Use of professional home care in persons with spinal cord injury in Switzerland: a cross-sectional study
Rattachement africain : ch. Niveau de preuve : code pays fourni par la source.
Le résumé fourni par la source
BACKGROUND: Persons with spinal cord injury (SCI) living in the community often require care. The boundaries between professional home care and informal care are blurred, and it is unclear who the typical user of home care is. The objective of this study was to describe the characteristics of persons with SCI using professional home care in Switzerland, determine the frequency of home care visits, and investigate the association of sociodemographic factors, SCI-specific characteristics, secondary health conditions, and functional independence with the use of home care. METHODS: We used cross-sectional data from the 2017 community survey of the Swiss Spinal Cord Injury Cohort Study (SwiSCI). Out of 3,959 eligible individuals 1294 completed the questionnaire and were included in the analysis (response rate 33%). Using descriptive statistics, differences between home care users and non-users as well as the frequency of home care visits were investigated. The association between sociodemographic factors, SCI-specific characteristics, secondary health conditions, functional independence and the use of home care was analyzed using multivariable logistic regression. Multiple imputation was used to account for missing data. RESULTS: Of 1,294 participants, 280 (22%) used professional home care. The median weekly professional home care duration was 6 h (Q1 = 2, Q3 = 12). More home care was used in persons with lower functional independence (Odds ratio (OR) 0.30 per 10 unit decrease in the Spinal Cord Independence Measure, 95%-Confidence interval (CI) 0.24-0.37), fewer secondary health conditions (OR 0.96 per unit Spinal Cord Injury Secondary Conditions Scale, 95%-CI 0.94-0.99), tetraplegia (OR 2.77, 95%-CI 1.92-4.00), women (OR 2.42, 95%-CI 1.70-3.43), higher age (OR 1.22 per 10 years increase, 95%-CI 1.06-1.39), living alone (OR 2.48, 95%-CI 1.53-4.03), and those receiving support from an informal caregiver (OR 1.88, 95%-CI 1.27-2.77). CONCLUSIONS: This is the first study to examine the use of professional home care from the perspective of persons with SCI in Switzerland. Lower functional independence strongly predicts increased home care use. The findings showed that professional home care complements informal care and is more likely to be used by individuals with SCI who live alone, have tetraplegia, and are female.
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Le contrôle bibliographique ouvert
DOI retrouvé dans Crossref DOI retrouvé ; titre concordant.
- Titre Crossref
- Use of professional home care in persons with spinal cord injury in Switzerland: a cross-sectional study
- Date Crossref
- 12/12/2023
- Éditeur
- Springer Science and Business Media LLC
- Type
- journal-article
Ce recoupement confirme des métadonnées liées au DOI. Il ne confirme ni la méthode ni les conclusions de l’étude, et il ne compte pas comme une seconde source scientifique indépendante.
Où se fait cette recherche
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Swiss Paraplegic Research pays non établi dans la noticeStructure de recherche
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University of Lucerne Center of Primary and Community Care pays non établi dans la noticeUniversité ou école supérieure
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Swiss Paraplegic Center pays non établi dans la noticeÉtablissement de santé
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REHAB Basel pays non établi dans la noticeÉtablissement de santé
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Clinique Romande de Réadaptation pays non établi dans la noticeÉtablissement de santé
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Universitätsklinik Balgrist pays non établi dans la noticeÉtablissement de santé
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Faculty of Health Sciences and Medicine pays non établi dans la noticeUniversité ou école supérieure
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Swiss Paraplegic Centre pays non établi dans la noticeInstitution
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ParaHelp AG pays non établi dans la noticeInstitution
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Balgrist University Hospital pays non établi dans la noticeUniversité ou école supérieure
Swiss Paraplegic Research, Center of Primary and Community Care — University of Lucerne et Swiss Paraplegic Center, avec 7 autres affiliations.
Une affiliation ne permet pas de déduire la nationalité d’un auteur.