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Profiling the medical, functional, cognitive, and psychosocial care needs of adults assessed for home care in Ontario, Canada: The case for long-term 'life care' at home.
Saari, Margaret E; Giosa, Justine L; Holyoke, Paul; Heckman, George A; Hirdes, John P.
Afiliación
  • Saari ME; SE Research Centre, SE Health, Markham, Ontario, Canada.
  • Giosa JL; Lawrence S. Bloomberg Faculty of Nursing, University of Toronto, Toronto, Ontario, Canada.
  • Holyoke P; SE Research Centre, SE Health, Markham, Ontario, Canada.
  • Heckman GA; School of Public Health Sciences, University of Waterloo, Waterloo, Ontario, Canada.
  • Hirdes JP; SE Research Centre, SE Health, Markham, Ontario, Canada.
PLoS One ; 19(4): e0300521, 2024.
Article en En | MEDLINE | ID: mdl-38558082
ABSTRACT
Calls to leverage routinely collected data to inform health system improvements have been made. Misalignment between home care services and client needs can result in poor client, caregiver, and system outcomes. To inform development of an integrated model of community-based home care, grounded in a holistic definition of health, comprehensive clinical profiles were created using Ontario, Canada home care assessment data. Retrospective, cross-sectional analyses of 2017-2018 Resident Assessment Instrument Home Care (RAI-HC) assessments (n = 162,523) were completed to group home care clients by service needs and generate comprehensive profiles of each group's dominant medical, functional, cognitive, and psychosocial care needs. Six unique groups were identified, with care profiles representing home care clients living with Geriatric Syndromes, Medical Complexity, Cognitive Impairment and Behaviours, Caregiver Distress and Social Frailty. Depending on group membership, between 51% and 81% of clients had identified care needs spanning four or more Positive Health dimensions, demonstrating both the heterogeneity and complexity of clients served by home care. Comprehensive clinical profiles, developed from routinely collected assessment data, support a future-focused, evidence-informed, and community-engaged approach to research and practice in integrated home-based health and social care.
Asunto(s)

Texto completo: 1 Colección: 01-internacional Banco de datos: MEDLINE Asunto principal: Rehabilitación Psiquiátrica / Servicios de Atención de Salud a Domicilio Límite: Adult / Aged / Humans País/Región como asunto: America do norte Idioma: En Revista: PLoS One Asunto de la revista: CIENCIA / MEDICINA Año: 2024 Tipo del documento: Article País de afiliación: Canadá

Texto completo: 1 Colección: 01-internacional Banco de datos: MEDLINE Asunto principal: Rehabilitación Psiquiátrica / Servicios de Atención de Salud a Domicilio Límite: Adult / Aged / Humans País/Región como asunto: America do norte Idioma: En Revista: PLoS One Asunto de la revista: CIENCIA / MEDICINA Año: 2024 Tipo del documento: Article País de afiliación: Canadá