Explosive Zunahme der häuslichen Krankenpflege bei Beatmeten und Tracheotomierten

2019 ◽  
Vol 144 (04) ◽  
pp. 282-285 ◽  
Author(s):  
Dieter Köhler
Keyword(s):  
Home Care ◽  
Outpatient Care ◽  
Organizational Structures ◽  
Interface Problems ◽  
Discharge Management ◽  
Additional Costs ◽  
Long Term Ventilation ◽  
Inpatient And Outpatient Care

AbstractSince 2005, invasive long-term ventilation in Germany has increased significantly from around 1000 to 20 000 patients in Germany. Due to complex home care, the health care system incurs additional costs of around 4 billion euros per year. In addition, in the last 2 – 3 years more tracheostomized patients have been discharged home without ventilation (usually after stroke), and they receive the same complex home care. These patients have almost never been given the chance of a professional weaning trial by a weaning center. They are discharged from hospitals directly into the care. As a result, the quality of care is significantly worse than traditional care with structured discharge management via a weaning center. The solutions are difficult to find due to the interface problems between inpatient and outpatient care and the different organizational structures with different delivery systems. Possible solutions are shown, but most of them require a change in the law.

scholarly journals Parental Perceptions of Quality of Life in Children on Long-Term Ventilation at Home as Compared to Enterostomy Tubes

PLoS ONE ◽  
2016 ◽  
Vol 11 (2) ◽  
pp. e0149999 ◽  
Author(s):  
Brahim Redouane ◽  
Eyal Cohen ◽  
Derek Stephens ◽  
Krista Keilty ◽  
Marialena Mouzaki ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Parental Perceptions ◽  
Long Term Ventilation ◽  
At Home

Assuring the Quality of In-Home Care: The "Other" Challenge for Long-Term Care

1990 ◽  
Vol 30 (4) ◽  
pp. 444-450 ◽  
Author(s):  
R. Applebaum ◽  
P. Phillips
Keyword(s):  
Home Care ◽  
Long Term Care ◽  
The Other ◽  
Term Care

scholarly journals Obciążenie opiekunów nieformalnych a sprawność funkcjonalna i umysłowa pacjentów objętych opieką domową

2018 ◽  
Vol 64 (4) ◽  
Author(s):  
Alina Deluga ◽  
Agnieszka Bartoszek ◽  
Barbara Ślusarska ◽  
Katarzyna Kocka ◽  
Grzegorz Nowicki ◽  
...  
Keyword(s):  
Nursing Home ◽  
Home Care ◽  
Informal Caregivers ◽  
Female Gender ◽  
Negative Influence ◽  
Nursing Home Care ◽  
Satisfaction With Care ◽  
Mental Performance

ABSTRACTIntroduction: Family members as informal caregivers are the most common and important providers of caring services in the home environment of patients suffering from chronic diseases.The aim of the study was to assess the relationship between the functional and mental performance of patients being provided long-term nursing home care and the burden of their caregivers.Materials and methods: The study was carried out in the Lublin region from September 2016 to February 2017. The study group included 149 patients with chronic diseases under long-term nursing home care and their 150 informal caregivers. The burden of the caregivers was assessed by means of the Carers of Older People in Europe (COPE) Index questionnaire which is used to check different aspects of the caregivers’ roles, life situations and relationships with the care recipients. The patients’ functional performance was measured by means of the Barthel Index for Activities of Daily Living, while their mental performance was checked using the Abbreviated Mental Test Score.Results: According to the COPE Index, the caregivers’ burden for particular subscales was as follows: Negative Influence of Care (NIC) 11.80 (SD = 3.75), Positive Value of Care (PVC) 13.71 (SD = 2.07), Quality of Support (QS) 12.46 (SD = 2.69). It has been indicated that the worse the functional and mental performance of the patient under care, the greater the burden of the carers – NIC (p < 0.01), the lower the satisfaction with care – PVC (p < 0.01) and the lower the quality of support given – QS (p < 0.01). The deterioration of a patient’s mental performance correlates with the female gender of the caregiver and the longer duration of care.Conclusions: The lower functional and mental performance of patients who are being provided long-term nursing home care has a relationship to the experience of the negative effects of care by informal carers, lower satisfaction with care and lower quality of support.

The effect of telehealth versus usual care for home-care patients with long-term conditions: A systematic review, meta-analysis and qualitative synthesis

2019 ◽  
pp. 1357633X1986295 ◽  
Author(s):  
Sophie McFarland ◽  
Anne Coufopolous ◽  
Deborah Lycett
Keyword(s):  
Quality Of Life ◽  
Systematic Review ◽  
Home Care ◽  
Psychological Wellbeing ◽  
Long Term Conditions ◽  
Peace Of Mind ◽  
Term Condition ◽  
Bed Days

Introduction Approximately 26 million people in the United Kingdom are living with one long-term condition and 10 million are living with two or more; these figures are projected to continue increasing (NHS England 2018). People with long-term conditions are two to three times more likely to have poor psychological wellbeing and utilise 50% of GP appointments, 64% of outpatient appointments and over 70 of inpatient bed days. Research in this population could help with increasing constraints on healthcare budgets and resources. Technology-enabled healthcare in the community might help improve quality of life and reduce healthcare costs of managing chronic disease but the overall impact is unclear, we therefore conducted a systematic review. Methods Keywords and MeSH terms were used to search MEDLINE and CINAHL. We included qualitative and quantitative studies that reported on adult home-care patients diagnosed with at least one long-term condition, comparing telehealth to usual home care. Meta-analyses and sensitivity analyses were conducted using RevMan 5. Qualitative findings were thematically synthesised and reported narratively. Results In total, 2568 studies were identified and nine (2611 participants) were included. Telehealth was not statistically significantly different versus standard home care for quality of life, psychological wellbeing, physical function, anxiety, depression, disease specific outcomes or bed days of care at 3, 6, 9 and 12 months. Qualitative findings showed patients found telehealth was beneficial for providing peace of mind and legitimising access to healthcare. Conclusion Telehealth may offer reassurance to those living in the community with long-term conditions; however, a lack of high-quality studies and heterogeneity between interventions makes conclusions difficult.

scholarly journals Medicaid Reimbursement and the Quality of Nursing Home Care: A Case Study of Medi-Cal Long-Term Care Reimbursement Act of 2004 in California

2016 ◽  
Vol 8 (3) ◽  
pp. 329-343
Author(s):  
Jingping Xing ◽  
Dana B. Mukamel ◽  
Laurent G. Glance ◽  
Ning Zhang ◽  
Helena Temkin-Greener
Keyword(s):  
Nursing Home ◽  
Home Care ◽  
Long Term Care ◽  
Nursing Home Care ◽  
Term Care ◽  
Medicaid Reimbursement ◽  
Quality Of Nursing

scholarly journals The American College of Surgeons Response to the COVID-19 Pandemic (Part I): Cancer Care, COVID-19 Registry, Surgeon Wellness

2020 ◽  
Vol 86 (7) ◽  
pp. 751-756
Author(s):  
Steven D. Wexner ◽  
Heidi Nelson ◽  
Steven C. Stain ◽  
Patricia L. Turner ◽  
Delia Cortés-Guiral
Keyword(s):  
Cancer Care ◽  
Outpatient Care ◽  
Surgical Care ◽  
Reliable Information ◽  
Global Pandemic ◽  
American College Of Surgeons ◽  
Inpatient And Outpatient Care

From the onset of the COVID-19 global pandemic of 2020, the American College of Surgeons has been a leader in disseminating reliable information on the nature of the crisis and assuring quality of surgical care during the enforced lockdown of inpatient and outpatient care.

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