Health Information Use in Home Care: Brainstorming Barriers, Facilitators, and Recommendations

There is growing recognition of the importance of sharing health information in home care; however, limited research exists to identify appropriate strategies, especially with home care providers. We engaged home care stakeholders from three locations in Ontario to determine facilitators, barriers, and recommendations for using health information in home care. The results suggest that health professionals recognize the potential of these systems to enhance communication through several emergent themes; however, there was a lack of agreement on the current facilitators, barriers, and recommendations for future interventions. More research is needed to achieve consensus before strategies for improvement can be initiated.

[1]  Functional Status and Health Information in Canada: Proposals and Prospects , 2003, Health care financing review.

[2]  P. Leatt,et al.  A Framework for Assessing the Performance of Integrated Health Delivery Systems , 1997, Healthcare Management Forum.

[3]  M. Sandelowski Focus on Research Methods Whatever Happened to Qualitative Description? , 2022 .

[4]  A Kitson,et al.  Enabling the implementation of evidence based practice: a conceptual framework. , 1998, Quality in health care : QHC.

[5]  P. Stolee,et al.  The Use of Electronic Health Information Systems in Home Care: Facilitators and Barriers , 2010, Home healthcare nurse.

[6]  I. Öhrn,et al.  Patients' views on responsibility for the management of musculoskeletal disorders – A qualitative study , 2009, BMC musculoskeletal disorders.

[7]  N. Ikegami,et al.  Comprehensive Clinical Assessment in Community Setting: Applicability of the MDS‐HC , 1997, Journal of the American Geriatrics Society.

[8]  G. Onder,et al.  Minimum Data Set for Home Care: A Valid Instrument to Assess Frail Older People Living in the Community , 2000, Medical care.

[9]  C. Estabrooks,et al.  Ingredients for change: revisiting a conceptual framework , 2002, Quality & safety in health care.

[10]  Helvi Kyngäs,et al.  The qualitative content analysis process. , 2008, Journal of advanced nursing.

[11]  Paul Stolee,et al.  The process of decision-making in home-care case management: implications for the introduction of universal assessment and information technology. , 2009, Health & social care in the community.

[12]  P. Stolee,et al.  Stroke Care in Long-Term Care Facilities in Southwestern Ontario , 2006, Topics in stroke rehabilitation.

[13]  N. Denzin,et al.  Handbook of Qualitative Research , 1994 .

[14]  Shawna V. Hudson,et al.  Improving Outcomes for High-Risk Diabetics Using Information Systems , 2007, The Journal of the American Board of Family Medicine.

[15]  B. Lundman,et al.  Qualitative content analysis in nursing research: concepts, procedures and measures to achieve trustworthiness. , 2004, Nurse education today.

[16]  Hsiu-Fang Hsieh,et al.  Three Approaches to Qualitative Content Analysis , 2005, Qualitative health research.

[17]  S. Flottorp,et al.  Identifying barriers and tailoring interventions to improve the management of urinary tract infections and sore throat: a pragmatic study using qualitative methods , 2003, BMC health services research.

[18]  Paul Stolee,et al.  Uses of the National Rehabilitation Reporting System: Perspectives of Geriatric Rehabilitation Clinicians , 2009, Canadian journal of occupational therapy. Revue canadienne d'ergotherapie.