Improving Transitions in Care for Patients and Family Caregivers Living in Rural and Underserved Areas: The Caregiver Advise, Record, Enable (CARE) Act.
Improving Transitions in Care for Patients and Family Caregivers Living in Rural and Underserved Areas: The Caregiver Advise, Record, Enable (CARE) Act.
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DOI：
10.1080/08959420.2022.2029272
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发表时间：
2024-07-03
影响因子：
5.1
通讯作者：
Thompson, Virginia H.
中科院分区：
文献类型：
--
作者：
Griffin, Joan M.;Kaufman, Brystana G.;Bangerter, Lauren;Holland, Diane E.;Vanderboom, Catherine E.;Ingram, Cory;Wild, Ellen M.;Dose, Ann Marie;Stiles, Carole;Thompson, Virginia H.
在这种视角下，我们认为需要采取大胆的行动，改善居住在农村和服务不足地区的老年患者及其家庭照顾者从医院到家庭的过渡。《护理人员建议、记录、启用(护理)法案》是美国40多个州通过的法律，旨在为住院患者的家庭护理人员提供安全有效过渡所需的知识和技能，为帮助患者护理过渡的家庭护理人员提供了重要的支持。然而，在解决生活在农村和服务不足地区的家庭照顾者的独特需求方面，它可能达不到要求。我们认为，为了实现《护理法案》预期的安全、成本和护理质量效益，特别是对那些生活在农村和服务不足地区的人来说，各州需要扩大该法案的范围。我们提出三项建议：1)修改医院信息系统，以支持家庭照顾者提供的护理；2)要求对家庭照顾者进行评估，以反映农村和服务不足地区家庭照顾者面临的挑战；以及3)确定当地资源，以改进出院规划。我们描述了每个建议的基本原理，以及扩展的医疗法案可以减少与老年患者护理过渡相关的风险的潜在方法。
In this Perspective, we contend bold action is needed to improve transitions from hospitals to home for aging patients and their family caregivers living in rural and underserved areas. The Caregiver Advise, Record, Enable (CARE) Act, laws passed in over 40 US states that are intended to provide family caregivers of hospitalized patients with knowledge and skills needed for safe and efficient transitions, has broken important ground for supporting family caregivers who assist with transitions in patient care. It may fall short, however, in addressing the unique needs of family caregivers living in rural and underserved areas. We contend that to realize the intended safety, cost, and care quality benefits of the CARE Act, especially for those living in rural and underserved areas, states need to expand the Act’s scope. We provide three recommendations: 1) modify hospital information systems to support the care provided by family caregivers; 2) require assessments of family caregivers that reflect the challenges of family caregiving in rural and underserved areas; and 3) identify local resources to improve discharge planning. We describe the rationale for each recommendation and the potential ways that an expanded CARE Act could reduce the risks associated with transitions in care for aging patients.
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影响因子：
1.2
作者：
Fields, Beth;Rodakowski, Juleen;James, A. Everette
通讯作者：
James, A. Everette
影响因子：
2.1
作者：
Crouch, Elizabeth;Probst, Janice C.;Bennett, Kevin
通讯作者：
Bennett, Kevin
DOI：
10.1111/jrh.12273
发表时间：
2018-06
期刊：
The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association
影响因子：
--
作者：
Bouldin ED;Shaull L;Andresen EM;Edwards VJ;McGuire LC
通讯作者：
McGuire LC
影响因子：
12.7
作者：
Beatty, Kate;Heffernan, Megan;Meit, Michael
通讯作者：
Meit, Michael
影响因子：
5.7
作者：
Gottlieb, Laura;Colvin, Jeffrey D.;Adler, Nancy
通讯作者：
Adler, Nancy