title: Meeting the Needs of Older Adult Refugee Populations With Home Health Services.
abstract: The United States resettles close to 70,000 refugees each year more than any other country in the world. Adult refugees are at risk for negative health outcomes and inefficient health resource use, and meeting the multiple health needs of this vulnerable population is a challenge. The purpose of this study was to assess the impact of a home health care (HHC) pilot project on meeting the needs of older adult refugee patients. A retrospective chart review of 40 refugee adult patients who participated in an HHC pilot was done to analyze their health outcomes using OASIS-C data. Participants' pain level, anxiety level, medication management, and activities of daily living management all significantly improved over the course of their HHC episode. Results of this study indicate that HHC has great potential to improve the health of vulnerable refugee populations and assist the families involved in their care.
authors.affiliation: 1 University of Rochester, Rochester, NY, USA.
authors.forename: Sarah M
authors.initials: SM
authors.lastname: Miner
authors.affiliation: 1 University of Rochester, Rochester, NY, USA.
authors.forename: Dianne
authors.initials: D
authors.lastname: Liebel
authors.affiliation: 1 University of Rochester, Rochester, NY, USA.
authors.forename: Mary H
authors.initials: MH
authors.lastname: Wilde
authors.affiliation: 2 University of Colorado, Denver, CO, USA.
authors.forename: Jennifer K
authors.initials: JK
authors.lastname: Carroll
authors.affiliation: 3 HCR Home Care, Rochester, NY, USA.
authors.forename: Elizabeth
authors.initials: E
authors.lastname: Zicari
authors.affiliation: 3 HCR Home Care, Rochester, NY, USA.
authors.forename: Stephanie
authors.initials: S
authors.lastname: Chalupa
mesh_terms: D000368:Aged; D001007:Anxiety / Q000175:diagnosis / Q000523:psychology; D003863:Depression / Q000175:diagnosis / Q000523:psychology; D005260:Female; D006301:Health Services Needs and Demand / Q000592:standards / Q000639:trends*; D018574:Home Care Agencies / Q000592:standards* / Q000706:statistics & numerical data; D006801:Humans; D008297:Male; D008403:Mass Screening / Q000379:methods; D008875:Middle Aged; D009518:New York / Q000208:ethnology; D010865:Pilot Projects; D012036:Refugees / Q000523:psychology* / Q000706:statistics & numerical data; D012189:Retrospective Studies; D011795:Surveys and Questionnaires; D035862:Vulnerable Populations / Q000208:ethnology / Q000706:statistics & numerical data
keywords: community health; home care; transcultural health