干旱区生态环境知识资源中心(Arid): Unmet family caregiver training needs associated with acute care utilization during home health care

Arid

DOI	10.1111/jgs.17138
	Unmet family caregiver training needs associated with acute care utilization during home health care
	Burgdorf, Julia G.; Arbaje, Alicia I.; Stuart, Elizabeth A.; Wolff, Jennifer L.
通讯作者	Burgdorf, JG (corresponding author), 624 N Broadway,Room 698, Baltimore, MD 21205 USA.
来源期刊	JOURNAL OF THE AMERICAN GERIATRICS SOCIETY
ISSN	0002-8614
EISSN	1532-5415
出版年	2021
英文摘要	Background/Objectives Medicare-certified home health agencies are required to offer family caregiver training, but little is known regarding the potential impact of this training on outcomes during home health care. We estimate the proportion of family caregivers assisting Medicare home health patients who have unmet training needs and examine whether these unmet training needs are associated with older adults' risk of acute care utilization during home health care. Design Observational, nationally representative cohort study. Setting Linked National Health and Aging Trends Study, Outcome and Assessment Information Set (OASIS), Medicare Provider of Services file, and Medicare claims data from 2011 to 2016. Participants Thousand two hundred seventeen (weighted n = 5,870,905) community-living Medicare beneficiaries who received home health care between 2011 and 2016. Measurements Family caregivers' unmet training needs measured from OASIS and Medicare claims; home health patients' acute care utilization (including emergency department use and hospitalization) measured from OASIS. Results Rates of unmet need for training varied by activity, from 8.2% of family caregivers assisting with household chores to 16.0% assisting with self-care tasks. After controlling for older adult and home health provider characteristics, older adults whose family caregivers had an unmet need for training with any caregiving activity were twice as likely to incur acute care utilization during their home health episode (adjusted odds ratio [aOR]: 2.01, 95% confidence interval [CI]: 1.20-3.38). This relationship held across specific caregiving activities including household chores (aOR: 1.98; 95% CI: 1.13-3.46), medication management (aOR: 2.50; 95% CI: 1.46-4.26), patient supervision (aOR: 2.92; 95% CI: 1.36-6.24), and self-care tasks (aOR: 3.11; 95% CI: 1.62-6.00). Conclusions and Relevance Unmet training needs among family caregivers are associated with greater likelihood of acute care utilization among Medicare beneficiaries receiving home health care. Identifying and addressing family caregivers' training needs may reduce older adults' risk of acute care utilization during home health care.
英文关键词	acute care utilization family caregiving home health care Medicare
类型	Article ; Early Access
语种	英语
收录类别	SCI-E ; SSCI
WOS记录号	WOS:000633512500001
WOS类目	Geriatrics & Gerontology ; Gerontology
WOS研究方向	Geriatrics & Gerontology
资源类型	期刊论文
条目标识符	http://119.78.100.177/qdio/handle/2XILL650/352356
作者单位	[Burgdorf, Julia G.; Wolff, Jennifer L.] Johns Hopkins Bloomberg Sch Publ Hlth, Dept Hlth Policy & Management, Baltimore, MD USA; [Arbaje, Alicia I.] Johns Hopkins Univ, Div Geriatr Med & Gerontol, Sch Med, Baltimore, MD USA; [Stuart, Elizabeth A.] Johns Hopkins Bloomberg Sch Publ Hlth, Dept Biostat, Baltimore, MD USA
推荐引用方式 GB/T 7714	Burgdorf, Julia G.,Arbaje, Alicia I.,Stuart, Elizabeth A.,et al. Unmet family caregiver training needs associated with acute care utilization during home health care[J],2021.
APA	Burgdorf, Julia G.,Arbaje, Alicia I.,Stuart, Elizabeth A.,&Wolff, Jennifer L..(2021).Unmet family caregiver training needs associated with acute care utilization during home health care.JOURNAL OF THE AMERICAN GERIATRICS SOCIETY.
MLA	Burgdorf, Julia G.,et al."Unmet family caregiver training needs associated with acute care utilization during home health care".JOURNAL OF THE AMERICAN GERIATRICS SOCIETY (2021).