Characteristics of older adults living with HIV accessing home and community care services in British Columbia, Canada

AIDS Care ◽  
2020 ◽  
Vol 33 (1) ◽  
pp. 121-130
Author(s):  
Katrina Koehn ◽  
Heather Burgess ◽  
Sharyle Lyndon ◽  
Michelle Lu ◽  
Monica Ye ◽  
...  
Keyword(s):  
Older Adults ◽  
British Columbia ◽  
Community Care ◽  
Care Services ◽  
Home And Community Care ◽  
Living With Hiv

A SHARP Response: Developing COVID-19 Research Aims in Partnership with the Seniors Helping as Research Partners (SHARP) Group

2021 ◽  
pp. 1-8
Author(s):  
Jacobi Elliott ◽  
Alexandra Whate ◽  
Heather McNeil ◽  
Alison Kernoghan ◽  
Paul Stolee ◽  
...  
Keyword(s):  
Older Adults ◽  
Long Term Care ◽  
Community Care ◽  
Future Research ◽  
Policy Planning ◽  
Term Care ◽  
Care Services ◽  
Home And Community Care ◽  
Research And Policy

Abstract COVID-19 has disproportionally impacted older adults, and has highlighted many issues, including extreme deficiencies in Canadian long-term care homes and gaps in home and community care services for older adults. In recent years, there has been a push towards better patient and family engagement in health system research, and with the onset of the pandemic, engaging older adults in research and policy planning is more important than ever. In this article, we describe the Seniors Helping as Research Partners (SHARP) approach to engagement with older adults as an example of how partnerships that engage older adults in the development of research aims and processes can help to ensure that future research meets the needs of older adults. SHARP members highlighted a number of areas for future COVID-19 research such as improvements to long-term care, enhancing access to home and community care, and a focus on aging and social isolation.

Improving primary level home and community care services for older people: The case of Hong Kong

2017 ◽  
Vol 27 (1) ◽  
pp. 52-61 ◽  
Author(s):  
Yuan Yuan Fu ◽  
Ernest Wing Tak Chui ◽  
Wing Shan Kan ◽  
Lisanne Ko
Keyword(s):  
Hong Kong ◽  
Older People ◽  
Community Care ◽  
Primary Level ◽  
Care Services ◽  
Home And Community Care

A deterministic model of home and community care client counts in British Columbia

2008 ◽  
Vol 12 (1) ◽  
pp. 80-98 ◽  
Author(s):  
W. L. Hare ◽  
A. Alimadad ◽  
H. Dodd ◽  
R. Ferguson ◽  
A. Rutherford
Keyword(s):  
British Columbia ◽  
Community Care ◽  
Deterministic Model ◽  
Home And Community Care

Social Participation Among Older Adults Receiving Community Care Services

2020 ◽  
pp. 073346482093897
Author(s):  
Joyce Siette ◽  
Helen Berry ◽  
Mikaela Jorgensen ◽  
Lindsey Brett ◽  
Andrew Georgiou ◽  
...  
Keyword(s):  
Older Adults ◽  
Social Participation ◽  
Rural Women ◽  
Service Use ◽  
Community Care ◽  
Care Service ◽  
Geographical Location ◽  
Aged Care ◽  
Care Needs ◽  
Care Services

Aged care services have the potential to support social participation for the growing number of adults aging at home, but little is known about the types of social activities older adults in community care are engaged in. We used cluster analysis to examine the current profiles of social participation across seven domains in 1,114 older Australians, and chi-square analyses to explore between-group differences in social participation and sociodemographic and community care service use. Two distinct participation profiles were identified: (a) connected, capable, older rural women and (b) isolated, high-needs, urban-dwelling men. The first group had higher levels of engagement across six social participation domains compared with the second group. Social participation among older adults receiving community care services varies by gender, age, individual care needs, and geographical location. More targeted service provision at both the individual and community levels may assist older adults to access social participation opportunities.

scholarly journals Assessment, Allocation, And Management Of Home And Community Care Services For Medically Complex Children : A Case Study

2021 ◽  
Author(s):  
David Salib
Keyword(s):  
Community Care ◽  
Assessment Tool ◽  
Assessment Tools ◽  
Local Health ◽  
Health Human Resource ◽  
Care Needs ◽  
Care Services ◽  
Home And Community Care ◽  
Care Coordinators

This study examines the experiences of CCAC Care Coordinators when assessing, allocating, and managing medically complex children who require home and community care services. A case-study design was implemented, employing a focus group with seven Care Coordinators and an analysis of the 14 Local Health Integration Networks (LHINs) Integrated Health Service Plans (IHSPs) across Ontario. Three major findings arose from the study. First, families are experiencing increased levels of burden related to the child's care responsibilities. Second, there remains a health human resource shortage of individuals with a specialization in paediatrics in the home and community sector. Third, Care Coordinators function as street-level bureaucrats when allocating publicly funded services without the use of a standardized assessment tool. Ultimately, a model of care needs to be implemented supporting a balanced approach to assessment, utilizing standard assessment tools while providing a means for Care Coordinators to utilize their expertise in allocating services.

Gatekeepers to home and community care services: the link between client characteristics and source of referral

2013 ◽  
Vol 37 (3) ◽  
pp. 356 ◽  
Author(s):  
Nerina Vecchio
Keyword(s):  
Home Care ◽  
Community Care ◽  
Health Workers ◽  
Multinomial Logistic Regression ◽  
Care Program ◽  
Ageing Population ◽  
Community Factors ◽  
Care Services ◽  
Healthcare Needs ◽  
Home And Community Care

Objectives. To identify characteristics associated with the likelihood of a client receiving a referral to the Home and Community Care (HACC) program from various sources. Methods. Data were collected from 73 809 home care clients during 2007–08. Binary logistic and multinomial logistic regression were used to investigate the likelihood of a client being referred by health workers v. non-health workers. Results. Females and clients cared for by their parents were less likely to receive referrals from health workers than non-health workers after confounding variables were controlled for. While poorer functional ability of clients increased the probability of receiving a referral from a health worker, the opposite was true for those with behavioural problems. Over 43% of the sample either self-referred or was referred by family or friends. Conclusions. Eligible individuals may miss out on services unless they or their family take the initiative to refer. There is a need for improved methods and incentives to support and encourage health workers to refer eligible individuals to the program. What is known about the topic? The absence or inappropriate referral to a suitable home care program can place pressure on formalised institutions and increase burdens on family members and the community. Factors largely unrelated to healthcare needs carry significant weight in determining hospital discharge decisions and home care referrals by practitioners. What does this paper add? The effectiveness of the HACC program is dependent on the referrer who acts to inform and facilitate individuals to the program. The purpose of this study is to identify the characteristics associated with the likelihood of individuals receiving a referral to the HACC program from various sources. What are the implications for practitioners? This study will assist policy makers and practitioners in developing effective strategies that transition individuals to suitable home care services in a timely manner. An effective referral process would provide opportunities for implementing preventative strategies that reduce disability rates among individuals and the burden of care for the community. For instance, individuals with unmet needs may be at higher risk from injury at home through inadequate monitoring of nutrient and medication intake and inappropriate home surroundings. Improving knowledge about care options and providing appropriate incentives that encourage health workers to refer individuals would be an effective start in improving the health outcomes of an ageing population.

Towards a Measure of Function for Home and Community Care Services in Australia: Part 2 - Evaluation of the Screening Tool and Assessment Instruments

2006 ◽  
Vol 12 (1) ◽  
pp. 82 ◽  
Author(s):  
Janette Green ◽  
Kathy Eagar ◽  
Alan Owen ◽  
Rob Gordon ◽  
Karen Quinsey
Keyword(s):  
Screening Tool ◽  
Community Care ◽  
Target Population ◽  
Assessment Instruments ◽  
Care Services ◽  
Home And Community Care ◽  
Stage 1

The National Home and Community Care (HACC) Dependency Data Items Project was established to recommend, for national use, validated and reliable instruments for measuring the dependency of people eligible for HACC services. In Stage 2 of the project - reported here - a screening tool and assessment instruments selected in Stage 1 of the project were field-tested in a range of HACC agencies. The performance of the screen and the associated assessments was evaluated, as was their acceptability to HACC staff and clients. The results suggest that all of the five instruments are suitable for the target population of HACC services and they can be used effectively across a broad range of service types and by providers of diverse professional backgrounds.

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