Department of Health, Behavior and Society, 25802Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
15851Center for Innovative Care in Aging, Johns Hopkins University School of Nursing, Baltimore, MD, USA.
Am J Alzheimers Dis Other Demen. 2021 Jan-Dec;36:15333175211050152. doi: 10.1177/15333175211050152.
The COVID-19 pandemic forced adult day services (ADS) to close and abruptly end in-person services to clients. To understand the effect of the pandemic on ADS, a 20-item survey was used to examine services provided, staffing, finances, and plans to reopen. Data came from 22 sites participating in the Adult Day Service Plus a national randomized controlled trial. Of the 22 ADS sites responding to the survey, most (86.4%, n = 19) closed due to COVID-19 with nearly half closing due to a state mandate (52.6%, n = 10). Most sites reported the need to furlough or terminate staff (63.6%, n = 14). Services that sites continued to provide included telephone support (n = 22, 100%), delivery of food (n = 8, 36.4%), medical check-ins (n = 9, 40.1%), and activity Zoom or YouTube (n = 14, 63.6%). Most of these services were provided without reimbursement. Adult day services have considerable potential as a platform for service innovation in community-based services.
译文：COVID-19 大流行迫使成人日间服务（ADS）关闭，并突然停止向客户提供面对面服务。为了了解大流行对 ADS 的影响，使用了一份 20 项的调查来检查所提供的服务、人员配备、财务状况以及重新开放的计划。数据来自参与成人日间服务加全国随机对照试验的 22 个站点。在对调查做出回应的 22 个 ADS 站点中，大多数（86.4%，n=19）因 COVID-19 而关闭，近一半（52.6%，n=10）因州政府命令而关闭。大多数站点报告需要暂时解雇或终止员工（63.6%，n=14）。站点继续提供的服务包括电话支持（n=22，100%）、食品配送（n=8，36.4%）、医疗检查（n=9，40.1%）和活动的 Zoom 或 YouTube（n=14，63.6%）。这些服务大多是无偿提供的。成人日间服务在社区服务中的服务创新方面具有很大的潜力。
