Barriers to Home and Community-Based Service Referrals: The Physician's Role.

Autor: REDER, SHERI, HEDRICK, SUSAN, GUIHAN, MARYLOU, MILLER, SARA
Předmět:
Zdroj: Gerontology & Geriatrics Education; Jan-Mar2009, Vol. 30 Issue 1, p21-33, 13p, 3 Charts
Abstrakt: The purpose of this study was to obtain information about Department of Veteran Affairs (VA) long-term care (LTC) referrals that could be used to develop interventions that increase the likelihood of referrals to home and community-based services (HCBS) instead of institutional care. This primarily qualitative study was conducted at five VA Medical Centers. The study used three linked methods: interviews with patients and informal caregivers; focus groups with LTC administrators, providers, and social workers; and written rankings of the barriers to HCBS referrals. We unexpectedly identified a cluster of findings indicating the importance of physicians' role in the LTC referral process and the need for more LTC training, particularly about HCBS. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index