Bridging Troubled Waters: Family Caregivers, Transitions, And Long-Term Care

Bridging Troubled Waters: Family Caregivers, Transitions, And Long-Term Care
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DOI:
10.1377/hlthaff.2009.0520
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发表时间:
2010-01-01
期刊:
影响因子:
9.7
通讯作者:
Gould, David A.
Gould, David A.
中科院分区:
医学1区
文献类型:
--
作者:
Levine, Carol;Halper, Deborah;Gould, David A.

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家庭是长期护理的基石,但政策制定者传统上认为他们是“非正式”的护理人员,因为他们不是正式的有偿护理劳动力的一部分。随着慢性病和长期护理系统变得更加复杂,随着更艰巨的任务转移到家庭,这种观点不再可持续。护理过渡过程提供了一个重要的机会,将家庭照顾者视为重要的护理伙伴。加强他们的参与,培训和支持将有助于减少不必要的再住院和改善患者的结果。在收集信息以制定政策和实践、培训卫生保健专业人员、制定方案和改革融资时,应考虑家庭照顾者的贡献和经验。
Families are the bedrock of long-term care, but policymakers have traditionally considered them "informal" caregivers, as they are not part of the formal paid caregiving workforce. As chronic and long-term care systems have become more complex and as more demanding tasks have been shifted to families, this view is no longer sustainable. The care transition process offers a critical opportunity to treat family caregivers as important care partners. Enhancing their involvement, training, and support will contribute to reducing unnecessary rehospitalizations and improving patient outcomes. The contributions and experiences of family caregivers should be considered in gathering information to shape policies and practice; training health care professionals; developing programs; and reforming financing.