Pre-Existing Inequality: The Impact of COVID-19 on Medicare Home Health Beneficiaries

Cabin, William D.

doi:10.1177/1084822321992380

Cited by 9 publications

(10 citation statements)

References 11 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…These results also indicated that the agencies’ inability to manage the situation even intensified the crisis. Since crisis management is vital in controlling critical situations [ 28 ], there must be some schemes implemented prior to the crisis in order to control it at the right time [ 29 ].…”

Section: Discussionmentioning

confidence: 99%

Home care nurses’ perception of the challenges they faced during the COVID-19 pandemic: a qualitative study

et al. 2022

View full text Add to dashboard Cite

Background Despite the significant role they play in the whole health care system, home care nurses are not paid the attention they deserve. Besides highlighting their significant role in the health care system, the COVID-19 pandemic also posed several challenges for home care nurses. Objective The purpose of this study is to explain the nurses’ perception of the challenges of home care during the Covid-19 pandemic. Methods The present study was a qualitative study with a conventional content analysis approach conducted from November 2020 to September 2021. Participants included 16 home care nurses who were purposefully selected based on the eligibility criteria. After obtaining ethical authorization, the data were collected through semi-structured interviews. MAXQDA Version 10 software was used for data mangement. Data analysis was performed using the Granheim and Lundman five-step method. Guba and Lincoln criteria were utilized for trustworthiness. Findings The seven main categories obtained in this study included “the onset of a new chapter: from avoidance to relapse”, “burnout”, “vortex of moral distress”, “social stigma”, “difficulty in breaking the transmission chain”, “care inhibitors related to the patient and family” and “support deficiency: the crisis of home care nursing agencies during the crisis”. Conclusion The results showed that nurses working in home care during the Covid-19 pandemic experienced several challenges in various fields. This study captured the nurses’ perception of the challenges of home care during the Covid-19 pandemic, a period of unprecedented change and difficulty. These challenges included lack of support, psychological problems, and dealing with new experiences. Identifying these challenges can help improve the quality of home care nursing and planning in this area.

show abstract

Section: Discussionmentioning

confidence: 99%

Home care nurses’ perception of the challenges they faced during the COVID-19 pandemic: a qualitative study

et al. 2022

View full text Add to dashboard Cite

show abstract

“…Most of the literature explored the reasons for service changes in HHAs or certified HHA agencies (Cabin, 2021; Shang et al, 2020; Sterling et al, 2020), not nurses' assessment of these changes or the implication of those changes. Cabin (2021) and Shang et al (2020) described specific reasons for changes in home health agency services including staffing shortages secondary to staff illnesses or having to care for an ill family member or having to care for children secondary to school closure; lack of appropriate personal protective equipment; families of patients not wanting the services and taking over the care themselves to avoid the risk of transmission; and decreased agency patient census and subsequent staffing layoffs. We include similar changes in home-based diagnostic services like a home laboratory or home imaging services that were not addressed in the literature.…”

Section: Discussionmentioning

confidence: 99%

Meeting the Challenges of COVID-19

Squeri

Gayton

Huang

et al. 2022

Home Healthcare Now

View full text Add to dashboard Cite

The early months of the COVID-19 pandemic caused suspension of physician home visits at our NYC home-based primary care practice as well as disruptions in community-based services homebound patients rely on. This produced gaps in care for a vulnerable patient population that is considered underserved and medically and socially complex. Telephone triage nurses at Mount Sinai Visiting Doctors Program responded to these gaps in care with targeted enhancements to telephonic patient assessment: creating an encrypted email address to receive photographs, the use of two Epic dot phrases to screen and educate regarding COVID-19, assessment of patients' ability to complete a video visit, the reassessment of goals of care, and the assessment of changes in home care services. We surveyed 15 attending physicians in our practice to evaluate primary care providers' opinions regarding changes in nurse telephone triage and how helpful they were in managing patients at home during the early pandemic. We found enhancements to nurse telephone triage were viewed by physicians as beneficial, valuable, and improved patient care. Physicians found changes improved timeliness of care, could improve self-management, helped avoid transfer to emergency department, and helped manage patient care at home. As the pandemic continues and telehealth becomes more widely used, nurse telephone triage may be adaptable to help care for a variety of patient populations during future public health emergencies.

show abstract

“…In a previous issue of this journal, the author addressed the literature gap by presenting a study on home care nurses' perceptions of the impact of COVID-19 on Medicare home health beneficiaries. 1 However, the previous study did not present perceptions of social workers who are the primary professionals responsible for home health beneficiaries psychosocial and social needs. This study reflects social worker perceptions based on interviews conducted July 1, 2020 through September 30, 2020.…”

Section: Introductionmentioning

confidence: 90%

Section: The Current Studymentioning

confidence: 99%

See 1 more Smart Citation

Pre-existing Inequality II: Social Workers Assess Impact of COVID-19 on Medicare Home Health Beneficiaries

Cabin

2021

Home Health Care Management & Practice

Self Cite

View full text Add to dashboard Cite

There is significant data on the adverse impact of COVID-19 on persons who were poor, minorities, had compromised physical or mental health, or other vulnerabilities prior to the COVID-19 pandemic. A significant portion of the Medicare population has such vulnerabilities. The Medicare home health beneficiary population is even more vulnerable based on gender, race, income level, living alone status, and number of chronic conditions. A literature review indicated there were no studies on the impact of COVID-19 on Medicare home health beneficiaries. In a previous issue of this journal, the author addressed the literature gap by presenting a study on home care nurses’ perceptions of the impact of COVID-19 on Medicare home health beneficiaries. The current study is a companion qualitative study to the nurses’ study. It is based on interviews of a convenience sample of 52 home care social workers from 11 different home health agencies in New York City between April 1 and September 30, 2020. Seven major themes emerged, 6 of which were identical to the themes identified by the nurses. The only new theme was limits on the ability to provide psychosocial interventions had more severe consequences. The 7 themes were: need for social service supports increased; loneliness and depression increased among patients; physical and mental health conditions became exacerbated; substance use and abuse increased; evidence of domestic violence against patients increased; there was limited staff and equipment to care for patients; and limits on the ability to provide psychosocial interventions had more severe consequences.

show abstract

Pre-Existing Inequality: The Impact of COVID-19 on Medicare Home Health Beneficiaries

Cited by 9 publications

References 11 publications

Home care nurses’ perception of the challenges they faced during the COVID-19 pandemic: a qualitative study

Home care nurses’ perception of the challenges they faced during the COVID-19 pandemic: a qualitative study

Meeting the Challenges of COVID-19

Pre-existing Inequality II: Social Workers Assess Impact of COVID-19 on Medicare Home Health Beneficiaries

Contact Info

Product

Resources

About