Long-term nursing care at home: challenges and technology-driven solution approaches: the case of German healthcare system

2022 ◽  
pp. 79-106
Author(s):  
Thierry Oscar
Keyword(s):  
Healthcare System ◽  
Nursing Care ◽  
German Healthcare System ◽  
Care At Home ◽  
At Home

The Netherlands—zorg in de gemeenschap

2019 ◽  
pp. 61-66
Author(s):  
Mark Britnell
Keyword(s):  
Primary Care ◽  
Older People ◽  
Healthcare System ◽  
Long Term Care ◽  
Term Care ◽  
The World ◽  
Care At Home ◽  
General Care ◽  
At Home

The Dutch healthcare system is considered by many to be one of the finest in the world because of its pioneering provision and decent level of funding. ‘Zorg in de gemeenschap’ or ‘care in the community’ is a both a distinguishing and defining feature of the Dutch cure and care system. The Dutch spend around 3.7% of their GDP on long-term care, the highest in the OECD, and offer many examples of innovation in caring for older people in the community and at home. Nearly 13% of the population aged over 65 receive care at home, compared with just 4.9% across the OECD. In this chapter, Mark Britnell looks at the Dutch healthcare system; its structure, funding, future, and much else. He points out that a strength of the Dutch healthcare system is the emphasis placed on well-resourced primary care, and looks at how it affects general care.

Long-Term Care at Home

2014 ◽  
Author(s):  
Doron D. Goldman ◽  
Regina Khurin ◽  
Debora W. Tingley ◽  
Darlene Yee-Melichar
Keyword(s):  
Long Term Care ◽  
Term Care ◽  
Care At Home ◽  
At Home

Oncology to specialised palliative home care systematic transition: the Domus randomised trial

2020 ◽  
Vol 10 (3) ◽  
pp. 350-357
Author(s):  
Kirstine Benthien ◽  
Pernille Diasso ◽  
Annika von Heymann ◽  
Mie Nordly ◽  
Geana Kurita ◽  
...  
Keyword(s):  
Palliative Care ◽  
Fast Track ◽  
Symptom Burden ◽  
Assessment System ◽  
Place Of Death ◽  
Oncological Treatment ◽  
Care At Home ◽  
At Home

ObjectivesTo assess the effect of a systematic, fast-track transition from oncological treatment to specialised palliative care at home on symptom burden, to explore intervention mechanisms through patient and intervention provider characteristics and to assess long-term survival and place of death.MeasuresThe effect of a systematic, fast-track transition from oncological treatment to specialised palliative care at home on patient symptom burden was studied in the Domus randomised clinical trial. Participants had incurable cancer and limited treatment options. The intervention was provided by specialised palliative home teams (SPT) based in hospice or hospital and was enriched with a psychological intervention for patient and caregiver dyad. Symptom burden was measured with Edmonton Symptom Assessment System (ESAS-r) at baseline, 8 weeks and 6 months follow-up and analysed with mixed models. Survival and place of death was analysed with Kaplan-Meier and Fisher’s exact tests.ResultsThe study included 322 patients. Tiredness was significantly improved for the Domus intervention group at 6 months while the other nine symptom outcomes were not significantly different from the control group. Exploring the efficacy of intervention provider demonstrated significant differences in favour of the hospice SPT on four symptoms and total symptom score. Patients with children responded more favourably to the intervention. The long-term follow-up demonstrated no differences between the intervention and the control groups regarding survival or home deaths.ConclusionsThe Domus intervention may reduce tiredness. Moreover, the intervention provider and having children might play a role concerning intervention efficacy. The intervention did not affect survival or home deaths.Trial registration numberNCT01885637

scholarly journals INVOLUNTARY TREATMENT AMONG OLDER ADULTS WITH COGNITIVE IMPAIRMENT RECEIVING NURSING CARE AT HOME.

2018 ◽  
Vol 2 (suppl_1) ◽  
pp. 981-981
Author(s):  
V Moermans ◽  
M Bleijlevens ◽  
H Verbeek ◽  
F Tan ◽  
K Milisen ◽  
...  
Keyword(s):  
Older Adults ◽  
Cognitive Impairment ◽  
Nursing Care ◽  
Involuntary Treatment ◽  
Care At Home ◽  
At Home

Utilization of medical healthcare among people receiving long-term care at home or in special accommodation

2009 ◽  
Vol 24 (2) ◽  
pp. 404-413 ◽  
Author(s):  
Anna Condelius ◽  
Anna-Karin Edberg ◽  
Ingalill Rahm Hallberg ◽  
Ulf Jakobsson
Keyword(s):  
Long Term Care ◽  
Term Care ◽  
Care At Home ◽  
Medical Healthcare ◽  
At Home
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