Family Care Partners and Paid Caregivers: National Estimates of Role-Sharing in Home Care.

Autor:	Fabius CD; Department of Health Policy and Management, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD, USA., Gallo JJ; Department of Mental Health, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD, USA., Burgdorf J; Center for Home Care Policy and Research, VNS Health, New York, NY, USA., Samus QM; School of Nursing, Johns Hopkins University, Baltimore, MD, USA., Skehan M; Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD, USA., Stockwell I; Department of Information Systems, University of Maryland Baltimore County, Baltimore, MD, USA., Wolff JL; Department of Health Policy and Management, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD, USA.
Jazyk:	angličtina
Zdroj:	The Gerontologist [Gerontologist] 2024 Dec 09. Date of Electronic Publication: 2024 Dec 09.
DOI:	10.1093/geront/gnae177
Abstrakt:	Background and Objectives: We describe "role-sharing" in home care, defined as family care partners and paid caregivers assisting with the same task(s). Research Design and Methods: We studied 440 participants in the 2015 National Health and Aging Trends Study (NHATS) receiving paid help with self-care, mobility, or medical care. We describe patterns in receiving paid help only, help from care partners only, and role-sharing. We examine whether sole reliance on paid help or role-sharing differs by Medicaid-enrollment and dementia status. Results: Half (52.9%) of care networks involved role-sharing. Care networks involving role-sharing more often occurred among older adults with dementia (48.7% vs. 25.6%, p<0.001) and less often for those who were Medicaid-enrolled (32.1% vs. 49.4%, p<0.01). Those living with dementia more often experienced role-sharing in eating (OR 3.9 [95% CI 1.20, 8.50]), bathing (OR 2.7, [95% CI 1.50, 4.96]), dressing (OR 2.1 [95% CI 1.14, 3.86]), toileting (OR 2.9 [95% CI 1.23, 6.74]), and indoor mobility (OR 2.8 [95% CI 1.42, 5.56]), and less often received help solely from paid helpers with medication administration (OR 0.24, [95% CI 0.12, 0.46]). Medicaid-enrollees more often received paid help only in dressing (OR 2.0 [95% CI 1.12, 3.74]), outdoor (OR 2.4 [95% CI 1.28, 4.36]) and indoor mobility (OR 4.3 [95% CI 2.41, 7.62]), and with doctor visits (OR 2.8 [95% CI 1.29, 5.94]). Discussion and Implications: Role-sharing is common, especially among older adults living with dementia who are not Medicaid-enrolled. Strategies supporting information sharing and collaboration in home-based care merit investigation. (© The Author(s) 2024. Published by Oxford University Press on behalf of The Gerontological Society of America. All rights reserved. For commercial re-use, please contact reprints@oup.com for reprints and translation rights for reprints. All other permissions can be obtained through our RightsLink service via the Permissions link on the article page on our site—for further information please contact journals.permissions@oup.com.)
Databáze:	MEDLINE
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