The Role of Pharmacists in Home Health Care: A Study Set in a Regional Hospital in Taipei City

2021 ◽  
pp. 108482232110164
Author(s):  
Mei-Ju Chen ◽  
Feng-Hsia Kao
Keyword(s):  
Health Care ◽  
Home Health Care ◽  
Barthel Index ◽  
Medication Use ◽  
Home Visits ◽  
Home Health ◽  
Moderating Effects ◽  
Barthel Index Score ◽  
Improved Outcomes ◽  
Level Of Consciousness

In response to population aging, there is an increase in demand for the coverage of and the necessary services provided by home health care and home care for socially vulnerable groups. This study explored whether the instructions and recommendations offered by pharmacists during their home visits play a key role in the factors that influence a patient’s prognosis. A home health care database was analyzed in this study. The subjects received home visits from pharmacists. There were 262 subjects following the exclusion of closed cases that were not due to improved outcomes or death. To validate the research framework, multiple regression analysis was employed for model validation. The level of consciousness and Barthel Index score mediated the effects of multimorbidities, and these mediating effects significantly affected patient outcomes (improvement or death). The medication-related knowledge and instructions for correct medication use provided by pharmacists did not exhibit significant moderating effects on the influence of a patient’s level of consciousness and Barthel Index score on their improved outcomes. However, the pharmacists’ provision of instructions and recommendations for patient self-care had significant moderating effects on the path by which patients with multimorbidities experienced improved outcomes through higher total Barthel Index scores. In comparison with physician home visits, which merely cover the treatments for diseases, pharmacists also play a vital role in home health care. Pharmacists provide patients with medication-related knowledge and instructions for correct medication use. This study addressed aspects that have not been considered in previous studies.

A Model for Improving Medication Use in Home Health Care Patients

1998 ◽  
Vol 38 (6) ◽  
pp. 696-702 ◽  
Author(s):  
Nancy J. Brown ◽  
Marie R. Griffin ◽  
Wayne A. Ray ◽  
Sarah Meredith ◽  
Mark H. Beers ◽  
...  
Keyword(s):  
Health Care ◽  
Home Health Care ◽  
Medication Use ◽  
Home Health

scholarly journals A transition towards digital home visits in social care and home health care during the corona pandemic

2021 ◽  
Author(s):  
Karin Ahlin ◽  
Magnus Zingmark ◽  
Thomas Persson Slumpi
Keyword(s):  
Health Care ◽  
Home Health Care ◽  
Social Care ◽  
Cognitive Impairments ◽  
Home Visits ◽  
Home Health ◽  
Web Survey ◽  
Technical Equipment ◽  
Digital Home ◽  
Home Health Service

Abstract Background: Physical meetings are favoured in social care and home health service in Sweden, both when it comes to internal meetings or home visits at citizens residence. During the pandemic, physical meetings were supposed to decrease as much as possible to avoid the virus to spread. One solution was to digitize as many meetings as possible. Transforming meetings from physical to digital is not without flaws, especially not when it comes to meetings with citizens needing care. Therefore, the purpose of this study was to explore the transition toward increased use of digital home visits in social care and home health care in a Swedish municipality. Results: A web survey was sent out to understand which meetings could be transformed into digital meetings and related challenges. The web-survey was sent to co-workers in home health care and social care in a middle-seized municipality in Sweden and included questions with predetermined and open-ended answers. The results showed that not all meetings could be transformed, like meetings with citizens with hearing or cognitive impairments. Challenges related to the transformation were instability in technical equipment, the professions’ and citizens’ knowledge of handling technical equipment, and access to technical equipment support.Conclusions: Despite the challenges did the co-workers digitize meetings whenever possible, adding operational and problem-solving attitude to the transformation. Due to this study’s limitation, like respondents from one municipality and the pandemic’s length, we intend to investigate further and understand the development of the transformation and how knowledge in the area increases.

scholarly journals Patient Knowledge and Understanding of Home Health Services Criteria

2019 ◽  
pp. 14-19
Author(s):  
Philip Collins ◽  
Stuti Jha ◽  
Alison Mancuso ◽  
John Bertagnolli ◽  
Sondra De Antonio ◽  
...  
Keyword(s):  
Health Care ◽  
Home Care ◽  
Home Health Care ◽  
Health Care Services ◽  
Home Visits ◽  
Home Health ◽  
Patient Knowledge ◽  
Eligibility Criteria ◽  
Care Services ◽  
Definition Of

Context: This study was conducted to gain a better understanding of patients’ understanding of homebound criteria and house call eligibility. Objective: To date, little empirical data exists assessing patient knowledge of home health care services. This study is designed to examine patients’ understanding of home health care services, eligibility criteria, costs, and interest in house calls. Methods: This study used an anonymous survey developed by the researchers and provided to patients in four separate office locations at a large academic Family Medicine practice. Questions about homebound criteria, eligibility, out of pocket cost, and patient interest were asked. Results: In total 393 surveys were collected. Approximately 47 percent of all respondents in the survey showed interest in having a home care visit by a healthcare professional, while only 59.6 percent were able to accurately identify the definition of homebound status. Approximately 60 percent of all respondents believe that they will have to pay more out of pocket for home visits, and the subgroup of respondents who have an interest in home visits showed that 63.4 percent of that group think that they will have to pay more out of pocket for such visits. Conclusion: These data have the potential to inform medical providers of a lack of understanding among patients regarding homebound criteria and home health care in general. While further studies could examine more specific details of this potential knowledge gap, the information provided by this study could prompt providers to begin educating patients on the possibility of home care.

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.

Assessment of Impact of Medication Use and Dementia on Fall Risk in Clients Receiving Home Health Care

2012 ◽  
Vol 24 (5) ◽  
pp. 228-233 ◽  
Author(s):  
Shu-Shi Chen ◽  
Sharon L. Olson ◽  
Peggy Gleeson ◽  
Katy Mitchell
Keyword(s):  
Health Care ◽  
Home Health Care ◽  
Fall Risk ◽  
Medication Use ◽  
Home Health
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