Integrating circle of relatives caregivers into a patient’s health care team can help enhance care quality and the quality of life for both patients and their families, yet circle of relatives caregivers face remarkable barriers coordinating their efforts with the formal health care team, according to a new RAND Corporation study.
New policies and approaches could also be needed to conquer those hurdles, such as rules to identify and record information on circle of relatives caregivers, and incentives to encourage providers to engage with circle of relatives caregivers.
Extra efforts suggested by researchers are making an investment in programs that supply supportive services and products for circle of relatives caregivers, in addition to expanding access to and underwriting for care coordinators to reinforce caregivers and connect them to a circle of relatives member’s clinical information.
“Circle of relatives caregivers too steadily are treated as secondary members of the care team, with little direct access to the formal health care providers,” said Esther M. Friedman, lead creator of the outline and a sociologist at RAND, a nonprofit research association. “We are hoping our research helps start a conversation approximately ways to better integrate circle of relatives caregivers into the health care team.”
Other strategies advisable by researchers are executing training programs for providers and caregivers to facilitate effective communication, and encouraging leaders to develop technologies that foster caregiver-provider care integration and information sharing.
An estimated 53 million friends and family supply care assistance to loved ones in the US, an increase of 9.5 million caregivers from 2015 to 2020. These members of the family generally supply assistance with on a regular basis activities such as eating, bathing, vinaigrette, driving and taking medications.
Circle of relatives caregivers have direct and frequent access to loved ones with caregiving needs. Multiple-third of care recipients live with their circle of relatives caregiver and 55 per cent of caregivers visit the care recipient more than once a week.
These steady interactions allow circle of relatives caregivers to monitor changes in health and care needs on a more steady basis than would be conceivable for formal health care providers.
To better understand the barriers that face circle of relatives caregivers and how to mitigate those obstacles, RAND researchers reviewed the research literature and interviewed 13 experts from diverse stakeholder groups. The study is without doubt one of the first to focus in-depth on integrating circle of relatives caregivers into the health care team by incorporating interviews with payers, providers and caregiver advocates.
RAND researchers defined circle of relatives caregiver integration to include communication, collaboration and coordination with providers, broadly defined as individuals or organizations that deliver care or health care services and products or help coordinate take care of people with caregiving needs. The health care team may include physicians, nurses, social workers, care coordinators, and private sector health and care service providers.
“The goal of this study is to identify promising policy instructions and supply a blueprint for assessing, developing and executing policies to enhance integration of circle of relatives caregivers into the health care team,” said study co-author Patricia K. Tong, a RAND economist.
The outline found that barriers to integration fell under four themes: identifying caregivers, communication and information-sharing, time limitations and competing demands, and accept as true with and cultural barriers.
Researchers say that future work is needed to expand and assess policy approaches through stakeholder busy consensus methods, assess the availability of evidence-based research, assess each and every approach on metrics of feasibility and affect, evaluate approaches for their cost-effectiveness, and build consensus on how best to execute the most promising choices.
(This story has been published from a wire agency feed without modifications to the text. Only the headline has been changed.)
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