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Contribution of secondary caregivers to post-acute home care for elderly patients
- Authors:
- LI Hong, MORROW-HOWELL Nancy, PROCTOR Enola
- Journal article citation:
- Journal of Social Service Research, 33(1), 2006, pp.39-46.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
This study examined the contribution of secondary caregivers to the elderly patients' use of informal services and use of formal services, and the adequacy of care provided to the elderly patients in the period following acute hospitalization in a large midwestern hospital in the United States. A sample of 149 elderly patients diagnosed with congestive heart failure (CHF) were interviewed at their home two weeks after their hospital discharge. Nearly three quarters of the elderly patients had one or more secondary caregivers. Findings from ordinary least squares (OLS) regression analyses indicate that the involvement of secondary caregivers was not significantly related to elderly patients' use of informal services, formal services, or the adequacy of care. These findings may be relevant to the practice of discharge planners by suggesting that the involvement of secondary caregivers may not reduce elderly patients' need for informal services and/or formal services. Furthermore, the involvement of secondary caregivers may not improve the adequacy of care provided to the elderly patients. (Copies of this article are available from: Haworth Document Delivery Centre, Haworth Press Inc., 10 Alice Street, Binghamton, NY 13904-1580).
Post-acute home care and hospital readmission of elderly patients with congestive heart failure
- Authors:
- LI Hong, MORROW-HOWELL Nancy, PROCTOR Enola K.
- Journal article citation:
- Health and Social Work, 29(4), November 2004, pp.275-285.
- Publisher:
- Oxford University Press
After in-patient hospitalisation, many elderly patients with congestive heart failure (CHF) are discharged home and receive post-acute home care from informal (family) caregivers and formal service providers. Hospital readmission rates are high among elderly patients with CHF, and it is thought that use of informal and formal services may reduce hospital readmission during the post-acute period. Using proportional Cox regression analysis, the authors examined the independent and joint effects of post-acute informal and formal services on hospital readmission. No evidence of service impact was found. Rather, hospital readmission was associated with a longer length of CHF history and noncompliance with medication regimes. Research, policy, and practice implications are discussed.
Racial differences in discharge planning
- Authors:
- MORROW-HOWELL Nancy, et al
- Journal article citation:
- Health and Social Work, 21(2), May 1996, pp.131-139.
- Publisher:
- Oxford University Press
Given previously reported findings of racial differences in elderly people's use of posthospital care, this article focuses on discharge planning processes as explanations of differential service utilisation. The authors studied the discharge plans for African American and white elderly patients and examined options pursued for posthospital care by social workers, patients, and families for evidence of racial differences. They also looked for racial differences in ruling out nursing home care for reasons of patient and family preference. Implications for practice and future research are discussed.