Where Policy Meets Practice: Employer Perspectives on Scheduling and Hours for Home Care Aides

2017 ◽  
Vol 38 (11) ◽  
pp. 1615-1634 ◽  
Author(s):  
Elizabeth Nisbet ◽  
Jennifer Craft Morgan
Keyword(s):  
Home Care ◽  
State Level ◽  
Direct Care ◽  
Employment Policy ◽  
Policy And Practice ◽  
Care Services ◽  
Home Based ◽  
Fair Labor Standards Act ◽  
Care Aides ◽  
Home Based Care

In a context of growing demand for home-based direct care services, the need to retain direct care workers (DCWs) is clear. The Patient Protection and Affordable Care Act, changes to the Fair Labor Standards Act, and state-level changes in Medicaid support for home-based care together have affected agencies that hire DCWs, with implications for an issue that affects worker satisfaction: scheduling. Many home-based aides employed by agencies cannot count on consistent or sufficient hours. Hours shortfall and instability have been recognized as important issues for retail and restaurant workers, but focused on less for care aides. This study uses semistructured interviews with agency representatives to examine these issues from an employer perspective, with a focus on how the competing influences of health care, labor, and employment policy shape scheduling and a review of how recommendations for changes in policy and practice in other sectors might apply to home care.

scholarly journals Job Design for Home Care Work: Perspectives From Employers and Home Care Aides

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 218-218
Author(s):  
Robyn Stone ◽  
Alex Hennessa ◽  
Natasha Bryant
Keyword(s):  
Home Care ◽  
Work Environment ◽  
Business Models ◽  
Job Design ◽  
Non Profit ◽  
For Profit ◽  
Home Based ◽  
Care Aides ◽  
Home Care Aides ◽  
Home Based Care

Abstract Home-based care is a rapidly growing sector becoming more important to individuals, families, providers, and payers. The ways in which agencies create the work environment for home care aides who are essentially in their clients’ homes is not adequately documented and may be changing rapidly with labor market innovations. This qualitative study describes how different home care business models (e.g., non-profit VNAs, for-profit franchises, uber-style matching, worker-owned coops) address job design and the overall work environment for home care aides. Interviews with employers and focus groups with home care aides examine workplace practices, how work is organized and supported when the workforce is virtual and the workplace is a client’s home, and the perceived attributes of a positive workplace environment across business models. This study fills significant knowledge gaps about home care workplace design and the role of agencies in creating a supportive environment.

scholarly journals CHALLENGES AND OPPORTUNITIES FOR TRAINING AND SUPPORTING AIDES AS MEMBERS OF HOME-BASED CARE TEAMS

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S216-S216
Author(s):  
Robyn Stone ◽  
Natasha Bryant
Keyword(s):  
Home Care ◽  
Scope Of Practice ◽  
Ability To Work ◽  
Training And Education ◽  
Team Members ◽  
Home Based ◽  
Challenges And Opportunities ◽  
Competency Based ◽  
Care Aides ◽  
Home Based Care

Abstract Despite home heath/home care aides being the informal “eyes and ears” of the health system, team-based home care initiatives have not incorporated this workforce into their programs. This presentation summarizes barriers to their inclusion: a basic lack of understanding on the part of clinical team members of the complex tasks these caregivers perform, inadequate investments in competency-based aide training and education, and variation in state nurse delegation laws that limit aides’ scope of practice and their ability to work effectively in teams. This is followed by a review of several programs that have successfully included aides as key members of home care teams. The presentation concludes with recommendations on how federal and state policymakers, educators and health systems and providers can support inclusion of aides in team-based care through standardization of competency-based training programs, expansion of nurse delegation nationwide, and support for piloting, evaluation, dissemination and replication of promising models.

scholarly journals A Summary of Researches on the Quality of Home-based Care Services in China

2021 ◽  
Vol 10 (1) ◽  
pp. 41
Author(s):  
Yi-Luo Wang ◽  
Ying Duan ◽  
Ying Zhang
Keyword(s):  
Service Quality ◽  
Home Care ◽  
Care Service ◽  
Elderly Care ◽  
The Elderly ◽  
Home Care Services ◽  
Care Services ◽  
Home Based ◽  
Home Based Care

With the increase of the aging of the population in china, the demand of the elderly continues to increase, which has brought great challenges to the elderly care service industry. As a new type of elderly care service, home-based care services directly affect the quality of the elderly’s health and daily life in their later years. Therefore, improving the product and quality of elderly care services has become the goal and purpose of the development of home-based care service for aged. This article uses Cite Space software to perform visual analysis of keyword clustering on existing literature, and concludes that scholars focus on the integration of medical care, social elderly care service system, service quality, and influencing factors, but the impact of service quality models and indicator systems is low. Then through the integration and induction of scholars’ research progress on home care services, existing problems in service quality, and service quality evaluation index systems, in order to continue to innovate on the basis of existing knowledge, improve the service quality index system, and focus on combing process indicators with outcome indicators effectively, thereby improving the quality of community home care services.

scholarly journals People living with HIV/AIDS and the utilization of home-based care services

2011 ◽  
Vol 5 (20) ◽  
pp. 3166-3174 ◽  
Author(s):  
O Oguntibeju O ◽  
T Ndalambo K ◽  
Mokgatle Nthabu M
Keyword(s):  
People Living With Hiv ◽  
Care Services ◽  
Home Based ◽  
Living With Hiv ◽  
Home Based Care ◽  
Hiv Aids

Why does institutionalised care not appeal to Indian families? Legislative and social answers from urban India

2011 ◽  
Vol 32 (4) ◽  
pp. 697-717 ◽  
Author(s):  
BIANCA BRIJNATH
Keyword(s):  
Cultural Practices ◽  
Service Providers ◽  
Aged Care ◽  
Specific Reference ◽  
Policy And Practice ◽  
Home Based ◽  
Urban India ◽  
Aged Care Facilities ◽  
Care Of Elderly ◽  
Home Based Care

ABSTRACTIn India, although notions of ageing and care are changing, there is a continued preference among families for home-based care of elderly relatives. The legislative policies and cultural practices that shape this preference will be examined in this paper with specific reference to aged-care facilities and the 2007 Maintenance and Welfare of Parents and Senior Citizens Act. Using qualitative data from a study on dementia care in urban India it will be shown how the Act and old-age homes are understood and experienced by Indian families and key service providers. In juxtaposing policy and practice it will be argued that while notions of care are being redefined by processes like migration and urbanisation, the preference for home care remains, indicating that existing services need to be re-oriented and expanded to support families in providing this care.

scholarly journals Historical Mismatch Between Home-Based Care Policies And Laws Governing Home Care Workers

2019 ◽  
Vol 38 (6) ◽  
pp. 973-980 ◽  
Author(s):  
Lisa I. Iezzoni ◽  
Naomi Gallopyn ◽  
Kezia Scales
Keyword(s):  
Home Care ◽  
Home Based ◽  
Care Workers ◽  
Care Policies ◽  
Home Care Workers ◽  
Home Based Care

scholarly journals Cumulative Prospect Theory: Performance Evaluation of Government Purchases of Home-Based Elderly-Care Services Using the Pythagorean 2-tuple Linguistic TODIM Method

2020 ◽  
Vol 17 (6) ◽  
pp. 1939 ◽  
Author(s):  
Jianping Lu ◽  
Tingting He ◽  
Guiwu Wei ◽  
Jiang Wu ◽  
Cun Wei
Keyword(s):  
Performance Evaluation ◽  
Prospect Theory ◽  
Elderly Care ◽  
Cumulative Prospect Theory ◽  
Care Services ◽  
Home Based ◽  
Multiple Attribute ◽  
Todim Method ◽  
The Government ◽  
Home Based Care

The aging trend of China’s population is increasing, and the pension problem is becoming increasingly prominent. The pension mode provided by the government alone can no longer meet the social demand, and the government’s purchase of home-based care services from social organizations has become a new trend. In order to improve the efficiency and quality of pension services, a reasonable performance evaluation model needs to be established. Performance evaluations of home-based elderly-care services purchased by the government are problematic as a result of multiple-attribute group decision-making (MAGDM), as the problems are not single-attribute or single-expert issues. The extended TODIM not only integrates the advantages of cumulative prospect theory (CPT) into a consideration of the psychological factors of DMs, but also retains the superiority of the classical TODIM in relative dominance. The Pythagorean 2-tuple linguistic sets (P2TLSs) could easily depict qualitative assessment information related to the government’s purchase of home-based care services. Thus, in this paper, we extend the TODIM method based on the cumulative prospect theory (CPT) to the Pythagorean 2-tuple linguistic sets (P2TLSs) and propose a Pythagorean 2-tuple linguistic CPT-TODIM (P2TL-CPT-TODIM) method for MAGDM. The P2TL-CPT-TODIM method was proven superior to the classical one through a case study that included a performance evaluation of a home-based elderly-care service purchased by the government. Meanwhile, a comparison with the P2TL-CPT-TODIM method was performed to demonstrate the stability and effectiveness of the designed method.

scholarly journals Study of Physical, Psychological, and Spiritual Impact of Family Caregiver In Home-Based Stroke Treatment: A Systematic Review

2021 ◽  
Vol 9 (T4) ◽  
pp. 236-239
Author(s):  
Anggi Stiexs ◽  
Nur Chayati
Keyword(s):  
Systematic Review ◽  
Home Care ◽  
Family Caregiver ◽  
Care Home ◽  
Stroke Patients ◽  
Term Care ◽  
Stroke Treatment ◽  
Home Based ◽  
The Family ◽  
Home Based Care

BACKGROUND: Family support during stroke treatment at home is crucial. However, post-stroke patients’ long-term care will be a problem for families, reducing the level of life satisfaction and physical burden for caregivers. Furthermore, families may experience depression. AIM: Analyzing family conditions related to physical, psychological, and spiritual conditions that receive home-based health worker interventions. METHODS: Study implemented systematic review design with Prisma guidelines, initially with the identification of article sources, following by article screening, checking the eligibility of studies then appraised the selected articles. Three databases were used, Ebsco, PubMed, and PROQUEST. Only studies using quasi-experimental, pre-experimental, and RCT designs were included in this study. Furthermore, those articles were published between 2014 until 2019, full type article and conducted anykind of home intervention for stroke patients and/or family member. Keywords that were employed “Stroke, Apoplexy, Cerebrovascular Accident, Vascular Accident, Home Care Services, home care, Home Health Care, Domiciliary Care, Physical, Physics, Psychological Factors, Psychological Side Effects, Psychosocial Factors, Spirituality.” Totally, 19,528 articles were obtained. Finally, only six eligible articles met review requirements. RESULTS: Implementation of home-based care lowered the physical fatigue of the family. In psychological responses showed that home-based care could reduce the incidence of depression and anxiety levels. Another impact was that the family felt helped because patients could more independently do their activities. Furthermore, the family always supported to motivate the patients to do their daily tasks. CONCLUSION: Home-based interventions for stroke patients can reduce depression, anxiety, and fatigue for the family caregiver.

scholarly journals Impact of Home Care Services on Patient and Economic Outcomes: A Targeted Review

2021 ◽  
pp. 108482232110383
Author(s):  
Irene Lizano-Díez ◽  
Sonia Amaral-Rohter ◽  
Lucía Pérez-Carbonell ◽  
Susana Aceituno
Keyword(s):  
Health Care ◽  
Health Care Professionals ◽  
Positive Impact ◽  
Patient Empowerment ◽  
Home Care Services ◽  
Care Services ◽  
Adherence To Medication ◽  
Home Based ◽  
Patient Reported ◽  
Home Based Care

Patient Support Programs (PSPs) reinforce patients’ care provided by health care professionals with the aim to improve adherence and patient empowerment. PSPs may include interventions such as home-based care, individualized medication counseling, support, training, and home delivery of medicines and/or devices. This study described these services and its impact on patient-reported outcomes and health care savings. We conducted an integrative literature review which was limited to publications from the last 10 years (2009-2019) and focused on diseases that require special support and/or parenteral administration. From 7040 total citations, we identified 64 home-based care services performed worldwide. Among the home-based care services, most were provided by nurses (n = 47/64; 73.4%) and addressed to cancer patients (n = 22/64; 34.4%); 23 out of 64 services (35.9%) incorporated telepharmacy. In general, home-based services and PSPs showed a positive impact on patients’ adherence to medication, patient satisfaction, and health-related quality of life. In addition, 14 (21.9%) services reported economic results, most of which showed that home therapy led to substantial cost savings.

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