hospitalization of home medical patients. Records of 1,069 patients were obtained from the medical records. Out of 1,069, we analyzed 512 patients who had utilized services across all four quarters in the first year of admission. There was a significant decline in unplanned hospitalization between the first two quarters. The potential risk factors were the male gender, IRR (95% CI), 1.29 (0.99-1.67); chronic pulmonary disease, 1.53 (1.08-2...
July 2017: Home Health Care Services Quarterly
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