Meeting psychosocial needs for persons with dementia in home care services – a qualitative study of different perceptions and practices among health care providers

Abstract BackgroundThis study examines the risk factors associated with nursing home admission (NHA) in Belgium to contribute to a better planning of the future demand for nursing home (NH) services and health care resources.MethodsIndividual level linkage of the 2013 Belgian health interview survey data and health insurance data (2012 to 2018) was done. Only non-institutionalized participants, aged ≥65 years at the time of the survey were included in this study (n=1930). Participants were followed until NHA, death or end of study period, i.e., December 31, 2018. The risk of NHA was calculated using a competing risk analysis.ResultsOver the follow-up period (median 5.29 years), 226 individuals were admitted to a NH and 268 died without admission to a NH. The overall cumulative risk of NHA was 1.4%, 5.7% and 13.1% at, respectively 1 year, 3 years and the end of follow-up. After multivariable adjustment, higher age, low educational attainment, belonging to low income household, living alone, use of home care services and a number of need factor (e.g., history of falls, suffering from urinary incontinence, depression or Alzheimer disease, etc.) were significantly associated with a higher risk of NHA, while female, individuals with multimorbidity and increased contacts with health care providers were significantly associated with a decreased risk of NHA. Subjective health and limitations are both significant determinants of NHA, but subjective health is an effect modifier on the effect of limitations and vice versa.ConclusionsOur findings pinpoint important predictors of NHA in older adults, and offer possibilities of prevention to avoid or delay NHA for this population. The strong impact of need factors on the risk of NHA may indicate equitable access to NHA (i.e., those in need for support have access to NH). Practical implications include prevention of falls and appropriate and timely management of physical chronic conditions and neurodegenerative disorders. Focus should also be on people living alone to provide the appropriate social support and/or home care services. Further investigation of predictors of NHA should include contextual factors such as the availability of nursing-home beds, hospital beds, physicians and waiting lists for NHA.

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Profile of Persons With Epilepsy Receiving Home Care Services

Home Health Care Management & Practice ◽

10.1177/1084822318769640 ◽

2018 ◽

Vol 30 (4) ◽

pp. 155-163 ◽

Cited By ~ 1

Author(s):

Vahe Kehyayan ◽

John P. Hirdes

Keyword(s):

Health Care ◽

Home Care ◽

Comparison Group ◽

Functional Dependence ◽

Health Care Systems ◽

Home Care Services ◽

Health Issues ◽

Psychosocial Needs ◽

Cross Sectional ◽

Care Services

The objective of this study was to describe the profile of persons with epilepsy (PWE) receiving home care to understand their needs and impact on health care. In this cross-sectional study, sociodemographic, psychosocial, and health characteristics of PWE 60 years of age and above were compared with PWE in the below 60 years age (the comparison) group. Relative to the comparison group, the aged 60 years and above group was more likely to have health and mental health issues, cognitive impairment, functional dependence, psychosocial needs, and health care resource utilization. This study showed that PWE receiving home care services are greatly affected by social, functional, and health issues. Future studies are needed to further explore the burden of PWE on caregivers and health care systems compared with nonepilepsy groups.

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Faculty Opinions recommendation of Health care providers' attitudes towards termination of pregnancy: a qualitative study in South Africa.

Faculty Opinions – Post-Publication Peer Review of the Biomedical Literature ◽

10.3410/f.1203964.669064 ◽

2009 ◽

Author(s):

Kelly Culwell

Keyword(s):

South Africa ◽

Health Care ◽

Qualitative Study ◽

Health Care Providers ◽

Termination Of Pregnancy ◽

Care Providers

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‘They just came with the medication dispenser’- a qualitative study of elderly service users’ involvement and welfare technology in public home care services

BMC Health Services Research ◽

10.1186/s12913-021-06243-4 ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Heidi Snoen Glomsås ◽

Ingrid Ruud Knutsen ◽

Mariann Fossum ◽

Kristin Halvorsen

Keyword(s):

Qualitative Study ◽

Home Care ◽

Health Care Quality ◽

Care Service ◽

User Involvement ◽

Home Care Services ◽

Care Quality ◽

Service Users ◽

Care Services ◽

Welfare Technology

Abstract Background Public home care for the elderly is a key area in relation to improving health care quality. It is an important political goal to increase elderly people’s involvement in their care and in the use of welfare technology. The aim of this study was to explore elderly service users’ experience of user involvement in the implementation and everyday use of welfare technology in public home care services. Method This qualitative study has an explorative and descriptive design. Sixteen interviews of service users were conducted in five different municipalities over a period of six months. The data were analysed using reflexive thematic analysis. Results Service users receiving public home care service are not a homogenous group, and the participants had different wishes and needs as regards user involvement and the use of welfare technology. The analysis led to four main themes: 1) diverse preferences as regards user involvement, 2) individual differences as regards information, knowledge and training, 3) feeling safe and getting help, and 4) a wish to stay at home for as long as possible. Conclusion The results indicated that user involvement was only to a limited extent an integral part of public home care services. Participants had varying insight into and interest in welfare technology, which was a challenge for user involvement. User involvement must be facilitated and implemented in a gentle way, highlighting autonomy and collaboration, and with the focus on respect, reciprocity and dialogue.

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Antenatal and obstetric care in Afghanistan – a qualitative study among health care receivers and health care providers

BMC Health Services Research ◽

10.1186/1472-6963-13-166 ◽

2013 ◽

Vol 13 (1) ◽

Cited By ~ 26

Author(s):

Zuhal Rahmani ◽

Mette Brekke

Keyword(s):

Health Care ◽

Qualitative Study ◽

Health Care Providers ◽

Obstetric Care ◽

Care Providers

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Needs assessment for gender sensitive reproductive health services for adolescents

International Journal of Adolescent Medicine and Health ◽

10.1515/ijamh-2017-0201 ◽

2020 ◽

Vol 0 (0) ◽

Cited By ~ 2

Author(s):

Fatemeh Rahmanian ◽

Soheila Nazarpour ◽

Masoumeh Simbar ◽

Ali Ramezankhani ◽

Farid Zayeri

Keyword(s):

Health Care ◽

Reproductive Health ◽

Health Services ◽

Health Care Providers ◽

Health Care Services ◽

Care Providers ◽

Reproductive Health Services ◽

Care Needs ◽

Reproductive Health Care ◽

Care Services

AbstractBackgroundA dimension of reproductive health services that should be gender sensitive is reproductive health services for adolescents.ObjectiveThis study aims to assess needs for gender sensitive reproductive health care services for adolescents.MethodsThis was a descriptive cross-sectional study on 341 of health care providers for adolescents in health centers and hospitals affiliated to Shiraz University of Medical Sciences in Iran in 2016. The subjects of the study were recruited using a convenience sampling method. The tools for data collection were: (1) a demographic information questionnaire and; (2) a valid and reliable questionnaire to Assess the Needs of Gender-Sensitive Adolescents Reproductive Health Care Services (ANQ-GSARHS) including three sections; process, structure and policy making for the services. Data were analyzed using SPSS 21.ResultsThree hundred and forty-one health providers with an average working experience of 8.77 ± 5.39 [mean ± standard deviation (SD)] years participated in the study. The results demonstrated the highest scores for educational needs (92.96% ± 11.49%), supportive policies (92.71% ± 11.70%) and then care needs (92.37% ± 14.34%) of the services.ConclusionsProviding gender sensitive reproductive health care services for adolescents needs to be reformed as regards processes, structure and policies of the services. However, the gender appropriate educational and care needs as well as supportive policies are the priorities for reform of the services.

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Payment Accuracy in Value-Based Care Contracts

Austin Medical Sciences ◽

10.26420/austinmedsci.2021.1056 ◽

2021 ◽

Vol 6 (3) ◽

Author(s):

Mackenzie A ◽

◽

Wang J ◽

Teppema S ◽

Duncan I ◽

...

Keyword(s):

Health Care ◽

Health Care Providers ◽

Health Care Services ◽

Care Providers ◽

Model Risk ◽

Care Services ◽

Value Based Care ◽

Stochastic Risk

Reimbursement for health care services is transferring more risk away from payers and toward health care providers in the form of Alternative Payment Models (APMs), also known as Value-Based Care (VBC) models. VBC models cover a wide variety of forms but all include guarantees by providers of services to improve quality of care and/or reduce cost. Types of risk include performance risk, contract design risk or stochastic risk (because of the random variation in health care services and costs). A form of contract risk that can be a significant driver of cost is model risk, defined as the probability that the savings calculated at contract reconciliation will deviate from the actual savings generated. To estimate the degree of risk we quantify the potential variance in outcomes in a naïve population prior to intervention and the components that could affect outcomes, using examples of maternity and type 2 diabetes. This analysis has implications for both participants in, and designers of value-based contracts.

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Abstract 77: Health Care Providers and Traditional Healers Perspectives on Late Diagnosis of Breast CanceriIn Tanzania: A Qualitative Study

10.1158/1538-7755.asgcr21-77 ◽

2021 ◽

Author(s):

Elizabeth F. Msoka ◽

Lily Gutnik ◽

Agnes M. Cyril ◽

Brenda C. Kitali ◽

Vivian F. Saria ◽

...

Keyword(s):

Health Care ◽

Qualitative Study ◽

Health Care Providers ◽

Traditional Healers ◽

Late Diagnosis ◽

Care Providers

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Umowy o udzielanie świadczeń opieki zdrowotnej zawierane przez Narodowy Fundusz Zdrowia (leczenie w ramach ubezpieczenia zdrowotnego) a leczenie na zasadach komercyjnych. Implikacje prawne i praktyczne

10.31338/2544-3135.si.2020-86.9 ◽

2021 ◽

pp. 141-151

Author(s):

Paweł Lipowski

Keyword(s):

Health Care ◽

Health Insurance ◽

Health Care Providers ◽

Health Care Services ◽

Legal Status ◽

Healthcare Services ◽

Care Providers ◽

Care Services ◽

Public Payer ◽

Universal Health

The aim of this study is to identify the legal characteristics of contracts for the health care services provided by a public payer, i.e. the National Health Fund (NFZ) as part of treatment covered by universal health insurance, as compared to those provided by the health care providers with public or private legal status. This issue is discussed in relation to the legal conditions for the treatment of patients on a commercial basis in those institutions (private or public) which have contracts for the provision of healthcare services under the general health insurance (so-called contracts). The discussion is presented based on author’s own observations, resulting both from his scientific studies in the field of medical law and his work in various entities operating in the health care system.

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