Departments of Occupational Therapy, School of Health and Rehabilitation Sciences (Dr Rodakowski) and Acute and Tertiary Care, School of Nursing (Dr Martsolf), University of Pittsburgh, Pittsburgh, Pennsylvania; Clinical and Translational Science Institute, Pittsburgh, Pennsylvania (Dr Rodakowski); AmeriHealth Caritas Family of Companies, Philadelphia, Pennsylvania (Dr Leighton); RAND Corporation, Pittsburgh, Pennsylvania (Dr Martsolf); and Health Policy Management, School of Public Health, University of Pittsburgh, Pittsburgh, Pennsylvania (Dr James).
Qual Manag Health Care. 2021;30(1):1-5. doi: 10.1097/QMH.0000000000000278.
The Caregiver Advise, Record, Enable (CARE) Act encourages inclusion of family caregivers in the hospitalization process for patients. Translating the state laws into meaningful changes within the health care delivery system can be challenging and requires time. This study sought to examine early compliance with and implementation of the CARE Act reported by hospitals in the Commonwealth of Pennsylvania.
We sent an online survey to hospital executives in Pennsylvania in 2017. Descriptive statistics were computed to examine hospital characteristics and used to assess compliance and implementation of the CARE Act tenets.
Most hospitals reported that changes have been and are being made to comply with the CARE Act (90.9%). Hospital executives reported that the family caregiver designation is available in 63.6% of the hospitals and notification of patient discharge is available in 45.5%. Hospital executives reported that family caregiver education and instruction is occurring in 31.8% of all inpatient stays. Hospital executives indicated that they are still developing processes to comply with the legislation and to integrate family caregivers into hospital systems and processes.
Our findings suggest that hospitals are complying with the legislation, while fully operationalizing the components of the CARE Act is a work in progress.
《护理人员咨询、记录、授权法案》（CARE 法案）鼓励将家庭护理人员纳入患者住院治疗过程中。将州法律转化为医疗保健提供系统内的实际变革可能具有挑战性，并且需要时间。本研究旨在检查宾夕法尼亚州医院报告的 CARE 法案的早期合规性和实施情况。
我们于 2017 年向宾夕法尼亚州的医院管理人员发送了在线调查。使用描述性统计来检查医院特征，并用于评估 CARE 法案原则的合规性和实施情况。
大多数医院报告称，已经并正在进行变革以遵守 CARE 法案（90.9%）。医院管理人员报告说，有 63.6%的医院提供家庭护理人员指定，有 45.5%的医院提供患者出院通知。医院管理人员报告称，在所有住院治疗中，有 31.8%的家庭护理人员接受了教育和指导。医院管理人员表示，他们仍在制定流程以遵守法规，并将家庭护理人员纳入医院系统和流程中。
我们的研究结果表明，医院正在遵守该法规，而全面实施 CARE 法案的各项规定仍在进行中。
