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• W2411213055 abstract "Population health and family caregiving are symbiotic. Population health requires comprehensive attention not only to health behaviors, but also to the culture of healthcare delivery, community and social determinants of health, and, importantly, the cost of achieving health. The broad nature of the term makes population health inseparable from the topic of family caregiving. Improved population health is unlikely without greater attention to the role of family caregivers, and the platform of population health recognizes the full value of family caregivers in ways that prior research and advocacy efforts have not fully articulated.Population health is the health (defined by traditional health outcomes) of a group of individuals, with particular attention given to how health outcomes are distributed within the group (Kindig and Stoddart, 2003). The group can be defined as broadly as the human population, or as specifically as a group of individuals served by one healthcare provider. Population health prioritizes reducing health inequities or disparities among the defined group, and includes social, environmental, and cultural factors. It assumes the group's overall health could be quite high if the majority of the population is relatively healthy-even if a minority of the population is much less healthy.Importantly, health is not defined as absence of disease, but includes the capacity of people to adapt and respond to challenges that threaten individuals' health and well-being. This definition of health includes family caregiving, which is largely defined as practical and emotional supports for an individual who is adapting to physical and-or cognitive challenges. Lastly, population health requires attention to the total cost of care for the group, creating an opportunity for family caregiving to enter the cost equation. This is significant because family caregivers' contributions improve care recipients' health and reduce healthcare expenditures.Family caregivers' contributions are not inconsequential. In 2013, the estimated value of unpaid assistance provided to adult family members was approximately $470 billion, with 40 million family caregivers providing daily care (Reinhard et al., 2015). In 2014, informal family care for individuals with Alzheimer's Disease and other dementias was estimated at 17.9 billion hours (Alzheimer's Association, 2015). While this represents a significant contribution to the nation's long-term-care system, it led to an additional $9.7 billion in healthcare costs for family caregivers (Alzheimer's Association, 2015).Findings from the Home Alone report (Reinhard, Levine, and Samis, 2012) provide additional support for the relationship between family caregiving and population health. Fortysix percent of the 1,677 family caregivers completing the online survey reported that they performed medical or nursing tasks for care recipients (Reinhard, Levine, and Samis, 2012). According to the report, these tasks include managing multiple medications, helping with assistive devices for mobility, preparing food for special diets, providing wound care, using monitors, managing incontinence, and operating specialized medical equipment.This article focuses on an integrated healthcare system's approach to support family caregivers and describes two examples that involved the translation of evidence-based programs to support family caregivers within the context of a healthcare system's delivery processes. Both programs were undertaken in close partnership with the local Aging and Disability Resource Center (ADRC), a further demonstration of the need to frame family caregiving within the population health scope-placing equal value on health supports in the community as well as in traditional medical settings.The Family Caregiver ProgramIn the initial project to serve family caregivers, Scott & White Healthcare (now Baylor Scott & White Health, or BSWH) started the Family Caregiver Program (FCP) as a healthcare-based translation of the Resources for Enhancing Alzheimer's Caregiver Health II (REACH II) intervention. …" @default.
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• W2411213055 date "2015-12-01" @default.
• W2411213055 modified "2023-09-23" @default.
• W2411213055 title "The Symbiosis of Population Health and Family Caregiving Drives Effective Programs That Support Patients and Families" @default.
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