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Closing the Home Care Case: Clinicians’ Perspectives on Family CaregivingUnited Hospital Fund
United Hospital Fund’s Division of Education and Program Initiatives
United Hospital Fund
Division of Education and Program Initiatives at the United Hospital Fund
United Hospital Fund Focus groups revealed five inherent conflicts that affect home health care clinicians’ interactions with family caregivers: (a) Services often depend on caregivers’ participation, but the home care system does not give them formal status or consideration; (b) clinicians must balance competing priorities within a short time frame; (c) clinicians recognize that families have unmet emotional and training needs, but benefits are not designed to address them; (d) clinicians face conflicting professional roles as patient advocates and service gatekeepers; and (e) agencies reserve social work services, a key to caregiver access to community resources, for their most difficult cases. Building a more rational system will involve raising awareness about the system’s limitation, providing more training and support for caregivers and the professionals who interact with them, and aligning financial incentives with the realities of what it takes to prepare caregivers to care for patients with complex needs when formal services end.
Key Words: family caregivers • home health care • Medicare • stroke • clinicians
Home Health Care Management & Practice, Vol. 17, No. 5,
388-397 (2005) This article has been cited by other articles:
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