scholarly journals Qualitative Evaluation: GRECC Connect as a Method of Delivering Health Care to Rural Older Veterans

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 119-119
Author(s):  
Lauren Moo ◽  
William Hung ◽  
Eileen Dryden ◽  
Camilla Pimentel ◽  
Laura Kernan ◽  
...  
Keyword(s):  
Health Care ◽  
Social Workers ◽  
Family Caregivers ◽  
Rural Health ◽  
Qualitative Evaluation ◽  
Outpatient Clinics ◽  
Multiple Perspectives ◽  
Community Based ◽  
Stakeholder Groups ◽  
Medical Centers

Abstract The VA Office of Rural Health-funded GRECC Connect program uses telehealth modalities to provide geriatric specialty care to rural older veterans and education to clinicians in VA Community-based outpatient clinics (CBOCs). Qualitative evaluation of GRECC Connect has included interviews with three stakeholder groups: geriatrics specialty teams at 15 hub medical centers, rural CBOC staff, and patients/family caregivers. CBOC staff interviews included 50 individuals from 13 different CBOCs. Staff roles included clinic managers, social workers, psychologists, physicians, nurses, and telehealth technicians. Older veterans who had recently been involved in a GRECC Connect video visit were also invited to share their views on the visit. By including multiple perspectives on the program, we are better positioned to increase reach, access, and improve care for older rural veterans.

scholarly journals Understanding How to Support Family Caregivers of Seniors with Complex Needs

2017 ◽  
Vol 20 (2) ◽  
pp. 75-84 ◽  
Author(s):  
Lesley Charles ◽  
Suzette Brémault-Phillips ◽  
Jasneet Parmar ◽  
Melissa Johnson ◽  
Lori-Ann Sacrey
Keyword(s):  
Health Care ◽  
Family Caregivers ◽  
Health Care Providers ◽  
Research Priorities ◽  
Care Providers ◽  
Community Based ◽  
Caregiver Support ◽  
Complex Needs ◽  
Participant Engagement

Purpose of the StudyThe purpose of this study was to describe the experiences and challenges of supporting family caregivers of seniors with complex needs and to outline support strategies and research priorities aimed at supporting them.Design and MethodsA CIHR-funded, two-day conference entitled “Supporting Family Caregivers of Seniors: Improving Care and Caregiver Outcomes” was held. An integrated knowledge translation approach guided this planning conference. Day 1 included presentations of research evidence, followed by participant engagement Qualitative data was collected regarding facilitators, barriers/gaps, and recommendations for the provisionof caregiver supports. Day 2 focused on determination of research priorities.ResultsIdentified facilitators to the provision of caregiver support included accessibility of health-care and community-based resources, availability of well-intended health-care providers, and recognition of caregivers by the system. Barriers/gaps related to challenges with communication, access to information, knowledge of what is needed, system navigation, access to financial resources, and current policies. Recommendations regarding caregiver services and research revolved around assisting caregivers to self-identify and seek support, formalizing caregiver supports, centralizing resources, making system navigation available, and preparing the next generation for caregiving.Implication A better understanding of the needs of family caregivers and ways to support them is critical to seniors’ health services redesign.

The Primary Physician and the Death of a Child in a Specialized Hospital Setting

PEDIATRICS ◽  
1983 ◽  
Vol 71 (3) ◽  
pp. 443-445
Author(s):  
MORRIS A. WESSEL
Keyword(s):  
Social Workers ◽  
Hospital Setting ◽  
Infants And Children ◽  
Hospital Service ◽  
Community Based ◽  
Medical Centers ◽  
Primary Physician ◽  
Hospital Physicians ◽  
Death Of A Child ◽  
Specialized Hospital

Pediatricians offer ongoing comprehensive and coordinate care for children. Community-based primary pediatricians assume a large proportion of this repsonsibility, referring a few patients to collegues with specialized skills for consultation and treatment. These consultants, who are often fulltime members of university or other medical centers, provide care extending the lives of many children suffering illnesses that formerly were fatal early in the course of the disease. Some infants and children unfortunately do die after many months or years of treatment at a specialized clinic or hospital service. When this tragedy occurs, parents and siblings have the difficult task of relinquishing their relationship to hospital physicians, nurses, and social workers who have sustained them for many months or years.

scholarly journals A Strategy Matching Tool for Boosting Implementation of Geriatric Telehealth Services in Rural CBOCs

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 120-120
Author(s):  
Laura Kernan ◽  
Eileen Dryden ◽  
Camilla Pimentel ◽  
Kathryn Nearing ◽  
Lauren Moo
Keyword(s):  
Change Implementation ◽  
Outpatient Clinics ◽  
Veterans Administration ◽  
Community Based ◽  
Hub And Spoke ◽  
Implementing Change ◽  
Medical Centers ◽  
Implementation Approach ◽  
Facilitators And Barriers ◽  
Expert Recommendations

Abstract Fifteen Veterans Administration Medical Centers (VAMCs) offer geriatric specialty care telehealth services through a hub and spoke model to patients at affiliated community-based outpatient clinics (CBOCs). These services are not used to the extent they could be. Through interviews with 50 staff and providers at rural CBOCs we identified several implementation facilitators and barriers. CBOC-level barriers included space constraints, low staffing, internet connection issues, and limited knowledge of services available and referral processes. Patient-level barriers included discomfort with technology, cognitive decline, and inability to travel to the CBOC. We found that champions within the CBOC and iterative, targeted outreach from the hub helped facilitate uptake of services. We entered the identified barriers into the CFIR-ERIC (Consolidated Framework for Implementation Research-Expert Recommendations for Implementing Change) Implementation Strategy Matching Tool to help generate targeted strategies that will be used to refine each hub’s implementation approach.

scholarly journals Community-based health care for indigenous women in Mexico: a qualitative evaluation

2014 ◽  
Vol 13 (1) ◽  
pp. 2 ◽  
Author(s):  
Blanca Pelcastre-Villafuerte ◽  
Myriam Ruiz ◽  
Sergio Meneses ◽  
Claudia Amaya ◽  
Margarita Márquez ◽  
...  
Keyword(s):  
Health Care ◽  
Qualitative Evaluation ◽  
Indigenous Women ◽  
Community Based

scholarly journals BURDEN OF FAMILY CAREGIVER

2016 ◽  
Vol 2 (1) ◽  
pp. 10-18 ◽  
Author(s):  
Faida Annisa
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Family Caregivers ◽  
Health Care Providers ◽  
Nursing Care ◽  
Family Caregiver ◽  
Negative Consequences ◽  
Care Providers ◽  
Community Based ◽  
The Family

Shifting from hospital-based care to community-based care involves the family as advanced caregivers to the patients with Schizophrenia at their home. Yet, they have need of knowledge and skill in caring the patients as well as support from health care providers and society. Family caregivers should be well-prepared to take care the patients with Schizophrenia at home since it gets some negative consequences on their physical, psychological, social, and financial. Nurse need to assess the factors that might influence the family caregivers to felling burden, and include the family caregivers into nursing care in which would not only to improve the patients’ mental health but the family caregivers as well.

Criminal Justice: Corrections

2013 ◽  
Author(s):  
C. Aaron McNeece
Keyword(s):  
United States ◽  
Health Care ◽  
Criminal Justice ◽  
Social Workers ◽  
The United States ◽  
Prison Inmate ◽  
Community Based ◽  
Faith Based ◽  
Current Trends ◽  
The Future

The United States has more than 7 million adults under correctional supervision, with more than 2 million incarcerated. The history and theories behind incarceration are described, along with the current jail and prison inmate populations. Specific problems of juveniles and women are mentioned. Current trends and issues in corrections are discussed, including community-based corrections, privatization, faith-based programs, and health care. The roles of social workers in the correctional system are outlined. Comments are made on the future of incarceration.

Equity in Veterans' Mental Health Care: Veterans Affairs Medical Center Clinics Versus Community-Based Outpatient Clinics

2008 ◽  
Vol 23 (2) ◽  
pp. 128-135 ◽  
Author(s):  
JoAnn E. Kirchner ◽  
Richard R. Owen ◽  
Nancy Dockter ◽  
Teresa L. Kramer ◽  
Kathy Henderson ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Care ◽  
Medical Center ◽  
Veterans Affairs ◽  
Outpatient Clinics ◽  
Community Based

scholarly journals INTEGRATING SOCIAL NEEDS CARE INTO THE DELIVERY OF HEALTH CARE TO IMPROVE THE NATION’S HEALTH FOR OLDER ADULTS

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S496-S497
Author(s):  
Tamara J Cadet ◽  
Robyn Golden ◽  
Keegan Warren-Clem
Keyword(s):  
Older Adults ◽  
Health Care ◽  
Health Outcomes ◽  
Social Workers ◽  
Delivery Of Health Care ◽  
Social Needs ◽  
Determinants Of Health ◽  
Care Providers ◽  
Community Based ◽  
Term Care

Abstract An ad hoc committee of the National Academies of Sciences, Engineering, and Medicine examined the potential for integrating services addressing social needs and the social determinants of health into the delivery of health care to achieve better health outcomes and to address major challenges facing the U.S. health care system. These challenges, include persisting disparities in health outcomes among vulnerable subpopulations, often defined by a number of factors including age. Presenters will discuss and provide recommendations in the following areas: 1. evidence of impact of social needs care on patient and caregiver/family health and wellbeing, patient activation, health care utilization, cost savings, and patient and provider satisfaction; 2. opportunities and barriers to expanding historical roles and leadership of social workers in providing health-related social needs care and evidence-based care models that incorporate social workers and/or other social needs care providers in interprofessional care teams across the care continuum (e.g., acute, ambulatory, community-based, long-term care, hospice care, public health, care planning) and in delivery system reform efforts (e.g., enhancing prevention and functional status, care management, and transitional care; improving end-of-life care; integration of behavioral, mental, and physical health services); and 3. realized and potential contributions of social needs care to make health care delivery systems more community based, person- and family/caregiver-centered, and responsive to social and structural determinants of health, particularly for vulnerable populations and communities, such as older adults and low-income families. Examples for each of the three areas will also be presented.

scholarly journals SUCCESSES IN THE TRANSLATION OF CAREGIVER INTERVENTIONS IN COMMUNITY-BASED ORGANIZATIONS AND HEALTH CARE SYSTEMS

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S439-S440
Author(s):  
Jinmyoung Cho ◽  
Alan B Stevens
Keyword(s):  
Health Care ◽  
Family Caregivers ◽  
Health Care System ◽  
Support Services ◽  
Health Care Systems ◽  
Evidence Based ◽  
Community Based ◽  
Community Based Organizations ◽  
Care Systems ◽  
Caregiver Interventions

Abstract Family caregiving of an older adult has become an essential element of the U.S. health care system, with 83 percent of long-term care provided to older adults coming from family members or other unpaid helpers. With the amount and type of care provided by families expected to increase, caregiving demands should be coupled with community and health care systems-based supports. While scientific research has demonstrated the value of providing education, skills training and support to family caregivers, health care and social service providers do not systematically include these interventions in their services. Thus, for the vast majority of family caregivers, caregiving support services remain extremely fragmented, if not elusive. This symposium provides four examples of how health care systems that frequently see patients with dementia and community-based organizations who provide ongoing supportive services to family caregivers, have adapted evidence-based caregiver interventions into branded service programs. Dr. Jinmyoung Cho will present racial/ethnic comparisons on the impact of community-based implementation of a caregiver education program, REACH-TX. Dr. Leah Hanson will introduce the implementation of Mindfulness-Based Dementia-Care (MBDC) within a health care system. Dr. Christine Jensen will address how caregivers can benefit from evidence-driven programs in health care settings. Lastly, Dr. David Coon will present two different approaches to translation of evidence-based programs through community-based organizations, with CarePRO embedded after completion of a clinical trial and EPIC embedded from the program’s initial pilot phase. The discussant, Dr. Alan Stevens, will highlight the needs of caregivers and support services recognized by all key stakeholders.

Community Based Rural Health Care in India

2004 ◽  
Vol 2 (2-3) ◽  
pp. 95-116
Author(s):  
Sukla Deb Kanango
Keyword(s):  
Health Care ◽  
Rural Health ◽  
Rural Health Care ◽  
Community Based
Sign in / Sign up

Export Citation Format

Share Document