A Qualitative Study of Healthcare Experience Among Chinese Homebound Adults Receiving Home-Based Medical Care

Abstract Home-based medical care (HBMC) is emerging in China, but research understanding the efficiency and effectiveness of this new care model is rare. In this study, researchers interviewed 17 Chinese homebound adults aged 45 and older (53% females, mean age=76) who have received HBMC, and collected detailed information regarding their experiences and attitudes toward HBMC. Participants were recruited from healthcare institutions in Shanghai, Jinan, and Zhangqiu of China. The evaluation of patients’ experiences with HBMC yielded both positive and negative aspects. Positive experiences included 1) the delivery method was convenient for homebound patients; 2) health problems could be detected timely because doctors visited patients regularly; 3) home care providers had better bedside manners and professional skills than hospital-based providers; 4) the medical insurance covered the cost of home care services. Negative experiences related to the supply and quality of care, including 1) the scope of current HBMC services was too limited to meet the needs of homebound patients; 2) the visit time was too short; 3) healthcare providers’ professional skills varied greatly. Findings from this study suggest that the HBMC model benefited Chinese older adults, primarily homebound adults, in terms of convenience and affordability. There are opportunities to expand the scope of home care services and improve the quality of care. Policymakers may consider providing more resources and incentives to enhance HBMC in China. Educational programs may be created to train more HBMC providers and improve their professional skills.

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A Summary of Researches on the Quality of Home-based Care Services in China

Public Administration Research ◽

10.5539/par.v10n1p41 ◽

2021 ◽

Vol 10 (1) ◽

pp. 41

Author(s):

Yi-Luo Wang ◽

Ying Duan ◽

Ying Zhang

Keyword(s):

Service Quality ◽

Home Care ◽

Care Service ◽

Elderly Care ◽

The Elderly ◽

Home Care Services ◽

Care Services ◽

Home Based ◽

Home Based Care

With the increase of the aging of the population in china, the demand of the elderly continues to increase, which has brought great challenges to the elderly care service industry. As a new type of elderly care service, home-based care services directly affect the quality of the elderly’s health and daily life in their later years. Therefore, improving the product and quality of elderly care services has become the goal and purpose of the development of home-based care service for aged. This article uses Cite Space software to perform visual analysis of keyword clustering on existing literature, and concludes that scholars focus on the integration of medical care, social elderly care service system, service quality, and influencing factors, but the impact of service quality models and indicator systems is low. Then through the integration and induction of scholars’ research progress on home care services, existing problems in service quality, and service quality evaluation index systems, in order to continue to innovate on the basis of existing knowledge, improve the service quality index system, and focus on combing process indicators with outcome indicators effectively, thereby improving the quality of community home care services.

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Discharge Communications for Older Patients Between Hospital Healthcare Providers and Home Healthcare Providers: An Integrative Review

Home Health Care Management & Practice ◽

10.1177/10848223211052031 ◽

2021 ◽

pp. 108482232110520

Author(s):

Yeonsu Kim ◽

Mary Crandall ◽

Ha Do Byon

Keyword(s):

Home Care ◽

Older Patients ◽

Healthcare Providers ◽

Home Care Services ◽

Home Healthcare ◽

Discharge Process ◽

Care Services ◽

Phone Calls ◽

Discharge Communication

The increasing volume of our aging population is dramatically affecting the need for home care services. The discharge process from hospital to home can be fraught with communication challenges if critical information is not provided. The transition process can threaten patient safety and incur adverse patient health outcomes. However, little is known about how the communication occurs between hospital and home health providers. Therefore, this integrative literature review was conducted to (1) describe the discharge communication that is occurring for older patients between hospital and home healthcare providers and (2) summarize the limitations of current discharge communication. A systematic search was conducted using CINAHL, PubMed, Web of Science, and PsycINFO databases. Findings were categorized to address each aim. Seven studies were included for full reviews. Healthcare providers used a variety of communication methods, including: written information, phone calls, or in-person meetings to exchange the discharge information of older patients. Limitations in communications included excessive and incomplete discharge documents, lack of provider’s contact information, lack of trust in each other, and lack of bidirectional communications. The quality of discharge communications can improve by utilizing mediators and implementing standardized discharge documentation requirements. Overall, there was a lack of literature that described the methods and limitations of discharge communication for older patients between hospital and home care services. Further studies can be conducted to generate more evidence. Healthcare providers may improve the quality of discharge communication by addressing the suggested areas.

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Evaluation of Anxiety Levels and Sleep Quality of Family Members Providing Home Care Services: A Case-Control Study

Turkish Journal of Family Medicine & Primary Care ◽

10.21763/tjfmpc.765490 ◽

2020 ◽

Author(s):

Nurcan AKBAŞ GÜNEŞ

Keyword(s):

Sleep Quality ◽

Home Care ◽

Case Control Study ◽

Family Members ◽

Home Care Services ◽

Case Control ◽

Care Services ◽

Anxiety Levels ◽

Control Study

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MEDICAL CARE AND HOME CARE SERVICES

Nursing Research ◽

10.1097/00006199-196811000-00069 ◽

1968 ◽

Vol 17 (6) ◽

pp. 569

Author(s):

R. M. COE ◽

E. A. FRIEDMANN ◽

R JACK SIGLE ◽

L DOUGLAS MARSHAL ◽

H. P. BREHM ◽

...

Keyword(s):

Home Care ◽

Medical Care ◽

Home Care Services ◽

Care Services

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A Causal Relationship of Home Care Services on the Quality of Life among Survivors of Stroke in Thailand

Walailak Journal of Science and Technology (WJST) ◽

10.48048/wjst.2021.9049 ◽

2021 ◽

Vol 18 (5) ◽

Author(s):

Patoomthip ADUNWATANASIRI ◽

Siriorn SINDHU ◽

Napaporn WANITKUN ◽

Chukiat VIWATWONGKASEM

Keyword(s):

Quality Of Life ◽

Home Care ◽

Functional Status ◽

Home Care Services ◽

Self Management ◽

Stroke Survivors ◽

Management Support ◽

Policy Makers ◽

Care Services

Survivors of stroke suffer impairments associated with a complex need of care from healthcare services after being discharged from hospital and returning home, and these impairments affect the quality of their lives. This cross-sectional study, aimed at evaluating the pathways linking home care services, patient factors, and quality of life (QOL), was carried out by conducting interviews and questionnaires with stroke survivors at their homes. Simple random sampling was used to select the settings for data collection, and multi-stage sampling was used to select the samples. In all, 317 stroke survivors admitted to 13 hospitals in rural and urban setting were selected for participation in the study. The data obtained were analyzed by using Structural Equation Modeling (SEM). The hypothetical model demonstrated a good fit (chi-square = 15.299, df = 9, p = 0.083, GFI = 0.98, CFI = 0.98, RMSEA = 0.047). Statistically significant explanatory variables for the home care service had a direct effect on perceived self-management support, functional status, and QOL (β = 0.39, 0.12 and 0.11, respectively), while number of community supporters had a significant positive indirect effect on QOL through functional status (β = 0.13). The variables accounted for 56 % of the variance in QOL. This finding could be used by policy makers to make important policy development in home care services and help improve health outcomes. In particular, it is also recommended that policy makers push for policies that encompass self-management support and community support groups among stroke survivors in community settings.

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Interprofessional Stroke Rehabilitation for Stroke Survivors Using Home Care

Canadian Journal of Neurological Sciences / Journal Canadien des Sciences Neurologiques ◽

10.1017/s0317167100011537 ◽

2011 ◽

Vol 38 (2) ◽

pp. 317-334 ◽

Cited By ~ 36

Author(s):

Maureen Markle-Reid ◽

Camille Orridge ◽

Robin Weir ◽

Gina Browne ◽

Amiram Gafni ◽

...

Keyword(s):

Home Care ◽

Stroke Rehabilitation ◽

Intervention Group ◽

Home Care Services ◽

Stroke Survivors ◽

Interprofessional Team ◽

Care Services ◽

Sf 36

Objective:To compare a specialized interprofessional team approach to community-based stroke rehabilitation with usual home care for stroke survivors using home care services.Methods:Randomized controlled trial of 101 community-living stroke survivors (<18 months post-stroke) using home care services. Subjects were randomized to intervention (n=52) or control (n=49) groups. The intervention was a 12-month specialized, evidence-based rehabilitation strategy involving an interprofessional team. The primary outcome was change in health-related quality of life and functioning (SF-36) from baseline to 12 months. Secondary outcomes were number of strokes during the 12-month follow-up, and changes in community reintegration (RNLI), perceived social support (PRQ85-Part 2), anxiety and depressive symptoms (Kessler-10), cognitive function (SPMSQ), and costs of use of health services from baseline to 12 months.Results:A total of 82 subjects completed the 12-month follow-up. Compared with the usual care group, stroke survivors in the intervention group showed clinically important (although not statistically significant) greater improvements from baseline in mean SF-36 physical functioning score (5.87, 95% CI -3.98 to 15.7; p=0.24) and social functioning score (9.03, CI-7.50 to 25.6; p=0.28). The groups did not differ for any of the secondary effectiveness outcomes. There was a higher total per-person costs of use of health services in the intervention group compared to usual home care although the difference was not statistically significant (p = 0.76).Conclusions:A 12-month specialized, interprofessional team is a feasible and acceptable approach to community-based stroke rehabilitation that produced greater improvements in quality of life compared to usual home care. Clinicaltrials.gov identifier: NCT00463229

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The Impact of Urinary Incontinence on Quality of Life in Those Receiving Home Care Services

Home Health Care Management & Practice ◽

10.1177/1084822318795439 ◽

2018 ◽

Vol 31 (1) ◽

pp. 30-34

Author(s):

Mahcube Cubukcu

Keyword(s):

Quality Of Life ◽

Urinary Incontinence ◽

Home Care ◽

Chronic Diseases ◽

Short Form ◽

Home Care Services ◽

Care Services ◽

The Mean ◽

The Impact

This study aims to evaluate the impact of urinary incontinence on the quality of life in those receiving home care services and the factors that influence this. This cross-descriptive study was performed in 180 patients who were served from Home Care Services between 01 and 28 February 2018. An International Consultation on Incontinence Questionnaire–Short Form (ICIQ-SF) was implemented in person to those who gave their informed consent with orientation and cooperation. The mean age of a 180 patients was 74.40 ± 7.80 years (min = 18, max = 104), of which 55.2% were women. The mean ICIQ-SF score was found to be 12.42 ± 4.83 (min = 0, max = 21). The lowest points were given as responses to the question, “In your opinion, what amount of leakage do you experience?” The highest points, however, were given to the question of “How much does urinary leakage interfere with your everyday life?” It was seen that when quality of life is assessed with a visual analog scale within the ICIQ-SF, the quality of life for 66.6% of elderly individuals was affected moderately or significantly. The mean ICIQ-SF scores were higher in those with chronic diseases ( p < .005). Urinary Incontinence negatively affects quality of life to a moderate and significant degree in those receiving home care. The quality of life for those who have chronic diseases was worse. In this respect, there is a need to support patients in those receiving home care services.

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