Beyond Functional Support: The Range Of Health-Related Tasks Performed In The Home By Paid Caregivers In New York
- PMID: 31158023
- PMCID: PMC6685545
- DOI: 10.1377/hlthaff.2019.00004
Beyond Functional Support: The Range Of Health-Related Tasks Performed In The Home By Paid Caregivers In New York
Abstract
Paid caregivers (for example, home health aides and personal care attendants) are formally tasked with helping older adults with functional impairment meet their basic needs at home. This study used thirty semistructured interviews with dyads of patients or their proxies and their paid caregivers in New York City to understand the range of health-related tasks that paid caregivers perform in the home and determine whether these tasks are taught in the New York State Department of Health's curriculum. We found that patients, proxies, and paid caregivers all reported that paid caregivers performed a wide range of health-related tasks that were often not part of their formal training. Creating clear competencies for paid caregivers that reflect the full breadth of health-related tasks they may perform in the home could help maximize the positive impact of the paid caregiver workforce on the lives of patients living at home with functional impairment.
Keywords: Home Health Care; healthcare team; healthcare workforce; homebound; multidisciplinary care; paid caregiver.
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References
-
- Kaye HS, Harrington C, LaPlante MP. Long-term care: who gets it, who provides it, who pays, and how much? Health Aff (Millwood). 2010. February;29(1):11–21. - PubMed
-
- Wysocki A, Butler M, Kane RL, Kane RA, Shippee T, Sainfort F. Long-Term Services and Supports for Older Adults: A Review of Home and Community-Based Services Versus Institutional Care. J Aging Soc Policy. 2015;27(3):255–79. - PubMed
-
- Eiken S, Burwell B, Sredl K. An examination of the woodwork effect using national medicaid long-term services and supports data. J Aging Soc Policy. 2013;25(2):134–45. - PubMed
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