Barriers and facilitators to providing home-based care in a pandemic: policy and practice implications

被引：5

作者：

Bell, Sue Anne ^{[1
]}

Krienke, Lydia ^{[2
]}

Brown, Allyson ^{[3
]}

Inloes, Jen ^{[1
]}

Rettell, Zoe ^{[1
]}

Wyte-Lake, Tamar ^{[4
]}

机构：

[1] Univ Michigan, Sch Nursing, Ann Arbor, MI 48109 USA

[2] Johns Hopkins Univ, Sch Nursing, Baltimore, MD USA

[3] Univ Michigan, Ann Arbor, MI 48109 USA

[4] Vet Emergency Management Evaluat Ctr, North Hills, CA USA

来源：

BMC GERIATRICS | 2022年 / 22卷 / 01期

基金：

美国国家卫生研究院;

关键词：

Home-based care; Disaster; COVID-19; Policy; Practice; DISASTER PREPAREDNESS; QUALITATIVE RESEARCH; SAMPLE-SIZE; CHALLENGES; COVID-19;

D O I：

10.1186/s12877-022-02907-w

中图分类号：

R592 [老年病学]; C [社会科学总论];

学科分类号：

03 ; 0303 ; 100203 ;

摘要：

Objective The purpose of this study is to describe the experiences of home-based care providers (HBCP) in providing care to older adults during the pandemic in order to inform future disaster planning, including during pandemics. Design Qualitative inquiry using an abductive analytic approach. Setting and participants Home-based care providers in COVID-19 hotspots. Methods Telephone interviews were conducted with 27 participants (administrators, registered nurses and other members of the allied healthcare team), who provided in-home care during the pandemic in Medicare-certified home health agencies. Interviews focused on eliciting experiences from HBCP on challenges and successes in providing home-based care to older adults, including barriers to care and strategies employed to keep patients, and providers, safe in their homes during the pandemic. Results Data was distilled into four major themes that have potential policy and practice impact. These included disrupted aging-in-place resources, preparedness actions contributing to readiness for the pandemic, limited adaptability in administrative needs during the pandemic and challenges with unclear messaging from public health officials. Conclusions Home-based care plays an essential role in maintaining the health of older adults in disaster contexts, including pandemics. Innovative solutions, informed by policy that generate evidence-based best practices to support HBCP are needed to reduce barriers and increase protective factors, in order to maintain continuity of care for this vulnerable population during disruptive events.

引用

页数：10