Clinical Interventions in Aging Dovepress the Home Independence Program with Non- Health Professionals as Care Managers: an Evaluation
Clinical Interventions in Aging Dovepress the Home Independence Program with Non- Health Professionals as Care Managers: an Evaluation
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以非健康专业人员作为护理管理者的老年临床干预 Dovepress 家庭独立计划：评估
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影响因子：
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通讯作者：
D. Youens
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作者：
Karyn Concanen;D. Youens
特此接受条款。未经Dove Medical Press Limited的进一步许可，允许对作品进行非商业用途，前提是该作品具有适当的属性。对于本作品的商业使用许可，请参阅我们的条款摘要的第4.2和5段：家庭独立计划（HIP），澳大利亚老年人恢复性家庭护理/reablement服务，已被证明是有效的，减少功能依赖和增加功能的流动性，对日常活动的信心，和生活质量。研究发现，这些收益转化为对持续护理服务的需求减少，并随着时间的推移降低了健康和老年护理成本。尽管取得了这些积极成果，但很少有澳大利亚家庭护理机构采用这种服务模式-一个关键原因是，很少有澳大利亚提供者雇用保健专业人员，这些专业人员在HIP服务模式下担任护理经理。澳大利亚卫生工作者呼吁提出项目建议，以扩大卫生/老年护理人员的实践范围，然后提供了一个机会，开发，实施和评估服务提供模式，其中非专业人员取代卫生专业人员作为HIP服务中的护理经理。70名接受HIP协调员（HIPC）服务的老年人参与了结果评估。在一系列个人结局指标上，与基线相比，该组在3个月和12个月时显示出统计学显著改善。在每一个结果上，观察到的改善都比之前由卫生专业人员提供服务的试验中观察到的要大。然而，两项研究之间数据收集时间的差异意味着无法进行直接比较。两项研究中的客户在两个随访点都显示出类似的持续家庭护理服务需求减少。由非卫生专业人员担任护理经理的重债穷国取得的成果是积极的，可以认为与卫生专业人员担任护理经理的HIP取得的成果相比是有利的。这些研究结果将感兴趣的家庭护理服务的管理者和政策制定者有兴趣减少老年社区居住的个人的长期护理需求。
hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms Abstract: The Home Independence Program (HIP), an Australian restorative home care/reablement service for older adults, has been shown to be effective in reducing functional dependency and increasing functional mobility, confidence in everyday activities, and quality of life. These gains were found to translate into a reduced need for ongoing care services and reduced health and aged care costs over time. Despite these positive outcomes, few Australian home care agencies have adopted the service model – a key reason being that few Australian providers employ health professionals, who act as care managers under the HIP service model. A call for proposals from Health Workforce Australia for projects to expand the scope of practice of health/aged care staff then provided the opportunity to develop, implement, and evaluate a service delivery model, in which nonprofessionals replaced the health professionals as Care Managers in the HIP service. Seventy older people who received the HIP Coordinator (HIPC) service participated in the outcomes evaluation. On a range of personal outcome measures, the group showed statistically significant improvement at 3 and 12 months compared to baseline. On each outcome, the improvement observed was larger than that observed in a previous trial in which the service was delivered by health professionals. However, differences in the timing of data collection between the two studies mean that a direct comparison cannot be made. Clients in both studies showed a similarly reduced need for ongoing home care services at both follow-up points. The outcomes achieved by HIPC, with non-health professionals as Care Managers, were positive and can be considered to compare favorably with the outcomes achieved in HIP when health professionals take the Care Manager role. These findings will be of interest to managers of home care services and to policy makers interested in reducing the long-term care needs of older community dwelling individuals.
影响因子：
120.7
作者：
Tinetti, ME;Baker, D;O'Leary, J
通讯作者：
O'Leary, J