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

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. SE...

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Autores principales: Bell, Sue Anne, Krienke, Lydia, Brown, Allyson, Inloes, Jen, Rettell, Zoe, Wyte-Lake, Tamar
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8936035/
https://www.ncbi.nlm.nih.gov/pubmed/35313830
http://dx.doi.org/10.1186/s12877-022-02907-w
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author Bell, Sue Anne
Krienke, Lydia
Brown, Allyson
Inloes, Jen
Rettell, Zoe
Wyte-Lake, Tamar
author_facet Bell, Sue Anne
Krienke, Lydia
Brown, Allyson
Inloes, Jen
Rettell, Zoe
Wyte-Lake, Tamar
author_sort Bell, Sue Anne
collection PubMed
description 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.
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spelling pubmed-89360352022-03-22 Barriers and facilitators to providing home-based care in a pandemic: policy and practice implications Bell, Sue Anne Krienke, Lydia Brown, Allyson Inloes, Jen Rettell, Zoe Wyte-Lake, Tamar BMC Geriatr Research 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. BioMed Central 2022-03-21 /pmc/articles/PMC8936035/ /pubmed/35313830 http://dx.doi.org/10.1186/s12877-022-02907-w Text en © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research
Bell, Sue Anne
Krienke, Lydia
Brown, Allyson
Inloes, Jen
Rettell, Zoe
Wyte-Lake, Tamar
Barriers and facilitators to providing home-based care in a pandemic: policy and practice implications
title Barriers and facilitators to providing home-based care in a pandemic: policy and practice implications
title_full Barriers and facilitators to providing home-based care in a pandemic: policy and practice implications
title_fullStr Barriers and facilitators to providing home-based care in a pandemic: policy and practice implications
title_full_unstemmed Barriers and facilitators to providing home-based care in a pandemic: policy and practice implications
title_short Barriers and facilitators to providing home-based care in a pandemic: policy and practice implications
title_sort barriers and facilitators to providing home-based care in a pandemic: policy and practice implications
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8936035/
https://www.ncbi.nlm.nih.gov/pubmed/35313830
http://dx.doi.org/10.1186/s12877-022-02907-w
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