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“We just get paid for 12 hours a day, but we work 24”: home health aide restrictions and work related stress

BACKGROUND: Home-bound patients in New York State requiring long-term care services have seen significant changes to their benefits due to turmoil in the Managed Long Term Care (MLTC) market. While there has been research conducted regarding the effect of MLTC challenges on beneficiaries, the impact...

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Autores principales: Shotwell, Jillian L., Wool, Eve, Kozikowski, Andrzej, Pekmezaris, Renee, Slaboda, Jill, Norman, Gregory, Rhodes, Karin, Smith, Kristofer
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6883531/
https://www.ncbi.nlm.nih.gov/pubmed/31779613
http://dx.doi.org/10.1186/s12913-019-4664-2
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author Shotwell, Jillian L.
Wool, Eve
Kozikowski, Andrzej
Pekmezaris, Renee
Slaboda, Jill
Norman, Gregory
Rhodes, Karin
Smith, Kristofer
author_facet Shotwell, Jillian L.
Wool, Eve
Kozikowski, Andrzej
Pekmezaris, Renee
Slaboda, Jill
Norman, Gregory
Rhodes, Karin
Smith, Kristofer
author_sort Shotwell, Jillian L.
collection PubMed
description BACKGROUND: Home-bound patients in New York State requiring long-term care services have seen significant changes to their benefits due to turmoil in the Managed Long Term Care (MLTC) market. While there has been research conducted regarding the effect of MLTC challenges on beneficiaries, the impact of MLTC regulatory changes on home health aides has not been explored. METHODS: Qualitative interviews were conducted with formal caregivers, defined as paid home health aides (HHAs) (n = 13) caring for patients in a home-based primary care program in the New York City metropolitan area. HHAs were asked about their satisfaction with the home based primary care program, their own job satisfaction, and whether HHA restrictions affect their work in any way. Interviews were audio-recorded, transcribed, and analyzed. RESULTS: Two main themes emerged: (1) Pay, benefits and hours worked and (2) Concerns about patient well-being afterhours. HHAs are working more hours than they are compensated for, experience wage stagnation and loss of benefits, and experience stress related to leaving frail clients alone after their shifts end. CONCLUSIONS: HHAs experience significant job-related stress when caring for frail elderly patients at home, which may have implications for both patient care and HHA turnover. As government bodies contemplate new policy directions for long-term care programs which rely on HHAs the impact of these changes on this vulnerable workforce must be considered.
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spelling pubmed-68835312019-12-03 “We just get paid for 12 hours a day, but we work 24”: home health aide restrictions and work related stress Shotwell, Jillian L. Wool, Eve Kozikowski, Andrzej Pekmezaris, Renee Slaboda, Jill Norman, Gregory Rhodes, Karin Smith, Kristofer BMC Health Serv Res Research Article BACKGROUND: Home-bound patients in New York State requiring long-term care services have seen significant changes to their benefits due to turmoil in the Managed Long Term Care (MLTC) market. While there has been research conducted regarding the effect of MLTC challenges on beneficiaries, the impact of MLTC regulatory changes on home health aides has not been explored. METHODS: Qualitative interviews were conducted with formal caregivers, defined as paid home health aides (HHAs) (n = 13) caring for patients in a home-based primary care program in the New York City metropolitan area. HHAs were asked about their satisfaction with the home based primary care program, their own job satisfaction, and whether HHA restrictions affect their work in any way. Interviews were audio-recorded, transcribed, and analyzed. RESULTS: Two main themes emerged: (1) Pay, benefits and hours worked and (2) Concerns about patient well-being afterhours. HHAs are working more hours than they are compensated for, experience wage stagnation and loss of benefits, and experience stress related to leaving frail clients alone after their shifts end. CONCLUSIONS: HHAs experience significant job-related stress when caring for frail elderly patients at home, which may have implications for both patient care and HHA turnover. As government bodies contemplate new policy directions for long-term care programs which rely on HHAs the impact of these changes on this vulnerable workforce must be considered. BioMed Central 2019-11-28 /pmc/articles/PMC6883531/ /pubmed/31779613 http://dx.doi.org/10.1186/s12913-019-4664-2 Text en © The Author(s). 2019 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Research Article
Shotwell, Jillian L.
Wool, Eve
Kozikowski, Andrzej
Pekmezaris, Renee
Slaboda, Jill
Norman, Gregory
Rhodes, Karin
Smith, Kristofer
“We just get paid for 12 hours a day, but we work 24”: home health aide restrictions and work related stress
title “We just get paid for 12 hours a day, but we work 24”: home health aide restrictions and work related stress
title_full “We just get paid for 12 hours a day, but we work 24”: home health aide restrictions and work related stress
title_fullStr “We just get paid for 12 hours a day, but we work 24”: home health aide restrictions and work related stress
title_full_unstemmed “We just get paid for 12 hours a day, but we work 24”: home health aide restrictions and work related stress
title_short “We just get paid for 12 hours a day, but we work 24”: home health aide restrictions and work related stress
title_sort “we just get paid for 12 hours a day, but we work 24”: home health aide restrictions and work related stress
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6883531/
https://www.ncbi.nlm.nih.gov/pubmed/31779613
http://dx.doi.org/10.1186/s12913-019-4664-2
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