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Stressors Facing Home-Based Primary Care Providers.
Katherine O'Brien1, Sara Bradley2, Vanessa Ramirez-Zohfeld3
1Division of General Internal Medicine and Geriatrics, Department of Medicine, Northwestern University Feinberg School of Medicine, Chicago, IL 60611, USA. Katherine.obrien@northwestern.edu.
Geriatrics (Basel, Switzerland)
|April 27, 2019
Summary
Caring for increasing numbers of homebound patients presents unique stressors for home-based primary care (HBPC) providers. Understanding these challenges is vital for sustaining this essential healthcare model.
Area of Science:
- Geriatrics
- Primary Care
- Health Services Research
Background:
- The population of homebound patients in the U.S. is growing.
- Home-based primary care (HBPC) offers high patient satisfaction and clinical outcomes.
- A shortage of HBPC clinicians exists, with current providers facing significant stressors.
Purpose of the Study:
- To identify and analyze the specific stressors encountered by HBPC providers.
- To inform strategies for supporting HBPC clinicians and ensuring the sustainability of home-based care.
Main Methods:
- A cross-sectional qualitative survey was administered to HBPC providers.
- Provider responses were analyzed and categorized into distinct themes.
Main Results:
- Key stressors were identified and grouped into four primary themes: patient-related factors in the home setting, caregiver support issues, logistical challenges, and administrative burdens.
- This study is the first to comprehensively analyze the stressors specific to HBPC providers serving complex homebound patients.
Conclusions:
- Addressing the identified stressors is crucial for retaining clinicians in HBPC.
- Increased awareness and targeted support are necessary for the long-term viability of home-based primary care services.
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