Transition from Home Care to Nursing Home: Unmet Needs in a Home- and Community-Based Program for Older Adults

Robison, Julie; Shugrue, Noreen; Porter, Martha; Fortinsky, Richard H.; Curry, Leslie

doi:10.1080/08959420.2012.676315

Cited by 61 publications

(48 citation statements)

References 27 publications

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“…A study identified unmet needs of individuals who transitioned from Connecticut's HCBS program to NHs using administrative data, care manager notes, and focus groups (Robison, Shugrue, Porter, Fortinsky, & Curry, 2012). Study findings indicated that acute health problems, mental health issues, and family caregiver stress were inadequately addressed.…”

Section: Supporting Transitions Between Nursing Home and Community Sementioning

confidence: 99%

Successful Strategies for Discharging Medicaid Nursing Home Residents With Mental Health Diagnoses to the Community

Leedahl¹,

Chapin²,

Wendel³

et al. 2014

Journal of Social Service Research

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Section: Supporting Transitions Between Nursing Home and Community Sementioning

confidence: 99%

Successful Strategies for Discharging Medicaid Nursing Home Residents With Mental Health Diagnoses to the Community

Leedahl¹,

Chapin²,

Wendel³

et al. 2014

Journal of Social Service Research

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“…1 Between 2000 and 2013, in Organisation for Economic Co-operation and Development (OECD) countries, the average proportion of older care-dependent people receiving long-term care increased from 1.9% to 2.3%. By 2050, the percentage of the population older than 80 is expected to have risen from 4% to 10%, linked to a projected increase in the prevalence of people living with dementia from 14.5 to 22.5 per 1000 population by 2035.…”

mentioning

confidence: 99%

“There's No Place Like Home”: A Scoping Review on the Impact of Homelike Residential Care Models on Resident-, Family-, and Staff-Related Outcomes

Ausserhofer

Geest

Achterberg

et al. 2016

Journal of the American Medical Directors Association

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Keywords:Long-term care homelike small-scale residential facilities scoping review a b s t r a c t Background: There is increasing emphasis on promoting "homelike" residential care models enabling care-dependent people to continue living in a self-determined manner. Yet, little is known about the outcomes of homelike residential care models. Purpose: We aimed to (1) identify homelike residential care models for older care-dependent people with and without dementia, and (2) explore the impact of these models on resident-, family-, and staff-related outcomes. Design and Methods: We applied a scoping review method and conducted a comprehensive literature search in PubMed, Embase, and CINAHL in May 2015. Results: We included 14 studies, reported in 21 articles. Studies were conducted between 1994 and 2014, most using a quasi-experimental design and comparing the Eden Alternative (n ¼ 5), nondementiaspecific small houses (eg Green House homes) (n ¼ 2), and dementia-specific small houses (n ¼ 7) with usual care in traditional nursing homes. The studies revealed evidence of benefit related to physical functioning of residents living in dementia-specific small houses and satisfaction with care of residents living in nondementia-specific small houses compared with those living in traditional nursing homes. We did not find other significant benefits related to physical and psychosocial outcomes of residents, or in family-and staff-related outcomes. Implications: The current evidence on homelike residential care models is limited. Comparativeeffectiveness research building on a clear theoretical framework and/or logic model and including a standardized set of resident-, family-, and staff-related outcomes, as well as cost evaluation, is needed to provide a stronger evidence base to justify the uptake of more homelike residential care models.

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“…In addition, home- and community-based program services’ unmet needs highlighted an inadequate workforce, transportation barriers, and limited supportive housing options [26]. Therefore, the aim of this study was to evaluate the performance of Korean community-based home healthcare project for older adults.…”

Section: Introductionmentioning

confidence: 99%

Community-Based Home Healthcare Project for Korean Older Adults

Lee

2013

Osong Public Health and Research Perspectives

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ObjectivesThe aim of this study was to identify the effects of community-based home healthcare projects that influence service performances with regard to Korean national long-term care insurance services in older adults.MethodsThe project's applicants were 18 operational agencies in national long-term care institutions in Korea, and participants were care recipients (n = 2263) registered in long-term care institutions. We applied our healthcare system to the recruited participants for a 3-month period from October 2012 to December 2012. We measured the community-based home healthcare services such as long-term care, health and medical service, and welfare and leisure service prior to and after applying the community-based home healthcare system.ResultsAfter the implementation of community-based home healthcare project, all community-based home healthcare services showed an increase than prior to the project implementation. The nutrition management service was the most increased and its increase rate was 628.6%. A comparison between the long-term care insurance beneficiaries and nonbeneficiaries showed that health and medical services’ increase rate of nonbeneficiaries was significantly higher than beneficiaries (p < 0.001).ConclusionOur community-based home healthcare project might improve the service implementation for older adults and there was a difference in the increase rate of health and medical services between Korean national long-term care insurance beneficiaries and nonbeneficiaries.

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Transition from Home Care to Nursing Home: Unmet Needs in a Home- and Community-Based Program for Older Adults

Cited by 61 publications

References 27 publications

Successful Strategies for Discharging Medicaid Nursing Home Residents With Mental Health Diagnoses to the Community

Successful Strategies for Discharging Medicaid Nursing Home Residents With Mental Health Diagnoses to the Community

“There's No Place Like Home”: A Scoping Review on the Impact of Homelike Residential Care Models on Resident-, Family-, and Staff-Related Outcomes

Community-Based Home Healthcare Project for Korean Older Adults

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