scholarly journals Randomized and Generated Instances Fitting with the Home Health Care Problem Subjected to Certain Constraints

2021 ◽  
Vol 11 (8) ◽  
pp. 3346
Author(s):  
Colin Huvent ◽  
Caroline Gagné ◽  
Aymen Sioud
Keyword(s):  
Health Care ◽  
Home Health Care ◽  
Hospital Cost ◽  
Time Window ◽  
Developed Countries ◽  
Home Health ◽  
Precedence Constraints ◽  
Social Organizations ◽  
Health Support ◽  
Time Window Constraints

Home Health Care (HHC) is a worldwide issue. It focuses on how medical and social organizations of different countries handle providing patients with health support at home. In most developed countries, reducing hospital cost constitutes a main objective. It is important to research the improvement of HHC logistics. This paper addressed the generation and development of a benchmark properly fitting different constraints of the HCC problem. Consequently, a generator was proposed dealing with all kinds of constraints such as time window constraints, workload constraints, synchronization, and precedence constraints. This generator allows researchers to validate and compare solving methods on a common dataset regardless of confidentiality issues. We validated our generator by firstly creating a common benchmark available for researchers and secondly by proposing a set of instances and a solving method based on an HHC problem found in the literature.

scholarly journals Health and burnout of home health care assistants: impact of a training intervention

2019 ◽  
Vol 36 (1) ◽  
pp. 30-38
Author(s):  
Francisco Javier Saavedra Macías ◽  
Lara Murvartian ◽  
Natividad Vallecillo
Keyword(s):  
Health Care ◽  
Home Health Care ◽  
Repeated Measures ◽  
Developed Countries ◽  
Nonparametric Tests ◽  
Home Health ◽  
Wilcoxon Test ◽  
Specific Training ◽  
Training Interventions ◽  
Brief Training

Existe una creciente necesidad de cuidados en los países desarrollados, por lo que el número de cuidadoras a domicilio ha aumentado de manera exponencial. La literatura ha señalado que este grupo profesional tiene un alto riesgo de sufrir una gran variedad de problemas de salud. A pesar de su importancia, no hay cursos de entrenamiento descritos para ellas. Este estudio describe el diseño de un curso psicoeducativo para un grupo de cuidadoras y muestra los resultados de un estudio pre-post para evaluar su efectividad considerando las siguientes variables: el estado psicosocial de salud, el agotamiento y los pensamientos disfuncionales sobre el cuidado. Una ANOVA de medidas repetidas se utilizó siempre que fue posible y la prueba de Wilcoxon o la prueba de Mann Whitney se usaron como pruebas no paramétricas. Los pensamientos disfuncionales se redujeron después del curso, siendo el tamaño del efecto mediano a grande. La disfunción social se redujo solo en el grupo de mujeres que también eran cuidadoras familiares. Llegamos a la conclusión de que los cuidadores profesionales pueden beneficiarse de una breve capacitación. There is a growing need for care in developed countries, so the number of home health care assistants has increased exponentially. The literature has pointed out that this professional group is at high risk for a variety of health problems. Despite its importance, there are no described specific training interventions for it. This study describes a course for a group of female caregivers. A pre-post study is carried out to evaluate its effectiveness considering the following variables: the psychosocial state of health, the burnout and the dysfunctional thoughts about caregiving. The repeated measures ANOVA was used whenever possible and the Wilcoxon-test or the Mann Whitney-test were used as nonparametric tests. Dysfunctional thoughts were reduced after the course, being the effect size medium to large. Social dysfunction was reduced only in the group of women who were also family caregivers. We conclude that professional caregivers can benefit from brief training.

Digital Home Health Care: Culture-Specific Observations in Saudi Arabia (Preprint)

2020 ◽  
Author(s):  
Abdulaziz A Alodhayani ◽  
Marwah Mazen Hassounah ◽  
Fatima R Qadri ◽  
Noura A Abouammoh ◽  
Zakiuddin Ahmed ◽  
...  
Keyword(s):  
Health Care ◽  
Saudi Arabia ◽  
Home Health Care ◽  
Health Program ◽  
Digital Health ◽  
Local Population ◽  
Family Members ◽  
Cultural Factors ◽  
Home Health ◽  
Design And Implementation

BACKGROUND There is growing evidence of the need to consider cultural factors in the design and implementation of digital health interventions. However, there is still inadequate knowledge pertaining to what aspects of the Saudi Arabian culture need to be considered in the design and implementation of digital health programs, especially in the context of home health care services for chronically and terminally ill patients. OBJECTIVE This study aims to explore the specific cultural factors relating to patients and their caregivers from the perspective of physicians, nurses, and trainers that have influenced the pilot implementation of Remotely Accessible Healthcare At Home (RAHAH); a connected health program in the Home Health Care Department at King Saud University Medical City, Riyadh, Saudi Arabia. METHODS A qualitative study design was adopted to conduct a focus group discussion (FGD) in July 2019 using a semi-structured interview guide with 3 female and 4 male participants working as nurses, family physicians, and information technologists. Qualitative data obtained were analyzed using a thematic framework analysis. RESULTS Two categories emerged from the FGD that influenced the experiences of digital health program intervention: (1) culture-related factors including language and communication, cultural views on using cameras during consultation, non-adherence to online consultations, and family role and commitment (2) caregiver characteristics in telemedicine that includes their skills and education and electronic literacy. Participants of this study revealed that indirect contact with the patients and their family members may work as a barrier to proper communication through RAHAH. CONCLUSIONS We recommend exploring the use of interpreters in digital health, creating awareness among the local population regarding privacy in digital health, and actively involving the direct family members with the healthcare providers.

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