Implementing the interRAI Check-Up Comprehensive Assessment: Facilitating Care Planning and Care Coordination during the Pandemic

被引:2
作者
Schumacher, Connie Louise [1 ]
Correia, R. E. B. E. C. C. A. [2 ]
Hogeveen, S. O. P. H. I. E. [2 ]
Salter, M. E. G. A. N. [1 ]
Donaldson, B. A. I. L. E. Y. [1 ]
机构
[1] Brock Univ, St Catharines, ON, Canada
[2] McMaster Univ, Hamilton, ON, Canada
来源
INTERNATIONAL JOURNAL OF INTEGRATED CARE | 2023年 / 23卷 / 02期
关键词
integrated care; telephone assessment; care coordination; older adults; COVID; 19; community care;
D O I
10.5334/ijic.7007
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
Background: Long-stay home care patients are a large population of older adults with multi-morbidity and frailty. The COVID-19 pandemic posed challenges to executing care coordination and completing in-home assessments due to provincial mandates restricting in-person care. We evaluated the implementation of the interRAI Check-Up Self-Report instrument administered by phone and video. Methods: We report on a mixed-methods study, which involved the collection and analysis of survey and focus group data. Care coordinators from two regions in Ontario who had implemented the Check-Up at least once between March 2020 to September 2021 were recruited via convenience sampling. Results: A total of 48 survey respondents and 7 focus group participants consented to the study. Advantages of completing the Check-Up over the telephone or video call included: reduced travel time, reduced risk of disease transmission, familiarity with the assessment questions, and reduced time spent administering the assessment. Limitations most frequently reported were: the inability to see the living environment, hearing impairments, inability to observe non-verbal responses or cues, language barriers, difficulty building rapport, and difficulty understanding the patient. Conclusions: The Check-Up was advantageous in providing sufficient information to create a care plan when administered over the phone and by video. Implementation of the Check-Up assessment was facilitated by familiarity and alignment with other interRAI assessments. Our results indicate that population characteristics need to be taken into consideration for administration of self-report style of assessments.
引用
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页码:1 / 12
页数:12
相关论文
共 35 条
  • [1] Auditor General of Ontario, 2015, ANN REP OFF AUD GEN
  • [2] Bielska I A., 2020, Public Health Management, V18, DOI DOI 10.4467/20842627OZ.20.010.12664
  • [3] Implementation of geriatric assessment and decision support in residential care homes: facilitating and impeding factors during initial and maintenance phase
    Boorsma, Marijke
    Langedijk, Eveliene
    Frijters, Dinnus H. M.
    Nijpels, Giel
    Elfring, Tom
    van Hout, Hein P. J.
    [J]. BMC HEALTH SERVICES RESEARCH, 2013, 13
  • [4] Braun V., 2017, COLLECTING QUALITATI
  • [5] Derivation and Validation of the Detection of Indicators and Vulnerabilities for Emergency Room Trips Scale for Classifying the Risk of Emergency Department Use in Frail Community-Dwelling Older Adults
    Costa, Andrew P.
    Hirdes, John P.
    Bell, Chaim M.
    Bronskill, Susan E.
    Heckman, George A.
    Mitchell, Lori
    Poss, Jeffery W.
    Sinha, Samir K.
    Stolee, Paul
    [J]. JOURNAL OF THE AMERICAN GERIATRICS SOCIETY, 2015, 63 (04) : 763 - 769
  • [6] Creswell J. W., 2011, DESIGNING CONDUCTING
  • [7] Deloitte Canadian Medical Association, 2021, STRUGGL SYST UND HLT, P20
  • [8] Achieving Integration in Mixed Methods Designs-Principles and Practices
    Fetters, Michael D.
    Curry, Leslie A.
    Creswell, John W.
    [J]. HEALTH SERVICES RESEARCH, 2013, 48 (06) : 2134 - 2156
  • [9] Patient engagement at the margins: Health care providers' assessments of engagement and the structural determinants of health in the safety-net
    Fleming, Mark D.
    Shim, Janet K.
    Yen, Irene H.
    Thompson-Lastad, Ariana
    Rubin, Sara
    Van Natta, Meredith
    Burke, Nancy J.
    [J]. SOCIAL SCIENCE & MEDICINE, 2017, 183 : 11 - 18
  • [10] Establishing the criterion validity of the interRAI Check-Up Self-Report instrument
    Geffen, Leon N.
    Kelly, Gabrielle
    Morris, John N.
    Hogeveen, Sophie
    Hirdes, John
    [J]. BMC GERIATRICS, 2020, 20 (01)