Ontario’s Home First Approach, Care Transitions, and the Provision of Care: The Perspectives of Home First Clients and Their Family Caregivers
MetadataShow full item record
Home First is an Ontario transition management approach that attempts to reduce the pressure on hospital and Long Term Care (LTC) beds through early discharge planning, the provision of timely and appropriate home care, and the delay of LTC placement. The purpose of this qualitative descriptive study was to obtain descriptions from South Eastern Ontario Home First clients and their family caregivers of their experiences with and thoughts about care transitions, the provision of care, and the Home First approach. The goal was to enable insight into the Home First approach, care transitions, and the provision of care through access to the perspectives of study participants. Nine semi structured interviews (and one or more follow-up calls for each interview) with Home First clients discharged from hospitals in South East Ontario and their family caregivers were conducted and their content analyzed. All participating Home First clients were pleased to be home from hospital and did not consider LTC placement a positive option. All had family involved with their care and used a mix of formal and informal services to meet their care needs. Four general themes were identified: (a) maintaining independence while responding (or not) to risks, (b) constraints on care provision, (c) communication is key, and (d) relationship matters. Although all Home First clients participating in the study were discharged home successfully, a sense of partnership between health care providers, families, and clients was often lacking. The Home First approach may be successfully addressing hospital alternative level of care issues and getting people home where they want to be, but it is also putting increasing demands on formal and informal community caregivers. There is room for improvement in how well their needs and those of care recipients are being met. Health professionals and policy makers must ask caregivers and recipients about their concerns and provide them with appropriate resources and information if they want them to become true partners on the care team.
URI for this recordhttp://hdl.handle.net/1974/8037
Request an alternative formatIf you require this document in an alternate, accessible format, please contact the Queen's Adaptive Technology Centre
Showing items related by title, author, creator and subject.
Life After Prostate Cancer: An Investigation of Patients' Health-Related Quality of Life, Sexual Outcomes, Mental Health, Social Support, and Healthcare Experiences McInnis, MeghanProstate cancer is the most commonly diagnosed cancer in Canadian males. Survivorship rates, particularly for early-stage diagnoses, are high, meaning that the majority of diagnosed individuals must live with the consequences ...
Perceived Social Support for Relationships As a Predictor of Relationship Well-Being and Mental and Physical Health in Same-Sex and Mixed-Sex Relationships: A Longitudinal Investigation Blair, Karen Lyndsay (2012-05-30)Intimate relationships function not in isolation, but within a broader social network and social environment, in which the opinions and actions of close network members can play a role in how a relationship develops. The ...
Effect of computer decision support system on antibiotic utilization in a complex continuing care and rehabilitation hospital Vellanky, Smitha (2007-07-18)Background: Considerable amount of inappropriate antibiotic utilization has been observed in both acute and non-acute care hospitals. Literature has shown that strategies such as an order entry (OE) and computer decision ...