home care service
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Author(s):  
Paryono Paryono ◽  
Mawaddah Ar Rochmah ◽  
Ismail Setyopranoto ◽  
Laksono Trisnantoro

Abstract Objective This study explores the postacute-stroke management problems, particularly for patients with total dependency (Barthel Index <20), in home care service of Dr. Sardjito Hospital (SH) from the hospital personnel's and caregiver's points of view. Materials and Methods In-depth interviews with a semi-structured interview guide were conducted with hospital personnel and patients' caregivers based on the purposeful sampling. There were 10 hospital personnel that were interviewed: the director of medical service, head of home care unit, neurologists, general practitioners, nurses, and physiotherapist. There were eight caregivers who participated in the study. Statistical Analysis Data from the interviews were analyzed using systematic text condensation using Nvivo 12 plus. Results Our findings showed that all health personnel in SH agreed that home care service is a part of an integrated health care service for continuation of care. However, the preparedness by the hospital management is still lacking in infrastructures, such as standardized operational procedure, quality control, and financial system, as well as in terms of competent human resources and their welfare. In addition, the patient's family and caregiver are lacking in knowledge and independency to take care of the patients with the need of home care services' monitoring to deliver the expected home care for postacute-stroke's patient regularly. Conclusion Home care service is an act of implementing hospital obligation to fulfill the patients' rights. An established hospital policy to ensure a comprehensive home care service delivery is necessary. The capability and welfare of the health care personnel should be put into account for the standardized human resources.


2022 ◽  
Author(s):  
Agus Aan Jiwa Permana ◽  
I Gede Partha Sindu

2021 ◽  
Vol 3 (6) ◽  
pp. 32-35
Author(s):  
Xiaoji Ma

With China’s population ageing, the issue of caring for the elderly has become a national concern. The rural economy is relatively backward in comparison to cities and towns, the old-age security service policy facilities are not yet perfect, and the large-scale outflow of young and middle-aged labor force following reform and opening-up has weakened the traditional family old-age support function, and the benefits of community old-age support appear, but it is still limited by a number of factors. The research object in this paper is the Weifang Linqu County Community Home Care Service Center for the Elderly, which summarizes the current implementation of rural community home care services. This paper also investigates the problems that exist in old-age care at home in rural communities and proposes some solutions.  


2021 ◽  
Vol 10 (1) ◽  
Author(s):  
Amanda Newle Sousa Silva ◽  
Antônio Romário Mendes da Silva ◽  
Cristina Costa Bessa ◽  
Gleice Kelle Beserra Viana ◽  
Ulyana Belém de Oliveira

Objetivo: descrever a implementação do Núcleo de Segurança do Paciente em um serviço de atenção domiciliar. Método: relato de experiência acerca da implantação do núcleo de segurança do paciente em serviço de atenção domiciliar situado em Fortaleza, Ceará. Realizado no período de janeiro a dezembro de 2017. Foram descritos os processos e a implementação do protocolo visando a cultura de segurança do paciente. Resultados: o membro executor do núcleo de segurança foi composto por um enfermeiro inicialmente, mas contou com a participação dos membros gestores e coordenadores de diferentes áreas para a implementação, compondo assim uma equipe multiprofissional. Para realização dos fluxos foram realizadas reuniões semanais, com discussões em grupo acerca do processo de implementação e regimento interno. Além disso, foram levantadas as fragilidades identificadas no serviço e o plano de ação com os protocolos básicos para cada área de atendimento. Conclusão: o estudo permitiu conhecer os processos e os fluxos realizados por um serviço de atenção domiciliar para implementação do núcleo de segurança do paciente, visando um cuidado com qualidade, executado de forma padronizada e segura por todos os profissionais envolvidos no serviço.  


2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 419-419
Author(s):  
Paul Rouse ◽  
Matthew Parsons

Abstract Internationally, Home Care is invariably funded through fee-per-service, e.g., if an hour of care is delivered, the provider receives an associated amount of funding. However, the funding model discourages reductions in packages-of-care when a client’s functional capacity improves, and further disincentivises providers to discharge clients. Similarly, staff income is often directly associated to the delivered hours-of-care and if a client’s hours are reduced, so is their income; again, discouraging the right behaviour, such as reporting improvements in independence levels. In 2008 in New Zealand, we developed a case-mix funding methodology and have been progressively implementing the new model since that time. This presentation highlights the findings in relation to how Home Care service hour allocations titrate against needs following implementation of the model as well as a number of other key quality outcomes that have been observed as a result of the case-mix model.


2021 ◽  
Vol 144 ◽  
pp. 105472
Author(s):  
Nelson Gregio Neto ◽  
Melissa Spröesser Alonso ◽  
João Marcos Bernardes ◽  
Carlos Ruiz-Frutos ◽  
Juan Gómez-Salgado ◽  
...  

Author(s):  
Simone Sarti ◽  
Francesco Molteni ◽  
Federica Cretazzo ◽  
Gianluca Giardini ◽  
Stefania Pozzati ◽  
...  

AbstractPopulation aging is particularly pronounced in Italy. Recently, home-care services emerged as one of the desirable strategy when dealing with such situations of fragility. In this framework, we present the evaluation of a home-care service which was experimentally implemented by Fondazione Sacra Famiglia and Casa di Cura Ambrosiana in the 2017–2018 biennium. The service consisted of a twice-weekly nursing visit intended to monitor patient health conditions and to gather data constantly supervised by a geriatrician. The eligible population consisted of the users of San Carlo Hospital Emergency Department (91 individuals). Twenty of these individuals had access to the experimental home-care service. The results show the smaller probability of mortality for the treatment group compared to the control group, but similar probabilities in admissions to ER and in hospitalizations. These findings suggest that health home-care policies could reduce mortality by lessening the negative effects of relational isolation.


2021 ◽  
pp. 135050682110427
Author(s):  
Lena Grip ◽  
Ulrika Jansson

Society needs to find new ways to utilise its resources in the best possible way in order to enable satisfactory services for its citizens in the long term. This is particularly important in sparsely populated areas, and in cities and municipalities with a declining population. This study contributes to this field by analysing a project for collaboration between the rescue service and the home-care service that has been introduced in a number of Swedish municipalities. The collaboration is intended to ensure welfare and safety for citizens, to guarantee a more efficient use of municipal resources, and to contribute to improved emergency management and civil protection. The rescue service and the home-care service are two clearly gender-coded occupations that also operate on gender-coded work places and places of work. An overarching aim has therefore been to study gendered obstacles and possibilities of the collaboration. In our analysis of the empirical data – interviews with persons involved in the collaboration – place emerged as an important aspect of the collaboration processes, and is therefore elaborated in this article to contribute with knowledge of how conceptions and gender-coding of places and occupations affect sustainable and well-functioning collaboration processes. The results show that collaboration processes between municipal services are complex and challenge ideals of the organisation, content and responsibility of work and who should perform certain work tasks. Notions of gender and gender differences are reproduced through the collaboration, which affect the efforts of municipalities to ensure welfare and safety for citizens.


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