Sterling Madeline R, Ringel Joanna Bryan, Cho Jacklyn, Riffin Catherine A, Avgar Ariel C
Division of General Internal Medicine, Department of Medicine, Weill Cornell Medicine, New York, New York, USA.
Division of Geriatrics and Palliative Medicine, Department of Medicine, Weill Cornell Medicine, New York, New York, USA.
Innov Aging. 2022 Jan 6;6(2):igac001. doi: 10.1093/geroni/igac001. eCollection 2022.
While family caregivers have traditionally provided care for older adults with chronic conditions and disabilities, the demand for paid home care workers has increased in the last decade. Although typically thought to assist with personal care, emerging data suggest that paid home care workers assist with a wider scope of care. However, the extent and quality of the care they deliver remains poorly understood.
Using the Empire State Poll, a telephone-based cross-sectional survey of 800 adults in New York State, we characterized the types of care that paid home care workers provided and the perceived value of that care.
Of 800 participants surveyed, 274 reported that they or an immediate family member received care from a paid home care worker (34.3%). Of these, the majority (73.9%) reported that paid home care workers provided emotional and/or medical care, in addition to personal care. In adjusted models, providing emotional and medical care (compared to personal care alone) was associated with nearly a twofold greater perception of importance and experience by the care recipients.
Our findings provide additional data on how paid home care workers contribute to patient care, from the perspective of the care recipient(s). The type of care provided is associated with varying magnitudes of perceived quality. Although limited to New York, these findings have implications for paid home care workers' training and compensation. Future studies are warranted to investigate the specific factors that mediate the association between types of care provided and their perceived value.
虽然家庭照顾者传统上一直为患有慢性疾病和残疾的老年人提供照顾，但在过去十年中，对有偿家庭护理人员的需求有所增加。尽管通常认为他们协助提供个人护理，但新出现的数据表明，有偿家庭护理人员协助提供更广泛的护理服务。然而，他们所提供护理的范围和质量仍知之甚少。
我们使用了“帝国州民意调查”，这是一项对纽约州800名成年人进行的基于电话的横断面调查，我们描述了有偿家庭护理人员提供的护理类型以及对该护理的感知价值。
在接受调查的800名参与者中，274人报告他们自己或直系亲属接受过有偿家庭护理人员的护理（34.3%）。其中，大多数人（73.9%）报告说，有偿家庭护理人员除了提供个人护理外，还提供情感和/或医疗护理。在调整后的模型中，提供情感和医疗护理（与仅提供个人护理相比）与护理接受者对重要性和体验的感知几乎高出两倍有关。
我们的研究结果从护理接受者的角度提供了关于有偿家庭护理人员如何为患者护理做出贡献的更多数据。所提供的护理类型与不同程度的感知质量相关。尽管这项研究仅限于纽约，但这些发现对有偿家庭护理人员的培训和薪酬具有启示意义。未来有必要进行研究，以调查介导所提供护理类型与其感知价值之间关联的具体因素。
