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.
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页码:1 / 12
页数:12
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