scholarly journals Achievements in Reducing the Hospitalization Rate of Home Care Patients in a Regional Hospital in Taiwan

2021 ◽  
Vol 4 (2) ◽  
Author(s):  
Sun Li-Chen
Keyword(s):  
Quality Of Care ◽  
Home Care ◽  
Practical Experience ◽  
Hospitalization Rate ◽  
Regional Hospital ◽  
Medical Expenses

This article provides practical experience of cross-field integration and cooperation in hospitals in a certain region of Taiwan from 2018 to 2019 to reduce the hospitalization rate of home care, reduce the care load of caregivers, improve the quality of care and reduce medical expenses.

Guilhème Pérodeau et Denyse Côté (Eds.). Le virage ambulatoire : Défis et enjeux. Sainte-Foy, QC: Presses de l'Université du Québec. 2002.

2004 ◽  
Vol 23 (2) ◽  
pp. 191-192
Author(s):  
Aline Vézina
Keyword(s):  
Health Care ◽  
Quality Of Care ◽  
Home Care ◽  
Family Member ◽  
Informal Caregivers ◽  
Nursing Personnel ◽  
Negative Consequences ◽  
The Core ◽  
Care At Home

ABSTRACTThis book is comprised of three sections: the problems and consequences of the push for more de-institutionalized health care, the issues that crop up in this context, and the perceptions of the caregiver. At the core of this text are the two groups of women who are most present in this new context: the informal caregivers or family helpers and the nurses. Three conclusions become evident. Firstly, the push for home care has many negative consequences, especially for women. Secondly, although the help of a family member makes possible the dispensation of care at home, something wished for by most patients, it also entails an increase in, and professionalization of, the tasks for the caregiving family member. Finally, using the home as the place of care also has the consequence of increasing the tasks of nursing personnel, to the point where there is a perception that the quality of care has decreased.

Purchasing or Providing Nursing Home Care: Can Quality of Care Data Provide Guidance

2005 ◽  
Vol 53 (4) ◽  
pp. 603-608 ◽  
Author(s):  
Dan R. Berlowitz ◽  
Amy K. Rosen ◽  
Fei Wang ◽  
Dionyssios Tsilimingras ◽  
Pierre N. Tariot ◽  
...  
Keyword(s):  
Nursing Home ◽  
Quality Of Care ◽  
Home Care ◽  
Nursing Home Care

Effects of Nonparental Child Care on Child Development: An Update

1996 ◽  
Vol 41 (6) ◽  
pp. 330-342 ◽  
Author(s):  
Michael E Lamb
Keyword(s):  
Quality Of Care ◽  
Literature Review ◽  
Home Care ◽  
Poor Quality ◽  
Behaviour Problems ◽  
Out Of Home Care ◽  
Narrative Literature ◽  
Narrative Literature Review ◽  
Meaningful Relationships

Objective: To review the published literature on the effects of nonparental and out-of-home care on infants, toddlers, and preschoolers. Method: Narrative literature review. Results: Although substantial controversy persists, the accumulated evidence suggests that nonparental care does not necessarily have either beneficial or detrimental effects on infants and children, although it can have such effects. In some circumstances, careproviders establish relationships with children that have significant effects on development, and this increases the importance of ensuring that careproviders are well trained, behave sensitively, and are stable rather than ephemeral figures in children's lives. Nonparental care is associated with behaviour problems (including aggression and noncompliance) when the care is of poor quality and opportunities for meaningful relationships with stable careproviders are not available, however. Conclusion: The effects of out-of-home care vary depending on the quality of care as well as the characteristics of individual children, including their age, temperaments, and individual backgrounds.

Predicting success: Stakeholder readiness for home telecare diabetic support

2002 ◽  
Vol 8 (3_suppl) ◽  
pp. 33-36 ◽  
Author(s):  
M A Hebert ◽  
M J Paquin ◽  
S Iversen
Keyword(s):  
Quality Of Care ◽  
Home Care ◽  
Qualitative Case Study ◽  
New Technology ◽  
Face To Face ◽  
Predicting Success ◽  
Process And Outcome ◽  
Readiness To Adopt

summary Readiness to adopt a new technology is one factor that contributes to the success of a telehealth programme. Since one goal of telehealth is to improve care, it is appropriate to determine its success through a quality-of-care framework that addresses structure, process and outcome. A qualitative case study of home care in the Calgary Health Region in Alberta set out to understand how clients, nurses, physicians and managers perceived their readiness to use video-visits for home care. Focus groups, home visits, and telephone and face-to-face interviews were used to collect data. Readiness to adopt home telecare was compared between groups, as well as with behaviour predicted in the literature. Differences in perceptions were identified among the four participant groups. Clients and managers identified a higher degree of readiness-clients because of the potential to support independence in their homes and managers because of the potential efficiencies in the system.

scholarly journals Impact of palliative home care support on the quality and costs of care at the end of life: a population-level matched cohort study

BMJ Open ◽  
2019 ◽  
Vol 9 (1) ◽  
pp. e025180 ◽  
Author(s):  
Arno Maetens ◽  
Kim Beernaert ◽  
Robrecht De Schreye ◽  
Kristof Faes ◽  
Lieven Annemans ◽  
...  
Keyword(s):  
Cohort Study ◽  
Quality Of Care ◽  
Home Care ◽  
Hospital Admission ◽  
Matched Cohort ◽  
Home Death ◽  
Palliative Home Care ◽  
Costs Of Care ◽  
Care Support

ObjectivesTo evaluate the impact of palliative home care support on the quality of care and costs in the last 14 days of life.DesignMatched cohort study using linked administrative databases.SettingAll people who died in Belgium in 2012 (n=107 847).Participants8837 people who received palliative home care support in the last 720 to 15 days of life matched 1:1 by propensity score to 8837 people who received usual care.InterventionReceiving the allowance for palliative home patients, multidisciplinary palliative home care team visit or palliative nurse or physiotherapist visit at home.Main outcome measuresHome death, number of family physician contacts, number of primary caregiver contacts, hospital death, hospital admission, intensive care unit (ICU) admission, emergency department (ED) admission, diagnostic testing, blood transfusion and surgery. Total inpatient and outpatient costs. All outcomes were measured in the last 14 days of life.ResultsIn the unmatched cohort, 11 149 (13.5%) people received palliative home care support in the last 720 to 15 days of life. After matching, those using palliative home care support had, compared with those who did not, more family physician contacts (mean 3.1 [SD=6.5] vs 0.8 [SD=1.2]), more chance of home death (56.2%vs13.8%; relative risk [RR]=4.08, 95% CI 3.86 to 4.31), lower risk of hospital admission (27.4%vs60.8%; RR=0.45, 95% CI 0.43 to 0.46), ICU admission (18.3%vs40.4%; RR=0.45, 95% CI 0.43 to 0.48) or ED admission (15.2%vs28.1%; RR=0.54, 95% CI 0.51 to 0.57). Mean total costs of care were lower for those using palliative home care support (€3081 [95% CI €3025 to €3136] vs €4698 [95% CI €4610 to €4787]; incremental cost: −€1617 [p<0.001]).ConclusionsPalliative home care support use positively impacts quality of care and reduces total costs of care at the end of life in Belgium. Policy makers and healthcare practitioners should increasingly focus on communicating the existing options for palliative home care support to patients and their caregivers.

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