دورية أكاديمية
أعرض في EDS

Patterns of home care assessment and service provision before and during the COVID-19 pandemic in Ontario, Canada.

التفاصيل البيبلوغرافية
العنوان: Patterns of home care assessment and service provision before and during the COVID-19 pandemic in Ontario, Canada.
المؤلفون: Sinn CJ; School of Public Health Sciences, University of Waterloo, Waterloo, Ontario, Canada., Sultan H; Institute of Health Policy, Management and Evaluation, University of Toronto, Toronto, Ontario, Canada.; Ontario Health, Toronto, Ontario, Canada., Turcotte LA; School of Public Health Sciences, University of Waterloo, Waterloo, Ontario, Canada., McArthur C; School of Physiotherapy, Dalhousie University, Halifax, Nova Scotia, Canada., Hirdes JP; School of Public Health Sciences, University of Waterloo, Waterloo, Ontario, Canada.
المصدر: PloS one [PLoS One] 2022 Mar 30; Vol. 17 (3), pp. e0266160. Date of Electronic Publication: 2022 Mar 30 (Print Publication: 2022).
نوع المنشور: Journal Article; Research Support, Non-U.S. Gov't
اللغة: English
بيانات الدورية: Publisher: Public Library of Science Country of Publication: United States NLM ID: 101285081 Publication Model: eCollection Cited Medium: Internet ISSN: 1932-6203 (Electronic) Linking ISSN: 19326203 NLM ISO Abbreviation: PLoS One Subsets: MEDLINE
أسماء مطبوعة: Original Publication: San Francisco, CA : Public Library of Science
مواضيع طبية MeSH: COVID-19*/epidemiology , Home Care Services*, Hospitalization ; Humans ; Ontario/epidemiology ; Pandemics
مستخلص: Objective: The objective was to compare home care episode, standardised assessment, and service patterns in Ontario's publicly funded home care system during the first wave of the COVID-19 pandemic (i.e., March to September 2020) using the previous year as reference.
Study Design and Setting: We plotted monthly time series data from March 2019 to September 2020 for home care recipients in Ontario, Canada. Home care episodes were linked to interRAI Home Care assessments, interRAI Contact Assessments, and home care services. Health status measures from the patient's most recent interRAI assessment were used to stratify the receipt of personal support, nursing, and occupational or physical therapy services. Significant level and slope changes were detected using Poisson, beta, and linear regression models.
Results: The March to September 2020 period was associated with significantly fewer home care admissions, discharges, and standardised assessments. Among those assessed with the interRAI Home Care assessment, significantly fewer patients received any personal support services. Among those assessed with either interRAI assessment and identified to have rehabilitation needs, significantly fewer patients received any therapy services. Among patients receiving services, patients received significantly fewer hours of personal support and fewer therapy visits per month. By September 2020, the rate of admissions and services had mostly returned to pre-pandemic levels, but completion of standardised assessments lagged behind.
Conclusion: The first wave of the COVID-19 pandemic was associated with substantial changes in Ontario's publicly funded home care system. Although it may have been necessary to prioritise service delivery during a crisis situation, standardised assessments are needed to support individualised patient care and system-level monitoring. Given the potential disruptions to home care services, future studies should examine the impact of the pandemic on the health and well-being of home care recipients and their caregiving networks.
Competing Interests: The authors have declared that no competing interests exist.
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تواريخ الأحداث: Date Created: 20220330 Date Completed: 20220414 Latest Revision: 20220509
رمز التحديث: 20231215
مُعرف محوري في PubMed: PMC8966998
DOI: 10.1371/journal.pone.0266160
PMID: 35353856
قاعدة البيانات: MEDLINE
الوصف
تدمد:1932-6203
DOI:10.1371/journal.pone.0266160