Leveraging Information Technology to Address Challenges And Opportunities Of Informal Caregivers In Home Care Within The 30- Day Medicare Reimbursement Plan: A Qualitative Study.

dc.contributor.advisorKoru, Gunes
dc.contributor.authorJademi, Onimi Precious
dc.contributor.departmentInformation Systems
dc.contributor.programInformation Systems
dc.description.abstractIn home care, especially within the 30-day Medicare plan, there has been limited systematically collected evidence about the day-to-day challenges of family caregivers and how information technology (IT) tools can be helpful in effectively addressing those challenges. Therefore, this dissertations focused on developing a comprehensive understanding of the challenges experienced by caregivers during Medicare-reimbursed home care episodes, exploring the current levels of IT adoption, learning about the contextual factors influencing adoption, and identifying the opportunities presented by IT to address caregivers' challenges. Using maximum-variation sampling criteria for recruitment, informal caregivers of patients from one home health agency in the United States were recruited as participants of this study. This dissertations adopted an interview-based qualitative approach to collect and analyze rich contextual data from caregivers. Results show a prevalence of family conflicts within the home care space. Caregivers expressed lack of essential resources, a series of devastating losses as well as challenges with dealing with the uncertainty and change. The incompatibilities of their realities with societal norms and expectations, organizational structures and even their own conceived outcome resulted in isolation and created difficulties at work. The participants heavily depended on online resources such as online search engines to find information for care-giving and online networks to socialize. Customized IT solutions, particularly high quality, organized, and searchable online resources, patient portals, utilizing existing social networks, and tele-health can be very effective as support mechanisms to reinforce existing solutions, and serve as a platform to conceptualize and create new solutions. This dissertations sheds light on the actual challenges and how IT can be realistically leveraged, which can be useful in revising clinical practices and various policies for improving the effectiveness and efficiency of caregivers.
dc.relation.isAvailableAtThe University of Maryland, Baltimore County (UMBC)
dc.relation.ispartofUMBC Information Systems Department Collection
dc.relation.ispartofUMBC Theses and Dissertations Collection
dc.relation.ispartofUMBC Graduate School Collection
dc.relation.ispartofUMBC Student Collection
dc.sourceOriginal File Name: Jademi_umbc_0434D_12171.pdf
dc.subjectFamily Caregivers
dc.subjectHealth Informatics
dc.subjectHome care
dc.titleLeveraging Information Technology to Address Challenges And Opportunities Of Informal Caregivers In Home Care Within The 30- Day Medicare Reimbursement Plan: A Qualitative Study.
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