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  4. Use of professional home care in persons with spinal cord injury in Switzerland: a cross‑sectional study

Use of professional home care in persons with spinal cord injury in Switzerland: a cross‑sectional study

BMC Health Services Research, 2023 · DOI: https://doi.org/10.1186/s12913-023-10429-3 · Published: December 4, 2023

Spinal Cord InjuryHealthcareRehabilitation

Simple Explanation

This study investigates the use of professional home care among individuals with spinal cord injury (SCI) in Switzerland. It aims to identify the characteristics of home care users, the frequency of home care visits, and factors associated with home care use. The research utilizes data from the Swiss Spinal Cord Injury Cohort Study (SwiSCI) to compare home care users and non-users, examining sociodemographic factors, SCI-specific characteristics, secondary health conditions, and functional independence. The findings reveal that lower functional independence strongly predicts increased home care use, and that home care complements informal care, particularly for individuals living alone, with tetraplegia, or who are female.

Study Duration
2017-2018
Participants
1294 persons with spinal cord injury
Evidence Level
Cross-sectional study

Key Findings

  • 1
    Lower functional independence strongly predicts increased home care use among individuals with SCI.
  • 2
    Professional home care complements informal care, being more likely used by individuals with SCI who live alone, have tetraplegia, and are female.
  • 3
    Women with SCI are more likely to use home care services but receive fewer hours of care per week compared to men.

Research Summary

This study examined the use of professional home care among persons with SCI in Switzerland, revealing that 22% of participants used such services, with a median weekly duration of 6 hours. Key factors associated with home care use included lower functional independence, tetraplegia, being female, older age, living alone, and receiving support from an informal caregiver. The research highlights that professional home care complements informal care and identifies significant differences in home care use based on gender, SCI type, and the presence of informal caregivers.

Practical Implications

Targeted Home Care Services

Home care services should be tailored to individuals with lower functional independence, considering factors such as living situation, SCI type, and gender.

Support for Informal Caregivers

Recognize and support the complementary role of informal caregivers in conjunction with professional home care services.

Further Research on Gender Differences

Investigate the reasons behind the gender disparity in home care hours received to ensure equitable service provision.

Study Limitations

  • 1
    The cross-sectional design prevents causal inferences and examination of home care use over time.
  • 2
    Inability to differentiate between types of home care services (e.g., care services vs. household help).
  • 3
    Lack of control for insurance coverage, which may influence access to household help services.

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