scholarly journals The co-creation of situated knowledge: Facilitating the implementation of care models in hospital-based home care

Author(s):  
Kristofer Hansson ◽  
Gabriella Nilsson ◽  
Irén Tiberg
2021 ◽  
Vol 14 ◽  
pp. 117863292110224
Author(s):  
Lisanne I van Lier ◽  
Henriëtte G van der Roest ◽  
Vjenka Garms-Homolová ◽  
Graziano Onder ◽  
Pálmi V Jónsson ◽  
...  

This study aims to benchmark mean societal costs per client in different home care models and to describe characteristics of home care models with the lowest societal costs. In this prospective longitudinal study in 6 European countries, 6-month societal costs of resource utilization of 2060 older home care clients were estimated. Three care models were identified and compared based on level of patient-centered care (PCC), availability of specialized professionals (ASP) and level of monitoring of care performance (MCP). Differences in costs between care models were analyzed using linear regression while adjusting for case mix differences. Societal costs incurred in care model 2 (low ASP; high PCC & MCP) were significantly higher than in care model 1 (high ASP, PCC & MCP, mean difference €2230 (10%)) and in care model 3 (low ASP & PCC; high MCP, mean difference €2552 (12%)). Organizations within both models with the lowest societal costs, systematically monitor their care performance. However, organizations within one model arranged their care with a low focus on patient-centered care, and employed mainly generalist care professionals, while organizations in the other model arranged their care delivery with a strong focus on patient-centered care combined with a high availability of specialized care professionals.


2020 ◽  
Vol 36 (4) ◽  
pp. 395-403
Author(s):  
Madeleine Renyi ◽  
Ulrike Lindwedel-Reime ◽  
Lisa Blattert ◽  
Frank Teuteberg ◽  
Christophe Kunze

ObjectivesMixed home care, in which informal and professional actors work closely together, contributes significantly to ensuring home care up to old age. In this context, collaboration applications can considerably enhance the interactions among caregivers. However, although much research is conducted on need and requirement analyses of such applications, little is known about their introduction and use in care models. The purpose of this contribution is to identify studies that evaluate collaboration applications for mixed home care and compare their outcomes.MethodsTo identify literature on mixed home care collaboration applications (mHCA) and their evaluation, a systematic literature review was conducted in five bibliographic databases covering the years 2008 through 2019. The results were supplemented by a search in the meta-database Google Scholar. The evaluation approaches of the studies were analyzed and results compared by using the NASSS framework. Finally, a context concretized model was derived which summarizes interrelations.ResultsTwelve qualitative studies evaluating eleven applications could be identified. They report on increased competency in self-management, psychological relatedness, involvement, and understanding. However, most studies conclude that large scale platform tests are still needed to prove significant changes in care processes, communication, or organization.ConclusionAmong other things, their implementation is rather difficult due to the specifics of the target group. To enable a more targeted and successful implementation, it might be helpful to classify care networks beforehand and assess their communication behavior and needs. To prove the added value of mHCAs standardized assessment tools should be used.


2018 ◽  
Vol 27 (3) ◽  
pp. e10-e22 ◽  
Author(s):  
Cate Bailey ◽  
Anna Klas ◽  
Rachael Cox ◽  
Heidi Bergmeier ◽  
Julie Avery ◽  
...  

1996 ◽  
Vol 1 (4) ◽  
pp. 180-211 ◽  
Author(s):  
Marilyn P. Verhey

2018 ◽  
Vol 77 ◽  
pp. 39-45 ◽  
Author(s):  
Liza Van Eenoo ◽  
Henriëtte van der Roest ◽  
Graziano Onder ◽  
Harriet Finne-Soveri ◽  
Vjenka Garms-Homolova ◽  
...  

Author(s):  
Daphne Berry

In the United States, the work that home health aides perform provides a valuable service to society. Changing views of care are necessitating care models in which people who are elderly or have disabilities receive care in their homes or communities. There is a growing gap between the sharply increasing need for those requiring care and the pool of women from whom caregivers are drawn, which is increasing much more gradually. The poor quality of home care jobs exacerbates this problem. This chapter examines worker attitudes across three home care facilities under different governance structures—a worker co-operative, a for-profit business with no participation or ownership by workers (‘conventional’), and a nonprofit. The study uses data from multiple sources and describes worker attitudes across the agencies. The research shows that aides at the worker co-operative were significantly less likely to leave and were more satisfied and committed to their jobs.


1997 ◽  
Vol 21 (3) ◽  
pp. 165-172 ◽  
Author(s):  
S. L. Hughes
Keyword(s):  

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