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BMC Geriatrics
Published in: BMC Geriatrics 1/2022

Open Access 01-12-2022 | Care | Research

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

Authors: Sue Anne Bell, Lydia Krienke, Allyson Brown, Jen Inloes, Zoe Rettell, Tamar Wyte-Lake

Published in: BMC Geriatrics | Issue 1/2022

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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 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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Metadata
Title
Barriers and facilitators to providing home-based care in a pandemic: policy and practice implications
Authors
Sue Anne Bell
Lydia Krienke
Allyson Brown
Jen Inloes
Zoe Rettell
Tamar Wyte-Lake
Publication date
01-12-2022
Publisher
BioMed Central
Keywords
Care
COVID-19
Published in
BMC Geriatrics / Issue 1/2022
Electronic ISSN: 1471-2318
DOI
https://doi.org/10.1186/s12877-022-02907-w

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WHO estimates that half of all patients worldwide are non-adherent to their prescribed medication. The consequences of poor adherence can be catastrophic, on both the individual and population level.

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