| Autor: |
Kling SMR; Department of Medicine, Stanford University School of Medicine, Stanford, CA, USA., Lessios AS; Department of Medicine, Stanford University School of Medicine, Stanford, CA, USA., Holdsworth LM; Department of Medicine, Stanford University School of Medicine, Stanford, CA, USA., Yefimova M; Department of Medicine, Stanford University School of Medicine, Stanford, CA, USA.; Office of Research Patient Care Services, Stanford Healthcare, Stanford, CA, USA., Wu S; Department of Medicine, Stanford University School of Medicine, Stanford, CA, USA., Martin M; Department of Medicine, Stanford University School of Medicine, Stanford, CA, USA., Sheffrin M; Department of Medicine, Stanford University School of Medicine, Stanford, CA, USA., Winget M; Department of Medicine, Stanford University School of Medicine, Stanford, CA, USA. |
| Abstrakt: |
The aim of this evaluation was to assess caregiver experience and burden during their first year in a geriatric home-based primary care (HBPC) program with qualitative interviews and surveys. HBPC included in-home visits for homebound, older adult patients. Seventeen caregivers, with varied amount of experience with HBPC, participated in semi-structured interviews. Change in caregiver burden from baseline was captured for 44 caregivers at 3 months post-enrollment, 27 caregivers at 6 months, and 22 caregivers at 12 months. Satisfaction survey was administered at these timepoints, but the last response of 48 caregivers was analyzed. Caregiver interviews revealed three themes: caregiving stressors, reliance on HBPC in relation to other medical care, and healthcare in the home. Surveyed caregivers were highly satisfied, but burden did not change substantially over the 1 year intervention. Caregivers appreciated HBPC reduced patient transportation and provided satisfactory primary care, but additional research is needed to tailor this care to reduce caregiver burden. |
