Biomedical subjects

Maryam Navaie-Waliser

Publications and source records attributed to Maryam Navaie-Waliser.

8 recordsLinked to original sources

PubMed2006

Lower utilization of primary, specialty and preventive care services by individuals residing with persons in poor health.

BACKGROUND: Since household time and financial resources for health care are primarily spent for those household members with the most urgent health needs, individuals residing with persons in poor health may be at risk of underusing health-care services. We examined whether these individuals had a lower use of primary, specialty and preventive care than those who did not reside with persons in poor health. METHODS: Data collected in 2000 from a representative sample of 8,210 French individuals aged 18 years and older from 3,810 households were analysed with logistic regression models adjusted for health, demographic and socioeconomic variables. RESULTS: We found that individuals residing with one other survey respondent had a higher risk of not using primary care, specialty care and preventive care in the 12 months preceding the study when the health status of the other survey respondent was poorer (fair or alternatively poor versus good). Furthermore, individuals residing with two other survey respondents had a higher risk of not using primary care, specialty care and preventive care in the 12 months preceding the study when they resided with a higher number of respondents in fair or poor health (one or alternatively two versus zero). CONCLUSION: The lower use of health services by individuals residing with persons in poor health may signal a need for health practitioners to broaden the scope of care beyond their patients, and for policy makers to consider the long-term impact of this situation on the health-care system.

Adult↗

PubMed2004

Implementing a pediatric asthma program: enabling self-care management through education.

This article provides an overview of asthma prevalence among children, presents a summary of asthma triggers based on past research, outlines the essential components of a pediatric asthma home care model implemented by a large urban home health agency, and details the types of clinical documentation needed for care plan development and monitoring of asthma in the home.

Administration, Inhalation↗

PubMed2004

Increasing job satisfaction, quality care, and coordination in home health.

Data from 188 home health employees revealed that working for a reputable agency, having adequate business/office support, and interactions with patients were positively associated with job satisfaction. New employees viewed positive relationships with supervisors as an important indicator of job satisfaction, whereas senior employees reported recognition/acknowledgment to relate more with job satisfaction. Reduced workload, improved work environment, and frequent meetings were viewed as critical elements of quality care provision and coordination. Practice improvements are highlighted.

Attitude of Health Personnel↗

PubMed2003

Social support, home health service use, and outcomes among four racial-ethnic groups.

PURPOSE: This study explored similarities and differences in social support, home health service utilization, and health outcomes across four racial-ethnic groups of elders. DESIGN AND METHODS: 1999 Outcomes Assessment Information Set records for 7,374 home care recipients who were 75 years of age or older and who were discharged to self-care were selected for bivariate and multivariate analyses. RESULTS: Similar levels of skilled service utilization were observed across racial or ethnic groups. Disparities were found in supportive assistance and physical and mental health outcomes. At discharge to self-care, more Black elders had no supportive assistance compared with all other groups; fewer Hispanics and Asians had improved physical functioning compared with Black and White elders. More White elders reported anxiety and depressive symptoms than any other racial or ethnic group. IMPLICATIONS: The findings suggest that racial-ethnic minorities and White elders may have differential needs for mental health and supportive services at discharge from home health care.

Aged↗

PubMed2002

Informal caregiving: differential experiences by gender.

BACKGROUND: With an aging population and public policies that limit accessible and affordable formal care services, informal caregivers, largely women, will continue bearing the overwhelming responsibility for home and long-term care services provision. OBJECTIVES: This study examined gender differences among informal caregivers in caregiving activities, intensity, challenges, and coping strategies and assessed the differential effects of caregiving on their physical and emotional well-being. RESEARCH DESIGN: Cross-sectional study conducted between May and September 1998. SUBJECTS: Telephone interviews were conducted with a randomly selected, nationally representative sample of 1002 informal caregivers. MEASURES: Caregivers' sociodemographic, and physical and emotional health characteristics; caregiving type and intensity; formal care support; difficulty with care provision; unmet needs; coping strategies; and the care recipients' health and relationship with caregiver were examined between the genders using descriptive and multivariate analyses. RESULTS: Compared with men caregivers, women caregivers were significantly more likely to be 65 years of age or older, black, married, better educated, unemployed, and primary caregivers; provide more intensive and complex care; have difficulty with care provision and balancing caregiving with other family and employment responsibilities; suffer from poorer emotional health secondary to caregiving; and cope with caregiving responsibilities by forgoing respite participation and engaging in increased religious activities. CONCLUSIONS: Informal caregivers, particularly women, are under considerable stress to provide a large volume of care with little support from formal caregivers. Program planners, policy makers, and formal care providers must act together to provide accessible, affordable, and innovative support services and programs that reduce family caregiving strain.

Adult↗

PubMed2002

When the caregiver needs care: the plight of vulnerable caregivers.

OBJECTIVES: This study examined the characteristics, activities, and challenges of high-risk informal caregivers. METHODS: Telephone interviews were conducted with a nationally representative cross-section of 1002 informal caregivers. Vulnerable caregivers with poor health or a serious health condition were compared with nonvulnerable caregivers. RESULTS: Thirty-six percent of caregivers were vulnerable. Compared with nonvulnerable caregivers, vulnerable caregivers were more likely to have difficulty providing care, to provide higher-intensity care, to report that their physical health had suffered since becoming a caregiver, to be aged 65 years or older, to be married, and to have less than 12 years of education. CONCLUSIONS: Reliance on informal caregivers without considering the caregiver's ability to provide care can create a stressful and potentially unsafe environment for the caregiver and the care recipient.

Adult↗

PubMedDate not supplied

Evaluating the needs of children with asthma in home care: the vital role of nurses as caregivers and educators.

To date, few evaluations have examined issues specific to children's asthma management in their homes. This study examined the characteristics, risk factors, and needs of children with asthma, and the impact of home health nurses on improving parents'/family caregivers' knowledge about asthma triggers and management. The medical records of children, </=19 years, residing in New York City, who were admitted to home care with asthma in 1999 (n = 1,007) were reviewed retrospectively to collect a wide range of data. The majority of children with asthma in home care were </=5 years, male, racial/ethnic minorities, and hospital referred. Approximately one in four children with asthma suffered from additional comorbidities. Home environmental triggers included dust/dust mites, animal dander, mold, perfumes/detergents, and cigarette smoke. Notable psychosocial triggers were family tensions, physical activity, anxiety/stress, and friends/peer pressure. Most parents/family caregivers had inadequate knowledge about recognition of asthma attacks and its triggers and management. Discharge assessments suggested that home health nurses can help improve caregivers' knowledge about asthma management. Children with asthma in home care have diverse needs, receive few nurse home visits, and have parents/family caregivers in need of more intensive education on asthma symptom recognition and management.

Asthma↗

PubMedDate not supplied

Risk factors for repeated hospitalizations among home healthcare recipients.

One indicator of quality home healthcare is the prevention of rehospitalization. This study explored factors that place patients at risk for repeat hospitalizations after home healthcare admission. One year of outcomes assessment information data from a large home health agency was used to identify 7,393 patients who had at least one episode of rehospitalization. Results revealed that after the data had been adjusted for age and gender, a number of demographic, clinical, and functional factors predicted repeat hospitalizations. Home health agencies that focus on these risk factors may improve the effectiveness and efficiency of their efforts to prevent rehospitalization.

Activities of Daily Living↗