scholarly journals SWOT-TOWS analysis to improve home health waste management during the COVID-19 pandemic

2020 ◽  
Author(s):  
Thais Silva ◽  
Renata Maciel ◽  
Lourdinha Florencio ◽  
Simone Machado Santos
Keyword(s):  
Health Care ◽  
Waste Management ◽  
Home Health Care ◽  
Health Care Services ◽  
Management Practices ◽  
Swot Analysis ◽  
Home Health ◽  
Care Services ◽  
Health Care Practices ◽  
Waste Management Practices

Abstract Home health services are of great concern, as infectious diseases can be transmitted not only to residents but also to home health care workers. Worldwide, there are few studies related to home health waste management. Before the COVID-19 pandemic, a survey on waste management from home health care services was carried out between October and December 2019. In the survey, all 67 stakeholders (health teams and caregivers/patients) involved in home health care services in the municipality of Caruaru (Brazil) were interviewed. The collected data showed that the home health care and waste management practices identified during field visits would be severely impacted by the pandemic. In this context, a SWOT analysis and TOWS matrix were employed in the analysis of home health care practices; in this work, those practices include care provided by health teams and patient caregivers, encompassing the handling of waste resulting from health care. The results show the need to promote strategies to improve home health care services to preserve the health of professionals and patients in the pandemic and post-pandemic periods. In this context, care related to the transmission of COVID-19 has been ratified, generating additional actions for the proper management of health waste.

scholarly journals Timing of Home Health Care Initiation and 30-Day Rehospitalizations among Medicare Beneficiaries with Diabetes by Race and Ethnicity

2021 ◽  
Vol 18 (11) ◽  
pp. 5623
Author(s):  
Jamie M. Smith ◽  
Haiqun Lin ◽  
Charlotte Thomas-Hawkins ◽  
Jennifer Tsui ◽  
Olga F. Jarrín
Keyword(s):  
Health Care ◽  
Home Health Care ◽  
Race And Ethnicity ◽  
Health Care Services ◽  
Propensity Scores ◽  
The United States ◽  
Home Health ◽  
Medicare Beneficiaries ◽  
Timely Initiation ◽  
Care Services

Older adults with diabetes are at elevated risk of complications following hospitalization. Home health care services mitigate the risk of adverse events and facilitate a safe transition home. In the United States, when home health care services are prescribed, federal guidelines require they begin within two days of hospital discharge. This study examined the association between timing of home health care initiation and 30-day rehospitalization outcomes in a cohort of 786,734 Medicare beneficiaries following a diabetes-related index hospitalization admission during 2015. Of these patients, 26.6% were discharged to home health care. To evaluate the association between timing of home health care initiation and 30-day rehospitalizations, multivariate logistic regression models including patient demographics, clinical and geographic variables, and neighborhood socioeconomic variables were used. Inverse probability-weighted propensity scores were incorporated into the analysis to account for potential confounding between the timing of home health care initiation and the outcome in the cohort. Compared to the patients who received home health care within the recommended first two days, the patients who received delayed services (3–7 days after discharge) had higher odds of rehospitalization (OR, 1.28; 95% CI, 1.25–1.32). Among the patients who received late services (8–14 days after discharge), the odds of rehospitalization were four times greater than among the patients receiving services within two days (OR, 4.12; 95% CI, 3.97–4.28). Timely initiation of home health care following diabetes-related hospitalizations is one strategy to improve outcomes.

Home Health Care Services for AIDS Patients: One Community's Response

1993 ◽  
Vol 10 (1) ◽  
pp. 39-51 ◽  
Author(s):  
Pamela J. Salsberry ◽  
Jennie T. Nickel ◽  
Muriel O'Connell ◽  
Nancy R. Reynolds ◽  
Diana L. Brady ◽  
...  
Keyword(s):  
Health Care ◽  
Home Health Care ◽  
Health Care Services ◽  
Home Health ◽  
Aids Patients ◽  
Care Services

Postdischarge Adverse Events Among Patients Who Received Home Health Care Services

2019 ◽  
Vol 31 (4) ◽  
pp. 257-262
Author(s):  
Dennis Tsilimingras ◽  
Liying Zhang ◽  
Askar Chukmaitov
Keyword(s):  
Risk Factors ◽  
Health Care ◽  
Patient Safety ◽  
Adverse Events ◽  
Home Health Care ◽  
Health Care Services ◽  
Home Health ◽  
Health Concern ◽  
Care Services ◽  
Safety Research

Adverse events that occur in urban and rural adults during the posthospitalization period have become a major public health concern. However, postdischarge adverse events for patients receiving home health care have been understudied. The objective of this study was to identify the prevalence and risk factors associated with postdischarge adverse events for patients who received home health care services. We analyzed data from a prospective cohort study that was conducted among patients who were hospitalized in the Tallahassee Memorial Hospital from December 2011 to October 2012. Telephone interviews were conducted by trained nurses who contacted patients within 4 weeks after discharge. Physicians reviewed cases with possible adverse events that were triaged by the nurses. The adverse events that were identified were categorized as preventable, ameliorable, and nonpreventable/nonameliorable. Nearly 39% of 85 patients who received home health care experienced postdischarge adverse events that were predominantly preventable or ameliorable. The associated risk factors were living alone (odds ratio [OR] = 7.860, p = .020), insured by Medicare or Medicaid (OR = 6.402, p = .048), type 2 diabetes mellitus (OR = 6.323, p = .004), pneumonia (OR = 5.504, p = .004), and other infections (OR = 4.618, p = .031). This study was able to identify that nearly one in every two patients who received home health care after hospital discharge experienced an adverse event. Patient safety research needs to focus in the home by developing specific interventions to avert adverse events and improve patient safety during the delivery of home health care services.

Sign in / Sign up

Export Citation Format

Share Document