Home Care Services for the Elderly: Cost Savings Implications to Medicaid

1988 ◽  
Vol 62 (1) ◽  
pp. 127-136 ◽  
Author(s):  
Kam-fong Monit Cheung
Author(s):  
Sandra J. Crowell ◽  
Kenneth Rockwood ◽  
Paul Stolee ◽  
Sharon K. Buehler ◽  
Bonnie M. James ◽  
...  

RÉSUMÉBut: Comparer au moyen d'un plan d'étude transversale les caractéristiques démographiques et fonctionnelles des utilisateurs âgés et des non-utilisateurs de services de soins à domicile dans les centres urbains de la Nouvelle-Écosse (n = 533) et de la Terre-Neuve (n = 449).Résultats: Plus de Néo-Écossais et Néo-Écossaises (24%) que de Terre-Neuviens et Terre-Neuviennes (11%) reçoivent des services de soins à domicile. Dans les deux provinces, la plupart des gens dépendants par rapport aux activités de la vie quotidienne (AVQ) ne reçoivent pas des services de soins à domicile, et la plupart des utilisateurs de soins à domicile n'ont pas de dépendence par rapport aux AVQ. À Terre-Neuve, la dépendence et la démence sont plus fréquentes chez les utilisateurs de soins à domicile, contrairement aux utilisateurs en Nouvelle-Écosse ou le fait d'avoir 85 ans ou plus, de ne pas avoir de soutien dans la même habitation, de ne pas être marié et d'être limité par rapport aux activitiés instrumentales de la vie quotidienne (ATVQ) a pour conséquence une augmentation importante de la probabilité d'utilisation de soins à domicile. À Terre-Neuve, la tendance à recourir à des soins à domicile est plus forte chez les gens ayant une dépendence par rapport aux AIVQ.Conclusions: Si les soins à domicile doivent se substituer à des soins en établissement, il faut être prêt à adapter à un nouveau type d'utilisateur les programmes existants de soins à domicile.


2012 ◽  
Vol 23 (2) ◽  
pp. 241-246 ◽  
Author(s):  
Melanie F. Demaerschalk ◽  
Lut E. Vanden Boer ◽  
Joost L. Bronselaer ◽  
Geert Molenberghs ◽  
Anja G. Declercq

2020 ◽  
Vol 11 (2) ◽  
pp. 216
Author(s):  
Razak Abdullah ◽  
Rosyidah Arafat ◽  
Syahrul Syahrul

Latar Belakang : Proses menua merupakan proses alami yang diikuti dengan terjadinya peurunan kondisi fisik, psikologis dan sosial yang saling berkaitan satu sama lain .Kondisi penurunan tersebut mempengaruhi kemampuan lanjut usia dalam melakukan aktifitas sehari – hari/ Activity daily livings yang memerlukan perhatian dan bantuan keluarga sehingga mengakibatkan permintaan untuk perawatan di rumah meningkat dengan cepat. Perawatan Home care menjadi arena perawtaan professional dan informal. Review ini bertujuan untuk mengetahui bagaimana pelayanan home care pada lanjut usia.Metode : Dalam mengumpulkan artikel menggunakan beberapa database Pubmed, Science Direct, Wiley, dan Google Scholar dengan strategi pencarian menggunakan metode PICO (population, intervention, comparison and outcome dengan batasan publikasi artikel dari tahun 2009-2019.Hasil : Hasil temuan diperoleh beberapa point yaitu perlunya perawat melakukan Analisis kehidupan lansia sebelum memberikan pelayanan home care, pelayanan tepat waktu, Ukuran pengalaman aspek interpersonal perawatan karena itu dapat menjadi indikator yang berguna dari hasil kualitas hidup, pentingnya partisipasi lanjut usia, berbagi sejarah dengan perawat dan lansia, terjaminnya privasi lansia, pemenuhan standar kebutuhan lansia, selanjutnya ada factor komunikasi, pembangunan hubungan perawat dan lanjut usia, kepercayaan, keamanan, perawat harus pandai dalam menilai kekahawatiran rasa depresi yang disembunyikan oleh lansia, dan siap dalam menerima perbadaan pandangan dalam hal perawatan home care dengan lansia. Kata kunci :  Home care, Lanjut Usia Abstract Background: The aging process is a natural process that is followed by a decline in physical, psychological and social conditions that are interrelated with each other. The condition of the decline affects the ability of the elderly in carrying out daily activities / Activity daily livings that require attention and assistance from family so resulting in a rapidly increasing demand for home care. Care Home care is an arena for professional and informal care. This review aims to determine the experience of nurses in providing home care services for the elderly.Method: Data was obtained from google scholar website database, Since direct and Proquest, and obtained 5 articles. The five articles were then carried out by the journal research critics using the appropriate CASP tools namely 5 articles with the Critical Appraisal of Qualitative Study.Results: The findings obtained by several points, namely Analysis of the lives of the elderly before giving home care services, timely services, measures of experience of interpersonal aspects of care because it can be a useful indicator of quality of life outcomes, the importance of elderly participation, sharing history with nurses and the elderly, ensuring privacy, fulfilling the standards of elderly needs, then there are factors of communication, building relationships between nurses and the elderly, trustworthiness, security, nurses must be clever in assessing the concerns of depression that are hidden by the elderly, and ready to accept improvements in terms of nursing home care with the elderly . Keywords: Experience, Nurse, Home care, Elderly


2020 ◽  
Vol 2020 ◽  
pp. 1-11 ◽  
Author(s):  
Sumini ◽  
Sukamdi ◽  
Evita Hanie Pangaribowo ◽  
Yeremias T. Keban ◽  
Muhadjir Darwin

Elderly care services are important to provide in response to the rapid growth of the elderly population. In developing countries like Indonesia, the speed of growth of the elderly population does not simultaneously occur, so the needs for care services vary. This study discusses the emergence of home care services in response to the increase in elderly population. By taking the case of community home care services in Sleman, this study found the pattern and process of the emergence of local initiatives in home care services. This study also revealed an important factor affecting the implementation of community home care services, that is, leadership.


2019 ◽  
Vol 31 (4) ◽  
pp. 219-223 ◽  
Author(s):  
Meltem Meriç ◽  
Gül Ergün ◽  
Ganna Pola ◽  
Meral Dölek ◽  
Burcu Totur Dikmen ◽  
...  

The determination of nursing students’ attitudes toward elderly discrimination and their opinions about home care is important in that it will affect the quality of care provided to elderly individuals in their homes by the students in the future. For this reason, the aim of this study was to determine relationship between nursing students’ attitudes toward elderly discrimination and their opinions about home care services. This descriptive study was conducted with a total of 318 students from a university nursing faculty during the fall semester of the 2016-2017 academic year. Data for the study were collected using the Home Care Services Evaluation Questionnaire and the Ageism Attitude Scale. It was found that there was a positively significant but weak relationship between the students’ age discrimination scale total score and the positive discrimination subdimension score, and their opinions about home care services ( p < .001). Students’ attitudes toward elderly discrimination were found to make a statistically significant contribution to their opinions about home care services. It was ascertained that students’ attitudes toward elderly discrimination affected their opinions about home care services. It is recommended that geriatric nursing and home care nursing lectures be included in the nursing education curriculum, awareness of the importance of the concept of old age and elderly care be increased by establishing internship fields for students in institutions that provide home care for the elderly, and positive attitudes toward the elderly be promoted.


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