Evidence map›Paper›PMID 32026253›Full record

ArticleJournal of general internal medicine2020

Understanding the Workflow of Home Health Care for Patients with Heart Failure: Challenges and Opportunities.

Madeline R Sterling, Nicola Dell, Benedetta Piantella, Jacklyn Cho, Harveen Kaur, Emily Tseng, Fabian Okeke, Mikaela Brown, Peggy B K Leung, Ariel F Silva and 2 more

Open access · bronzeAbstract read
In one paragraph

Article in Journal of general internal medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
5.1field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

21 citing papers in PubMed, 29 citations in OpenAlex.

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  16. Family Caregiver Perspectives on Benefits and Challenges of Caring for Older Adults With Paid Caregivers.Journal of applied gerontology : the official journal of the Southern Gerontological Society · 2021
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  17. "There Is Something Very Personal About Seeing Someone's Face": Provider Perceptions of Video Visits in Home-Based Primary Care During COVID-19.Journal of applied gerontology : the official journal of the Southern Gerontological Society · 2021
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors at 3 institutions in 1 country.

Madeline R SterlingDepartment of Medicine, Division of General Internal Medicine, Weill Cornell Medicine, 420 E 70th Street, New York, NY, 10021, United States. mrs9012@med.cornell.edu.
Nicola DellCornell Tech, New York, NY, USA.
Benedetta PiantellaNew York University, New York, NY, USA.
Jacklyn ChoDepartment of Medicine, Division of General Internal Medicine, Weill Cornell Medicine, 420 E 70th Street, New York, NY, 10021, United States.
Harveen KaurHackensack Meridan Health, Hackensack, NJ, USA.
Emily TsengCornell Tech, New York, NY, USA.
Fabian OkekeCornell Tech, New York, NY, USA.
Mikaela BrownCornell Tech, New York, NY, USA.
Peggy B K LeungDepartment of Medicine, Division of General Internal Medicine, Weill Cornell Medicine, 420 E 70th Street, New York, NY, 10021, United States.
Ariel F SilvaDepartment of Medicine, Division of General Internal Medicine, Weill Cornell Medicine, 420 E 70th Street, New York, NY, 10021, United States.
Amy L ShawDepartment of Medicine, Division of General Internal Medicine, Weill Cornell Medicine, 420 E 70th Street, New York, NY, 10021, United States.
Lisa M KernDepartment of Medicine, Division of General Internal Medicine, Weill Cornell Medicine, 420 E 70th Street, New York, NY, 10021, United States.
Cornell University · USWeill Cornell Medicine · USNew York University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundReadmission rates are high among heart failure (HF) patients who require home health care (HHC) after hospitalization. Although HF patients who require HHC are often sicker than those who do not, HHC delivery itself may also be suboptimal.

objectiveWe aimed to describe the workflow of HHC among adults discharged home after a HF hospitalization, including the roles of various stakeholders, and to determine where along these workflow challenges and opportunities for improvement exist. DESIGN AND

participantsIn this qualitative study, we used purposeful sampling to approach and recruit a variety of key stakeholders including home health aides, nurses, HF patients, family caregivers, physicians, social workers, home care agency leaders, and policy experts. The study took place in New York, NY, from March to October 2018. APPROACH: Using a semi-structured topic guide, we elicited participants' experiences with HHC in HF through a combination of one-on-one interviews and focus groups. Data were recorded, transcribed, and analyzed thematically. We also asked selected participants to depict in a drawing their understanding of HHC workflow after hospitalization for HF patients. We synthesized the drawings into a final image. KEY

resultsStudy participants (N = 80) described HHC for HF patients occurring in 6 steps, with home health aides playing a main role: (1) transitioning from hospital to home; (2) recognizing clinical changes; (3) making decisions; (4) managing symptoms; (5) asking for help; and (6) calling 911. Participants identified challenges and opportunities for improvement for each step.

conclusionsOur findings suggest that HHC for HF patients occurs in discrete steps, each with different challenges. Rather than a one-size-fits-all approach, various interventions may be required to optimize HHC delivery for HF patients in the post-discharge period.

Indexed as

Heart FailureHome Care ServicesAdultAftercareHumansNew YorkPatient DischargeWorkflowhealth services researchheart failurehome health carequalitative research

Identifiers

PMID32026253
PMCPMC7280407
OpenAlexW3005229075

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.