Barriers and facilitators to providing home-based care in a pandemic: policy and practice implications.
BMC Geriatr
; 22(1): 234, 2022 03 21.
Article
em En
| MEDLINE
| ID: mdl-35313830
ABSTRACT
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 ANDPARTICIPANTS:
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.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Contexto em Saúde:
4_TD
Base de dados:
MEDLINE
Assunto principal:
COVID-19
/
Serviços de Assistência Domiciliar
Tipo de estudo:
Guideline
/
Prognostic_studies
/
Qualitative_research
Limite:
Aged
/
Humans
País/Região como assunto:
America do norte
Idioma:
En
Revista:
BMC Geriatr
Ano de publicação:
2022
Tipo de documento:
Article