The patient assignment problem in home health care: using a data-driven method to estimate the travel times of care givers

2015 ◽  
Vol 28 (1-2) ◽  
pp. 304-335 ◽  
Author(s):  
Semih Yalçındağ ◽  
Andrea Matta ◽  
Evren Şahin ◽  
J. George Shanthikumar
Keyword(s):  
Health Care ◽  
Home Health Care ◽  
Assignment Problem ◽  
Home Health ◽  
Data Driven ◽  
Travel Times ◽  
Patient Assignment ◽  
Care Givers

scholarly journals Two-stage Stochastic Assignment Problem in the Home Health Care

2016 ◽  
Vol 49 (12) ◽  
pp. 1152-1157 ◽  
Author(s):  
A. Errarhout ◽  
S. Kharraja ◽  
C. Corbier
Keyword(s):  
Health Care ◽  
Home Health Care ◽  
Assignment Problem ◽  
Home Health ◽  
Two Stage ◽  
Stochastic Assignment

scholarly journals From village health volunteers to paid care givers: the optimal mix for a multidisciplinary home health care workforce in rural Thailand

2021 ◽  
Vol 19 (1) ◽  
Author(s):  
Nonglak Pagaiya ◽  
Thinakorn Noree ◽  
Penapa Hongthong ◽  
Karnwarin Gongkulawat ◽  
Pagaluk Padungson ◽  
...  
Keyword(s):  
Health Care ◽  
Home Health Care ◽  
Health Workforce ◽  
Rural Areas ◽  
Health Care Services ◽  
Home Visits ◽  
Home Health ◽  
Care Services ◽  
Care Givers ◽  
Rural Thailand

Abstract Background Thailand is a rapidly aging society, which places high demand on home health care services for the elderly. The shortage of health care workforce in rural areas is a crucial obstacle to the delivery of adequate home health care services. The appropriate skill-mix between multidisciplinary health team and care givers (CGs) is an attractive solution for improving home health care services in rural Thailand. This study assessed the potential of trained CGs to provide home health care services and projected what the optimal mix for a multidisciplinary home health care team in rural Thailand would be in 2030. Methods Eleven pilot districts in Thailand were recruited for the study. Secondary data were collected along with surveys of home health care providers. A total of 130 care managers (nurses) and 351 care givers (CG) were recruited for the survey. Workload, skill-mix potential, and acceptance of care givers were assessed in the surveys. The results from secondary data and the survey were used to project the health workforce requirements in 2030. Results It is projected that in 2030 the number of elderly living in rural areas will be 7,156,700 (27% of the projected rural population). Of this, 20.3% will be home-bound, 1.1% will be bed-ridden and 1.6% will need rehabilitation. The main members of the multidisciplinary health workforce involved in home health care were nurses, doctors, and physiotherapists. The home health care services that were provided by the multidisciplinary health workforce included patient assessment, development of a care plan and case conference, home visits, and teaching and supervision of CGs. The CGs were village health volunteers trained to carry out regular home visits to patients. The CGs provided assistance with the activities of daily living, basic health services, moral support to patients and relatives, and surveillance of the home environment during home visits. CGs were well accepted by both the health professionals and the patients. Projections showed that 16,094 nurses, 1,542 doctors, 1,022 physiotherapists and 50,148 CGs will be required in 2030 to meet the needs of the dependent elderly for home health care in rural Thailand. Conclusion With the increased need for home health care services in the future, appropriate team work between the members of the multidisciplinary health team and the CGs in the community is the appropriate solution for likely shortages of health professional workforce.

scholarly journals Development of a consultation and teaching concept for leg wound treatment in home health care

2007 ◽  
Vol 13 (5) ◽  
pp. 236-240 ◽  
Author(s):  
Ann-Marie Jönsson ◽  
Ania Willman
Keyword(s):  
Health Care ◽  
Home Health Care ◽  
Home Health ◽  
Average Score ◽  
Elderly Persons ◽  
Web Based ◽  
Care Givers ◽  
Teaching Concept ◽  
Information And Communication ◽  
High Bandwidth

We developed a consultation and teaching concept about leg wounds and their care, for use by patients and caregivers in a home health-care setting. Descriptive data were gathered through a survey distributed to three groups, comprising 21 individuals (18 nurses and 3 health administrators). These participants provided answers regarding group activities, meeting frequency, meeting notes and meeting content, as well as responses to questions regarding the Website, Web materials, film and a pamphlet. Seventeen people answered the survey (81% response rate). They made predominantly positive comments. The combined total average score was 3.6 (1=very bad to 4=very good). The concept was implemented in one municipality in a health-care region in southern Sweden using high bandwidth videophones (640 kbit/s). The results showed that elderly persons at home and nurses working in home health care were interested in using the concept and communicating via videophone. A strength of the Web-based information and communication material is its adaptability to suit both patients and care givers.

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