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Auswahl der wissenschaftlichen Literatur zum Thema „Specialized Education and Home Care Services“
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Zeitschriftenartikel zum Thema "Specialized Education and Home Care Services"
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SALEH, Mira BOU, Olivier GRUNDER und Amir HAJJAM EL HASSANI. „Mixed-Integer Linear Programming for Specialized Education and Home Care Services“. IFAC-PapersOnLine 55, Nr. 10 (2022): 3130–35. http://dx.doi.org/10.1016/j.ifacol.2022.10.210.
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Kadar, Kusrini Semarwati, Fitrah Ardillah, Arnis Puspitha und Erfina Erfina. „Implementation of Home Care Services by Community Health Centers (Puskesmas) in Makassar City, Indonesia“. Jurnal Keperawatan Indonesia 25, Nr. 1 (30.03.2022): 32–41. http://dx.doi.org/10.7454/jki.v25i1.1695.
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Home care services by health professionals, such as doctors, nurses, and other health care professionals, target to provide health care services, including health education, physical examination, or other treatments such as physical therapy or medication. This study aimed to evaluate the implementation of home care (nursing care and home care services) in Makassar City in accordance with government guidelines. A qualitative descriptive study was conducted by interviewing nurses (15 participants) from several community health centers (Puskesmas) in Makassar City, Indonesia who have implemented a home care program for at least a year. Four main themes had emerged, namely, management of home care services, nurses’ roles in home care services, perceived barriers, and community benefits. Despite some barriers, the home care programs delivered by health care professionals including nurses in Puskesmas in Makassar City have been well implemented in accordance with the guidelines. On the basis of the obstacles faced by the nurses, one recommendation is for the government to provide specific guidelines on the types of patients to be included in these services. The government also needs to ensure that the community knows the types of patients’ condition who can avail these services.Abstrak
Implementasi Pelayanan Perawatan di Rumah (Home Care) oleh Puskesmas di Kota Makassar, Indonesia. Pelayanan perawatan di rumah (home care) oleh petugas kesehatan seperti dokter, perawat, dan petugas kesehatan lainnya bertujuan untuk memberikan pelayanan kesehatan meliputi pendidikan kesehatan, pengkajian fisik, atau memberikan terapi fisik ataupun pengobatan. Penelitian ini bertujuan untuk mengevaluasi kesesuaian antara implementasi pelaksanaan pelayanan home care di kota Makassar dengan petunjuk teknis pelaksanaan home care dari pemerintah. Penelitian ini adalah penelitian deskriptif kualitatif dengan melakukan wawancara mendalam kepada 15 orang perawat dari beberapa Puskesmas di kota Makassar, Indonesia, yang terlibat dalam kegiatan pelayanan home care minimal selama satu tahun. Terdapat empat tema utama yang ditemukan dalam penelitian ini antara lain, pengelolaan home care, peran perawat dalam pelaksanaan home care, hambatan dalam pelaksanaan home care, dan manfaat dari pelaksanaan home care di kota Makassar. Secara umum, pelaksanaan kegiatan home care sudah dilaksanakan sesuai petunjuk teknis dengan baik oleh perawat di Puskesmas kota Makassar walaupun masih ada beberapa hambatan dalam pelaksanaan kegiatan ini. Pemerintah diharapkan membuat petunjuk pelaksanaan (SOP) yang lebih jelas terkait pelaksanaan kegiatan ini atau melakukan pembaharuan regulasi terkait program ini.
Kata Kunci: home care, peran perawat, puskesmas
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Lee, Dong-Wook, Sun Young Lee, Shin Hye Yoo, Kyae Hyung Kim, Min-Sun Kim, Jeongmi Shin, In-Young Hwang et al. „SupporTive Care At Home Research (STAHR) for patients with advanced cancer: Protocol for a cluster non-randomized controlled trial“. PLOS ONE 19, Nr. 5 (13.05.2024): e0302011. http://dx.doi.org/10.1371/journal.pone.0302011.
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Advancements in the treatment and management of patients with cancer have extended their survival period. To honor such patients’ desire to live in their own homes, home-based supportive care programs have become an important medical practice. This study aims to investigate the effects of a multidimensional and integrated home-based supportive care program on patients with advanced cancer. SupporTive Care At Home Research is a cluster non-randomized controlled trial for patients with advanced cancer. This study tests the effects of the home-based supportive care program we developed versus standard oncology care. The home-based supportive care program is based on a specialized home-based medical team approach that includes (1) initial assessment and education for patients and their family caregivers, (2) home visits by nurses, (3) biweekly regular check-ups/evaluation and management, (4) telephone communication via a daytime access line, and (5) monthly multidisciplinary team meetings. The primary outcome measure is unplanned hospitalization within 6 months following enrollment. Healthcare service use; quality of life; pain and symptom control; emotional status; satisfaction with services; end-of-life care; advance planning; family caregivers’ quality of life, care burden, and preparedness for caregiving; and medical expenses will be surveyed. We plan to recruit a total of 396 patients with advanced cancer from six institutions. Patients recruited from three institutions will constitute the intervention group, whereas those recruited from the other three institutions will comprise the control group.
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Afsha Awal Khan. „Skilled Nursing Facilities: The Missing Pillars of the Health Care System in Pakistan“. Journal of Farkhanda Institute of Nursing And Public Health (JFINPH) 2, Nr. 1 (28.06.2022): 1. http://dx.doi.org/10.37762/jfinph.48.
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The recent COVID-19 pandemic highlighted the loopholes in the health care system across the world. In developing countries, expenditure on health care is comparatively very low and the health care system is continuously under experiment, the concept of managed health care is still a dream.1 Burden is always in tertiary health care settings. In Pakistan, major teaching hospitals serve as primary and secondary healthcare facilities as primary healthcare centers are not fully functional. Consequently, tertiary hospitals always have a shortage of beds for acute conditions because it takes patients from one end and is not able to release patients at a similar rate.2 The major reason for this is a missing pillar called ‘skilled nursing facility or ‘nursing homes. A skilled nursing facility can accommodate patients who are in transition of care and do not require hospitalization as well as are not able to be shifted to homes safely. Therefore, governments should not only functionalize primary and secondary health services to decrease admissions rates in tertiary care hospitals3 but should also focus on the development of skilled nursing facilities and nursing homes. This will ease the transition of care from hospital to home, it will also decrease the length of stay and improve bed occupancy in acute care settings.4 According to the Pakistan Nursing Council (Amendment) Act, 2020, the scope of services for specialized nurses and Advanced Nurse Practitioners is extended to prescription with an advanced level of education and competence. Master qualified Nurses with advanced specialized patient management knowledge and skills can lead and run nursing homes or skilled nursing facilities. Evidence suggests that the contribution of nurses in advanced practice in specialized care settings not only increases the level of patient satisfaction with care and treatment, but it also decreases the average length of stay, and mortality rate.5 The cost of skilled nursing homes as compared to acute hospital beds is less than thirty per cent which means it may positively affect health care economics along with the provision of quality and safe care.6
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Kamphausen, Anne, Hanna Roese, Karin Oechsle, Malte Issleib, Christian Zöllner, Carsten Bokemeyer und Anneke Ullrich. „Challenges Faced by Prehospital Emergency Physicians Providing Emergency Care to Patients with Advanced Incurable Diseases“. Emergency Medicine International 2019 (26.11.2019): 1–11. http://dx.doi.org/10.1155/2019/3456471.
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Introduction. The aim of our study was to investigate challenges faced by emergency physicians (EPs) who provide prehospital emergency care to patients with advanced incurable diseases and family caregivers in their familiar home environment. Methods. Qualitative study using semistructured interviews with open-ended questions to collect data from 24 EPs. Data were analyzed using qualitative content analysis. Results. We identified nine categories of challenges: structural conditions of prehospital emergency care, medical documentation and orders, finding optimal patient-centered therapy, uncertainty about legal consequences, challenges at the individual (EP) level, challenges at the emergency team level, family caregiver’s emotions, coping and understanding of patient’s illness, patient’s wishes, coping and understanding of patient’s illness, and social, cultural, and religious background of patients and families. EPs strengthened that the integrations of specialized prehospital palliative care services improved emergency care by providing resources to patients and family caregivers, enhancing the quality and availability of medical documentation and accessibility of aftercare in emergencies. Areas of improvement that were identified were to promote emergency physicians’ knowledge and skills in palliative care, communication, and family caregiver support by education and training. Furthermore, structures for better care on-site, thorough medical documentation, and specialized palliative care emergency facilities in hospital and prehospital care were requested. Conclusion. Prehospital emergency care in patients with advanced incurable diseases in their familiar home environment may be improved by training EPs in palliative care, communication, and caregiver support competences. Results underline the importance of collaborative specialized palliative care and prehospital emergency care.
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&NA;, &NA;. „Oncology Education Services Launches Supportive Care Program“. Home Healthcare Nurse: The Journal for the Home Care and Hospice Professional 15, Nr. 12 (Dezember 1997): 885. http://dx.doi.org/10.1097/00004045-199712000-00019.
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Donovan, Leigh A., Penelope J. Slater, Angela M. Delaney, Sarah J. Baggio und Anthony R. Herbert. „Building capability in paediatric palliative care and enhancing education through the voice of parents: the Quality of Care Collaborative Australia“. Palliative Care and Social Practice 16 (Januar 2022): 263235242211288. http://dx.doi.org/10.1177/26323524221128835.
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Background: The greater proportion of children with a life-limiting condition (LLC) and their families want to remain at home as much as possible. Building capability in paediatric palliative care (PPC) for generalist health and social care professionals in nonmetropolitan regions through the Quality of Care Collaborative Australia (QuoCCA) has improved access to palliative care for families, regardless of where they live. Aim: To understand the experience of families whose child has received specialist PPC, to ensure future service capability development is informed by lived experience. Design: A retrospective, descriptive study in which parents participated in a semi-structured telephone interview guided by Discovery Interview methodology. Inductive thematic analysis identified the major learnings from participants. Participants: Parents caring for a child referred to the specialist PPC service, who received a pop-up visit and whose child is stable or who are more than 6 months bereaved. Results: Eleven parents ( n = 9 mothers; n = 2 fathers) of children with an LLC ( n = 5) or whose child had died ( n = 6) participated in an interview. The overarching themes and subthemes were as follows: (1) burden of suffering, in which parents described grieving for the life once anticipated, confronting many life transitions and seeking quality of life for their child and (2) umbrella of support, in which parents built partnerships with professional support, activated a network of care around their family and sought responses to their whole family’s needs. Conclusion: Parents caring for a child with an LLC described significant personal, familial, social and existential adjustments. This study integrates a relational learning approach with QuoCCA education grounded in the relationships between children, families and professionals. Learning from lived experience in PPC education enhances the preparedness of generalist health and social care professionals to join a child and their family throughout their various life transitions and facilitates the goal to remain at home within their community for as long as possible. Education in PPC is an imperative component of service models, enabling regional services to gain confidence and capability in the context of a dying child and their family, empowered and informed through the voice of the family. Plain Language Summary Enhancing palliative care for children through education informed by the experience of families It is often the wish of many children/young people with a life-limiting condition to stay at home with their families as much as possible. It is important that specialist palliative care services provide training and mentoring to the family’s local care professionals to support the delivery of good care, particularly those in rural and remote areas. This article aims to integrate the lived experience of families with palliative care education, so that the education reflects and addresses the needs that they express. Parents were interviewed by telephone using a method called Discovery Interviews. This is an open interview process, guided by a spine that describes the main points of palliative care. Parents can openly talk about their experience, focusing on the areas that are important to them. Interviews were studied by four researchers, and emerging themes were discussed and summarised. The study included parents whose child/young person was receiving support from specialist palliative care and bereaved parents whose child had died more than 6 months ago. In total, eleven parents (nine mothers and two fathers) were interviewed, five participants had children currently receiving palliative care and six were bereaved. The overarching themes were as follows: Burden of suffering, in which parents described grieving for the life they had expected, confronting transitions and seeking good quality of life for their child. Umbrella of support, in which parents built partnerships with care teams and activated a network of care to address the needs of their whole family. This study allowed the families’ perspectives to be integrated into the palliative care education of care professionals in the family’s local area. The lived experience of families prepared care professionals to support families with the care of their child/young person, allowing them to remain at home as long as possible.
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Juhrmann, Madeleine L., Andrea E. Grindrod und Caleb H. Gage. „Emergency medical services: the next linking asset for public health approaches to palliative care?“ Palliative Care and Social Practice 17 (Januar 2023): 263235242311631. http://dx.doi.org/10.1177/26323524231163195.
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Emergency medical services (EMS) are a unique workforce providing 24/7 emergency care across high-income countries (HICs) and low- and middle-income countries (LMICs). Although traditionally perceived as first responders to traumatic and medical emergencies, EMS scope of practice has evolved to respond to the changing needs of communities, including a growing demand for community-based palliative care. Public health provides a useful framework to conceptualise palliative and end-of-life care in community-based settings. However, countries lack public policy frameworks recognising the role EMS can play in initiating palliative approaches in the community, facilitating goals of care at end of life and transporting patients to preferred care settings. This article aims to explore the potential role of EMS in a public health palliative care approach in a critical discussion essay format by (1) discussing the utility of EMS within a public health palliative care approach, (2) identifying the current barriers preventing public health approaches to EMS palliative care provision and (3) outlining a way forward through priorities for future research, policy, education and practice. EMS facilitate equitable access, early provision, expert care and efficacious integration of community-based palliative care. However, numerous structural, cultural and practice barriers exist, appearing ubiquitous across both HICs and LMICs. A Public Health Palliative Care approach to EMS Framework highlights the opportunity for EMS to work as a linking asset to build capacity and capability to support palliative care in place; connect patients to health and community supports; integrate alternative pathways by engaging multidisciplinary teams of care; and reduce avoidable hospital admissions by facilitating home-based deaths. This article articulates a public health approach to EMS palliative and end-of-life care provision and offers a preliminary framework to illustrate the components of a potential implementation and policy strategy.
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Jaafar, Norrafizah, Komathi Perialathan, Mohamad Zaidan Zulkepli, Zaikiah Mohd Zin, Patricia Elisha Jonoi und Mohammad Zabri Johari. „Patients’ Perception Towards Health Education Services Received at the Enhanced Primary Healthcare Facilities: A Qualitative Exploration“. Journal of Primary Care & Community Health 11 (Januar 2020): 215013272098062. http://dx.doi.org/10.1177/2150132720980629.
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Background: The present Malaysian healthcare system is burdened with increasing cases of non-communicable diseases (NCDs) and its risk factors. Health care providers (HCPs) have to provide both treatment and health education to ensure optimal outcome. Health education is a vital component in addressing and managing chronic diseases. This study intends to explore patient’s perspective on health education services received from HCPs, focusing at the secondary triage in government primary healthcare facilities. Methods: This qualitative exploratory study focused on the health education component derived from a complex enhanced primary health care intervention. Participants were purposively selected from patients who attended regular NCD treatment at 8 primary healthcare facilities in rural and urban areas of Johor and Selangor. Data collection was conducted between April 2017 and April 2018. Individual semi-structured interviews were conducted on 4 to 5 patients at each intervention clinic. Interviews were transcribed verbatim, coded and analyzed using a thematic analysis approach. Results: A total of 35 patients participated. Through thematic analysis, 2 main themes emerged; Perceived Suitability and Preferred HCPs. Under Perceived Suitability theme, increased waiting time and unsuitable location emerged as sub-themes. Under Preferred HCPs, emerging sub-themes were professional credibility, continuity of care, message fatigue, and interpersonal relationship. There are both positive and adverse acceptances toward health education delivered by HCPs. It should be noted that acceptance level for health information received from doctors are much more positively accepted compared to other HCPs. Conclusion: Patients are willing to engage with health educators when their needs are addressed. Revision of current location, process and policy of health education delivery is needed to capture patients’ attention and increase awareness of healthy living with NCDs. HCPs should continuously enhance knowledge and skills, which are essential to improve development and progressively becoming the expert educator in their respective specialized field.
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Park, Y. S. „Model Development of Nursing Care System for Women's Health : Based on Nurse-Midwifery Clinic“. Korean Journal of Women Health Nursing 5, Nr. 1 (28.03.1999): 106–18. http://dx.doi.org/10.4069/kjwhn.1999.5.1.106.
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The purposesof the study are to analyze the community nursing center in U.S.A. and to develop the model of nursing care system based on nurse-midwifery clinic in community for women's health in Korea. 1. In America nursing center is defined as nurse-anchored system of primary care delivery or neighborhood health center. Nursing centers are identified the following four types: (1) community outreach centers, which are similar to traditional public health clinics; (2) institutional-based centers following the mission of a large institution, such as a hospital or university ; (3) wellness/health promotion centers, which offer screening, education, counseling, triage, and health maintenance services; and (4) independent practice. Nursing centers are a concept of services provided by nurses in practice arrangements in a community. Nursing centers offer a variety of services, ranging from primary care provided by advanced practice nurses with medical acute care/illness management and nursing care to the more traditional education, health promotion, screening wellness and coordination services. Some services. Some services, such as the care provided by advanced practice nurses are reimbursed under various insurance plan in some instances and states, where as others, such as preventive and educational services, are not. Thus, lack of reimbursement has threatened the survival of some centers. Licensing of nursing centers varies by state and program and accreditation of nursing centers is also limited. 52% of centers are affiliated with another facility and 48% are freestanding centers. The number of registered nurse at the nursing centers ranges from just one to 115, with a mean of eight RNs per agency and a median of three. Nursing centers availability varies : 14% are open 24 hours, 27% have variable short hours, 23% are open 6-7 days per week, and 36% are open Monday-Friday. As the result of my visiting three health centers in seattle and San Francisco, the women's primary care nurse practitioners focus on a systematic and comprehensive assessment of the health status of women and diagnosis and management of common physical and psychosocial health concerns of women in ambulatory settings. Therapeutic nursing strategies are directed toward self-care, risk reduction, health surveillance, stress reduction, healthy nutrition, social support, healthy coping, psychological well-being, and pharmacological therapy. They function as primary care providers for the wellness and illness care of women from adolescence through the older adult years and pregnant families. 2. In Korea a nurse-midwife practices independently for pregnant women's health including childbearing family at her own clinical in community. Her services are reimbursed under national health insurance but they are not paid on a fee-for service schedule covering items. Analyzing the nursing centers in America, I suggest that nurse-midwifery clinics offer primary care for women and home care for chronic ill patients. The health law and health insurance policy should be revised in order to expand nurse-midwife's and home care nurse's roles at nurse-midwifery clinic.
Dissertationen zum Thema "Specialized Education and Home Care Services"
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Bou, saleh Mira. „Generalized Resource Assignment and Planning Optimization in Specialized Education and Home Care Services“. Electronic Thesis or Diss., Bourgogne Franche-Comté, 2023. http://www.theses.fr/2023UBFCA023.
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Cette thèse explore l'optimisation des services d'éducation spécialisée et de soins à domicile en France. Elle aborde les défis pratiques rencontrés dans ces domaines, en se concentrant principalement sur l'affectation et la planification des professionnels pour répondre aux divers besoins des personnes souffrant, par exemple, de déficiences visuelles ou auditives. La recherche s'articule autour de trois configurations : les problèmes d'affectation et de planification dans les services d'éducation spécialisée, l'intégration des services d'éducation spécialisée et de soins à domicile avec les défis d'affectation, de planification et d'ergonomie, et l'optimisation des scénarios multicentriques. Chaque configuration est abordée à l'aide de modèles mathématiques et d'approches multi-objectifs, dans le but de parvenir à une allocation équitable des ressources et d'améliorer l'efficacité des services. Dans la première configuration, un modèle de programmation linéaire en nombres entiers mixtes avec deux approches multi-objectifs (une méthode de somme pondérée et un modèle basé sur les contraintes epsilon) est utilisé pour équilibrer la charge de travail entre les éducateurs et assurer la satisfaction des étudiants. La deuxième configuration étend cette approche à l'intégration des services d'éducation spécialisée et de soins à domicile et à la résolution de leurs problèmes d'affectation et de planification sur plusieurs jours tout en considérant les temps des trajets et les distances. Nous avons fourni une solution exacte en utilisant un modèle de programmation linéaire en nombres entiers mixtes pour résoudre le problème étudié. En outre, nous avons mis en œuvre une heuristique gourmande et deux approches métaheuristiques (un algorithme génétique et un algorithme d'optimisation invasive discrète des mauvaises herbes) pour résoudre surtout les instances de grande taille. Nous avons pris en compte sept objectifs : la spécialisation des affectations, la répartition équitable des heures improductives et des heures supplémentaires entre les employés, l'équilibre des distances parcourues entre les employés et la minimisation de la distance totale parcourue, de la distance la plus élevée parcourue et du nombre d'heures improductives et d'heures supplémentaires. En outre, les contraintes d'affectation, de planification et d'ergonomie ont été prises en compte, telles que la qualification des compétences, les pauses déjeuner, les restrictions de quotas, les heures supplémentaires tolérées et le temps de déplacement. La configuration finale se concentre sur l'optimisation des scénarios multicentriques. Une approche en deux phases a été mise en œuvre. La première phase attribue les missions aux centres sur la base d'un modèle mathématique hiérarchique multi-objectif, en tenant compte des contraintes de qualification et de capacité. La seconde phase attribue les missions aux employés de chaque centre et optimise la planification des horairesThis thesis explores the optimization of specialized education and home care services in France. It addresses the practical challenges encountered in these fields, focusing primarily on the allocation and planning of professionals to meet the diverse needs of people with, for example, visual or hearing impairments. The research is structured around three configurations: assignment and planning issues in specialized education services, the integration of specialized education and home care services with assignment, planning, and ergonomic challenges, and the optimization of multi-center scenarios. Each configuration is addressed using mathematical models and multi-objective approaches, with the aim of achieving equitable resource allocation and improving service efficiency. In the first configuration, a mixed integer linear programming model with two multi-objective approaches (a weighted sum method and an epsilon-constraint-based model) is employed to balance the workload among educators and ensure student satisfaction. The second configuration extends this approach to the integration of specialized education and home care services and the resolution of their multi-day assignment and planning problems while considering travel times and distances. We provided an exact solution using a mixed integer linear programming model to solve the problem studied. In addition, we implemented a greedy heuristic and two metaheuristic approaches (a genetic algorithm and a discrete invasive weed optimization algorithm) to solve large-size instances. We considered seven objectives: specialization of assignments, equitable distribution of unproductive hours and overtime hours among the employees, balancing of traveled distances among the employees and minimization of total distance traveled, highest distance traveled, and number of unproductive and overtime hours. In addition, assignment, planning, and ergonomic constraints were taken into account, such as skill qualification, lunch breaks, quota restrictions, tolerated overtime, and travel time. The final configuration focuses on the optimization of multi-center scenarios. A two-phase approach has been implemented. The first phase allocates missions to centers on the basis of a hierarchical multi-objective mathematical model, taking into account qualification and capacity constraints. The second phase assigns missions to employees in each center and optimizes the planning of schedules
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Stapleton, Greta Krahn. „Serving primary caregivers of persons with Alzheimer's disease : an integrated service delivery model“. PDXScholar, 1986. https://pdxscholar.library.pdx.edu/open_access_etds/3687.
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Alzheimer's disease (AD) is the most common form of nontreatable dementia, a syndrome which reflects a progressive and global impairment of memory, intellect, and other cognitive abilities. This devastating condition directly touches the lives of as many as 10 million Americans, including not only persons suffering from the disease but their primary caregivers and other family members as well. At present the course of AD cannot be halted or reversed, and no cure is known. The problem, then, is how to most effectively respond to the psychosocial needs of primary caregivers in order to help them provide the best possible care for a loved one with AD.
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Duff, Amanda. „Emergency Room Utilization of Participants with Mental Health Conditions Enrolled in Health Home Services“. ScholarWorks, 2016. https://scholarworks.waldenu.edu/dissertations/3154.
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Large numbers of individuals utilize the ER each year for mental health reasons. The health home agency in this study was designed under the Affordable Care Act with the intention of increasing patient self-management thus decreasing high-cost service utilization. The effectiveness of health homes in reducing mental health-related ER visits has remained unexplored. In this study, the relationship between participation in this program and ER utilization was examined, using the theoretical framework of the Health Belief Model. The sample of 128 health home participants with documented mental health conditions was selected using systematic random sampling. A one-way, repeated-measures t-test and a one-way, repeated-measures ANCOVA were used to analyze hospital records for ER visits with a primary or secondary mental health diagnosis. The results indicated that health home participation did not have a statistically significant impact on ER utilization when comparing overall 12-month means or at quarterly anniversary dates when controlling for age, race, and gender. These findings suggested opportunities for improvement in professional practice, identified areas that require further research, and will be used to initiate discussion into the existing and potential value that health homes offer to the mental health clientele being served. Those discussions have the potential to create social change through infrastructure changes that lead to improved service coordination, increased resources for improving access and quality of care, and overall enhancement of outcomes for individuals with mental health conditions.
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Parris, Dianne. „The perceptions of final year physiotherapy students and their clients regarding their experiences of home visits : an exploratory case study“. Thesis, Stellenbosch : Stellenbosch University, 2014. http://hdl.handle.net/10019.1/95837.
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Thesis (MPhil)--Stellenbosch University, 2014.ENGLISH ABSTRACT: Home-based rehabilitation (HBR) in under-resourced areas in a primary health care context exposes students to the real life situations of clients. The educational experience of HBR, underpinned by the theory of situated learning, promotes experiential and transformative learning. HBR leads not only to academic learning and personal development, but also to an understanding of social accountability and responsibility. Physiotherapy students and their clients frequently have diverse lingual, socio-economic and cultural backgrounds which may hinder the provision of appropriate treatment to clients in their residences. Increased knowledge of HBR in the physiotherapy context could result in an enhanced experience for both student and client. This study sought to explore the perceptions of physiotherapy students and their clients regarding HBR as part of clinical training in resource-constrained settings. Whether the students felt adequately prepared to perform HBR was also explored. A qualitative research design in the interpretivist paradigm was used. An exploratory case study was performed. Semi-structured interviews were conducted with clients (N=7) living in an under-resourced setting who had received HBR from physiotherapy students. Paired interviews were conducted with final year physiotherapy students (N=6) after their HBR placement. The data were subjected to inductive thematic analysis and themes developed. The findings showed that while clients appreciated the students’ services, there were communication barriers and unmet expectations. Students reported difficulty in adapting to the unfamiliar context, resulting in interventions not being sufficiently client-centred. They voiced a need for language competency to assist in communication. Earlier facilitated exposure to under-resourced contexts in the early clinical phase was suggested to reduce culture shock. An awareness of home environments in under-resourced areas influenced the students’ interventions in other contexts. To gain maximum benefit from the learning opportunities available through HBR, students require support for client management and client-centred problem solving in an under-resourced setting. Guided reflection should form part of the HBR placement to facilitate the construction of new knowledge, to promote deep transformative learning and to increase the students’ awareness of their role as change agents. Exposure to real life situations in under-resourced settings in the form of HBR provides valuable situated and authentic learning opportunities for physiotherapy students. The experience can be useful in preparing graduates to address the needs of the populations they will serve during community service.
AFRIKAANSE OPSOMMING: Tuisgebaseerde rehabilitasie (TBR) in ondervoorsiende gebiede in die primêre gesondheidsorg-konteks stel studente bloot aan die werklike lewensomstandighede van kliënte. Die opvoedkundige ondervinding van TBR, gerugsteun deur die teorie van gesitueerde leer, bevorder ervarings- en transformasionele leer. TBR lei nie net tot akademiese leer en persoonlike ontwikkeling nie, maar bevorder ook insig in maatskaplike verantwoordbaarheid en verantwoordelikheid. Fisioterapie-studente en hul kliënte het dikwels verskillende taal-, sosio-ekonomiese en kulturele agtergronde wat kan verhinder dat die toepaslike behandeling vir kliënte tuis verskaf word. ’n Toename in kennis van TBR in die fisioterapie-konteks kan lei tot ’n beter ondervinding vir beide die student en die kliënt. Die doel van die studie is om die persepsies van die fisioterapie-studente en hul kliënte met betrekking tot TBR, as deel van die kliniese opleiding in omgewings waar daar beperkte hulpbronne is, na te vors. Daar is ook nagegaan of die studente gevoel het dat hulle genoegsaam voorberei is om die TBR toe te pas. ’n Kwalitatiewe navorsingsontwerp in die interpreterende paradigma is gebruik. ’n Verkennende gevalle-studie is gedoen. Semi-gestruktureerde onderhoude is met die kliënte (N=7) wat in ondervoorsiende omstandighede leef en wat TBR van fisioterapie-studente ontvang het, gevoer. Onderhoude is in pare met fisioterapiestudente in hul finale jaar (N=6) gevoer nadat hulle hul TBR-plasing voltooi het. ’n Induktiewe tematiese analise van die data is gedoen en temas is ontwikkel. Die resultate het getoon dat, alhoewel die kliënte waardering gehad het vir die dienste wat deur die studente gelewer is, daar kommunikasiegapings en onvervulde verwagtinge was. Die studente het gerapporteer dat hulle gesukkel het om aan te pas by die onbekende omgewing met die gevolg dat die intervensies nie genoegsaam kliëntgerig was nie. Hulle het ook aangedui dat daar ’n behoefte is om die nodige taalvaardigheid te ontwikkel om kommunikasie te verbeter. Die kultuurskok wat beleef is, kan moontlik in die vroeë kliniese fase reeds gefasiliteer word deur die studente aan ondervoorsiende kontekste bloot te stel. Die kennis van die tuisomgewings in ondervoorsiende areas het ’n invloed gehad op die studente se intervensies in ander kontekste. Studente benodig ondersteuning in kliëntebestuur en kliëntgesentreerde probleemoplossing in ondervoorsiende omgewings ten einde maksimum voordeel te verkry uit leergeleenthede wat beskikbaar is deur TBR. Begeleide refleksie behoort deel te vorm van die TBR-plasing om die opbou van nuwe kennis te fasilliteer, diepgaande transformatiewe leer te bevorder en die student se bewustheid van hul rol om verandering teweeg te bring, op te skerp. TBR voorsien nie net waardevolle, outentieke leergeleenthede ter plaatse nie, maar gee ook die fisioterapie-studente blootstelling aan die werklike situasies waarin mense hulle in ondervoorsiende omgewings bevind. Hierdie ondervinding kan waardevol wees om graduandi voor te berei om die behoeftes aan te spreek van die bevolkingsgroepe wat hulle tydens hul gemeenskapsdiensjaar sal bedien.
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Whitfield, Benjamin, Leigh D. M. D. Johnson und Jodi Ph D. Polaha. „Costs and Benefits of Patient Home Visits in a Family Medicine Residency Program“. Digital Commons @ East Tennessee State University, 2019. https://dc.etsu.edu/asrf/2019/schedule/136.
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Home visits are a required training component of many Family Medicine residency programs in the United States. However, they are becoming less popular due to such factors as increasing resident responsibilities, decreasing reimbursement, and a decline in resident intention to incorporate home visits into future practice. This study’s aims are: (1) to evaluate the current practices of one Family Medicine residency training program’s time and resource expenditure to conduct home visits, and (2) to evaluate resident and faculty experiences of home visits. Residents and faculty in a Family Medicine training program were provided with a 12- question survey immediately after completing a home visit. A total of 19 surveys from residents and faculty were collected and analyzed. Average reported time spent per home visit was 90 minutes (range = 50-180 minutes), and the home visit teams included an average of 4 members (range = 2-6 members). The providers felt that they knew their patients and the patients’ circumstances better after the home visit with a score of 4.1 (on a 1-5 scale with 5 being a positively framed statement). Resident opinions were neutral (average score 3.1 on a 1-5 scale) regarding whether they found home visits to be educational to their residency training in Family Medicine. Residents also had mixed feelings (average score 2.9) regarding whether they would perform more home visits during their residency training if given the opportunity. Most faculty members (5/7) indicated they had done home visits during their residency training and all faculty (7/7) felt that home visits added value to their training in Family Medicine. Finally, qualitative recommendations were collected from respondents which may allow this training program to improve home visits in the future. Overall, significant time is currently being spent conducting home visits, with a difference in perceived efficacy between residents and faculty. Future research may include a cost analysis to quantify financial value, as well as expanding data collection to other Family Medicine residency training programs to improve generalizability.
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Busco, Michael John. „Utilization of natural supports during leisure/recreational activities by developmentally delayed adult consumers who reside in a group home environment“. CSUSB ScholarWorks, 1996. https://scholarworks.lib.csusb.edu/etd-project/1211.
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Teixeira, Uyara Soares Cavalcanti. „Matemática inclusiva: formação de professores para o ensino de Matemática em classes hospitalares“. Universidade Federal de Goiás, 2018. http://repositorio.bc.ufg.br/tede/handle/tede/8361.
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Coordenação de Aperfeiçoamento de Pessoal de Nível Superior - CAPES
This research is inserted in the area of Mathematics Concentration in Basic Education and presents as theme mathematical education and school inclusion. It aims to contribute to the process of training teachers who teach mathematics in the hospital classes. Methodologically, the study starts from an exploratory, qualitative-based research with support in action research in the integral and systemic perspective. As a result, among others, the study provided a solid and concise training to the teachers of the Núcleo de Atendimento Educacional Hospitalar (NAEH), built with the support of the actors and authors involved; discussions that referred to new perspectives of formation, involving other areas of knowledge; a continuous space of dialogue, a basis for understanding the concept of continuing education. The research sought to contribute to the strengthening of the group of teachers, presented new work opportunities and expanded knowledge in the field of mathematics, an area presented as a deficit by teachers.
O presente trabalho se insere na área de concentração Matemática no Ensino Básico e traz como tema educação matemática e inclusão escolar. Elege como objetivo contribuir com o processo de formação de professores que ensinam matemática nas classes hospitalares. Metodologicamente, o estudo parte de uma pesquisa exploratória, de base qualitativa com suporte na pesquisa-ação na perspectiva integral e sistêmica. Enquanto resultado, dentre outros, o estudo proporcionou uma formação sólida e concisa aos docentes do Núcleo de Atendimento Educacional Hospitalar (NAEH), construída com apoio e suporte dos atores e autores envolvidos; discussões que remeteram a novas perspectivas de formação, envolvendo outras áreas do saber; um espaço contínuo de diálogo, essência da compreensão do conceito de formação continuada. A pesquisa, em síntese, contribuiu para fortalecimento do grupo, trouxe novas oportunidades de trabalhos e ampliou saberes no campo da matemática, área apresentada como deficitária pelos professores.
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Kheswa, Siyanda Edison. „An exploration of the informal learning experiences of home-based caregivers in a non-governmental organisation in KwaZulu-Natal“. Thesis, 2014. http://hdl.handle.net/10413/10792.
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Social science research on HIV and AIDS has tended to focus on the statistics regarding the spread of the pandemic and the prevention awareness campaigns. However, there has not been much research on the impact that the pandemic has on families and communities at large. Furthermore, although there are international studies very little research has been conducted on caregivers’ education and training locally. Therefore, the current study was done to bridge the gap between literature and practice by conveying findings that are based on a local South African context.
The study was conducted in Mpophomeni Township, in Kwazulu-Natal. The research participants consisted of twelve home-based caregivers. The purpose of the study was to explore the informal learning experiences of home-based caregivers from a non-governmental organisation, Siyasiza, in KwaZulu-Natal. The study tried to establish what informed the informal learning experiences of caregivers. The study further investigated how the informal learning experiences were made explicit to inform further learning and also tried to find out what caregivers did with shared information to inform their practices. In order to achieve the objectives of the study a basic qualitative research design was deemed most suitable. The situated and experiential learning theories informed the study and were also used as lenses in the thematic analysis of data collected through observation, focus group discussions and in depth interviews.
The findings of the study showed that caregivers’ informal learning experiences were informed by both intrinsic and extrinsic factors. The loss of own family members influenced caregivers to join the community home-based caregiving initiative to assist families affected by the pandemic. Furthermore, caregivers’ informal learning experiences were driven by career-directed ambition, exemplary learning and second chance learning. The findings further indicated that, for some caregivers, once new information was obtained, it was compared with the related prior knowledge, looked at for similarities or differences, and the value added to the previous experiences was determined. The study also found that caregivers valued and appreciated the
information sharing sessions which improved their future practices and so made their jobs a bit easier.
Lastly, the study found that caregivers played a huge role in supporting the families affected by HIV and AIDS since they mediated between homes and hospital by providing basic health services.Thesis (M.Ed.)-University of KwaZulu-Natal, Pietermaritzburg, 2014.
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Hoblová, Petra. „Současné formy péče o umírající v domácím prostředí“. Master's thesis, 2020. http://www.nusl.cz/ntk/nusl-435707.
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After 1989, we have seen a great development of hospice and palliative care in the Czech Republic. At that period, the first hospice institutions came into being which later broadened their concepts on providing also the at-home care. The main aim of this thesis is to characterize the available concepts of the care of the dying patients in their home environment in the Czech Republic. The initial theoretical section introduces the definitions of the basic concepts of palliative and hospice care; the characteristics of the key institutions providing the at-home care; and deals with the hospice and palliative care legislative. The practical part, based on the use of the qaulitative research design and semi-structured interviews, helps to show the experience of various providers of palliative services. The analytic part depicts two concepts of the care of the dying people, which were identified on the base of the linterviews and which are currently available to patients. Keywords: hospic care, palliative care, mobile hospic, specialized mobile palliative care general practitioner, home care, social services, care of the dying patients, dying, death
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Kiwombojjo, Michael. „The role of capacity building in community home based care for AIDS patients: an exploratory study of Taso : Sseeta-Nazigo Community Aids Initiative“. Diss., 2002. http://hdl.handle.net/10500/748.
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The focused of this study is the role of capacity building in Community Home Based Care (CHBC) for HIV/AIDS patients. The study forms part of my Master's in Development Administration programme, undertaken through UNISA. The dissertation was accomplished by studying the
TASO community initiative in Sseeta-Nazigo, Mukono District, Uganda. It explores the concept of capacity building and its applicability to CHBC.
The primacy data was gathered by conducting Key Infonnant Interviews (KIIs) and Focus Group Discussions (FGD). The secondary data was gathered by reviewing literature to augment the primary data. In addition, data was gathered through observations within the community.
The fmdings have identified seven critical components of capacity building: community mobilisation, skills development, Information, Education and Communication (IEC) Voluntary Counselling and Testing (VCT), networking and collaboration, support and supervision, Monitoring and Evaluation (M&E). The study observed that capacity built in the above areas resulted in three outcomes: skills development, improvement in procedures, and institutional development. Informed recommendations were subsequently made related to the seven componentsof capacity building in CHBCDevelopment Studies
M. A. (Development Studies)
Bücher zum Thema "Specialized Education and Home Care Services"
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D, Wonder Debrah, Acree Marie und Hospital Home Health Care Agency of California., Hrsg. Home care IV therapy. 2. Aufl. Gaithersburg, Md: Aspen Publishers., 1996.
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The home health care solution: A complete consumer guide. New York: Harper & Row, 1985.
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Client teaching guides for home health care. 2. Aufl. Gaithersburg, Md: Aspen Publishers, 1997.
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Client teaching guides for home health care. Rockville, Md: Aspen Publishers, 1989.
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Martin, Karen S. Mosby's home health client teaching guides: Rx for teaching. Herausgegeben von Larson Beverly J. St. Louis, MO: Mosby, 1997.
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Illinois. Dept. of Employment Security. Health services: Nursing, residential & home health care. Springfield, Ill.]: Illinois Dept. of Employment Security, 2001.
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N, Di Lima Sara, Painter Sandra Jean, Marcus Judy und Aspen Reference Group (Aspen Publishers), Hrsg. Home health nutrition: Patient education manual. Gaithersburg, Md: Aspen Publishers, 1997.
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Saltz, Constance Corley. Consumer education on long term care services and financing: Consultant report. [Hartford]: State of Connecticut, Governor's Commission on Private and Public Responsibilities for Financing Long Term Care for the Elderly, 1987.
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Corporation, Springhouse, Hrsg. Teaching aids for home care nurses. Springhouse, Pa: Springhouse Corp., 1996.
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Trust, Who Cares?, Hrsg. Who cares about education?: An action guide for young people in residential and foster care. [London]: [Who Cares? Trust], 1997.
Den vollen Inhalt der Quelle findenBuchteile zum Thema "Specialized Education and Home Care Services"
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Di Giandomenico, Isabella, und Mariacristina Picchio. „Children's transition between home and ECEC services“. In Early Childhood Education and Care in a Global Pandemic, 44–56. London: Routledge, 2022. http://dx.doi.org/10.4324/9781003257684-4.
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Ye, Jingkun. „Research on the Quality Enhancement of Community Home-Based Elderly Care Services: Dimensional Differences and Realistic Approaches“. In Proceedings of the 2023 8th International Conference on Modern Management and Education Technology (MMET 2023), 66–78. Paris: Atlantis Press SARL, 2023. http://dx.doi.org/10.2991/978-2-38476-146-3_10.
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Dieck, Margret, und Vjenka Garms-Homolová. „Home-care services in the Federal Republic of Germany“. In Home care for older People in Europe, 118–56. Oxford University PressNew York, NY, 1991. http://dx.doi.org/10.1093/oso/9780192620507.003.0006.
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Abstract Within today's health services, this hierarchy of services is abundantly clear. Thus, as far as health insurance coverage is concerned, only the need of specialized nursing allows for provision of basic nursing as well as home help, if required. This is because nursing services at home are defined as adjuncts to medical treatment within health insurance, i.e., within the service system that offers either services in kind or full-cost insurance coverage for those deemed ill. Nursing services alone are not provided by health insurance but only if medical treatment is needed. However, within the means-tested, social welfare system, nursing services and home help can be provided to frail elderly people, even if they are not undergoing medical treatment.
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Holstein, Bjorn E., Pernille Due, Gert Almind, und Erik Holst. „The home-help service in Denmark“. In Home care for older People in Europe, 38–62. Oxford University PressNew York, NY, 1991. http://dx.doi.org/10.1093/oso/9780192620507.003.0003.
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Abstract This chapter focuses mainly upon the home-help service in Denmark. The service has been and is the backbone of home-care policies over the years. The context within which it operates is as follows. Counties are responsible for the funding of hospitals, general practitioners, and a number of specialized institutions such as psychiatric nursing homes. Most other health and social services are organized and financed by the local municipalities (‘communes’). Access to general practitioners is free and unrestricted, and the practitioner refers patients to hospitals, practising specialists, physiotherapy, and home nursing. Access to social services is decided by the local social services department. Tables 1 and 2 in Appendix 2 provide data on expenditure for health and social services in Denmark.
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Fukkink, R., und H. Blok. „Home-Based and Institutional Early-Childhood Education and Care Services“. In International Encyclopedia of Education, 98–103. Elsevier, 2010. http://dx.doi.org/10.1016/b978-0-08-044894-7.01176-3.
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Jagannathan, Aarti, Srilatha Juvva und Priya Treesa Thomas. „Palliative Care“. In The Oxford Textbook of Palliative Social Work, herausgegeben von Terry Altilio, Shirley Otis-Green und John G. Cagle, 489–93. Oxford University Press, 2022. http://dx.doi.org/10.1093/med/9780197537855.003.0049.
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In India, palliative care is a specialized care provided at the tertiary health centers. The models of palliative care that provide either a continuum of care and/or end-of-life care services in the country include (a) hospice centers, (b) mobile home care palliative teams, (c) family-based care, and (d) neighborhood network palliative care programs. The role of the social worker is mainly to coordinate between health and social care agencies, advocate for the client/family with medical professionals and voluntary agencies, and provide psychosocial counseling and bereavement support to the family. In keeping with the cultural ethos of the country, working with the family, understanding collusion, and integrating spirituality are vital aspects in providing effective palliative care services.
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Ceron, Scan Miyake. „Managed Care and Care Management for Older Adults“. In Managed Care Services, 150–62. Oxford University PressNew York, NY, 2000. http://dx.doi.org/10.1093/oso/9780195134292.003.0008.
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Abstract Contending with a medical emergency, health problem, or chronic illness is never easy. For older adults, who are more likely to have health limitations, cognitive impairment, or problems with memory, and less education than younger adults, facing health problems can be particularly difficult. The vulnerability of the elderly population has long been recognized in American society—the elderly are almost the only constituency in the United States with an entitlement of health insurance. Virtually all elderly Americans receive their health insurance from Medicare, the landmark health care program for people over sixty-five. Today, more than six million older adults participate in managed care through the Medicare program, 16% of all Medicare beneficiaries (Gage, 1997). As other authors in this book have described, the U.S. health care sys tem has undergone profound changes in the past two decades. The development of managed care and other new forms of delivering care, the change from fee-for-service and retrospective payment to capitated and prospective financing systems, the growth of investor-owed hospital and nursing home chains and other organizations providing care, and the emergence of a new array of settings outside of the hospital where services are delivered have combined to fundamentally alter the health care landscape.
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Cranford, Cynthia J. „Toward Flexible Care and Secure Work in Intimate Labor“. In Home Care Fault Lines, 151–74. Cornell University Press, 2020. http://dx.doi.org/10.7591/cornell/9781501749254.003.0008.
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This chapter highlights the importance of deeply democratic alliances between domestic personal support workers and recipients that negotiate tensions at the intimate level of the labor process. Disabled people have long had support from their own advocacy organizations, like independent living centers (ILCs), on ways to be a fair employer and attain quality services. Yet, despite such support, informality can creep in to individual relationships due to the complexity of labor legislation in this sector and to the lack of enforcement. Alliances between recipient organizations and the labor movement could address these issues in creative ways. If the goal is security with flexibility, workers need critical education about how the locations of disability and age shape people's quest for ongoing input into their services, and they need training and support on how to negotiate this. What kinds of organizing models can engage deeply and continuously with workers and recipients to address tensions in the labor process? Community-based labor organizing provides inspiration.
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Tannous, Wadad Kathy, und Divya Ramachandran. „Aged Care Services in India“. In Emerging Business and Trade Opportunities Between Oceania and Asia, 114–43. IGI Global, 2021. http://dx.doi.org/10.4018/978-1-7998-4126-5.ch006.
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India is the world's largest democracy and second most populous country with nearly 1.4 billion people. With reduced birth rates and increasing lifespans, it had nearly 104 million ‘senior citizens' in 2011, expected to grow to 300 million by 2050. Providing care for the elderly in India is a growing public and private concern. Filial piety is embedded in culture and long-term care for parents and the elderly is expected from children. However, over the last five decades there have been rapid changes in socioeconomic patterns with increasing mobility for work and rise of nuclear households. Despite this, elder care is still largely underdeveloped, with lack of formal training in geriatric care and geriatric care curriculum in medical education. Australia has a highly evolved elderly care system with care services that includes retirement villages, home care, residential care, and flexible care. These are provided by subsidization from the government and private user pay system. Australia is well poised to provide aged care expertise and services and shape elderly care in India.
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„Providing Services to Students With Special Needs Across Various Settings“. In Advances in Early Childhood and K-12 Education, 1–43. IGI Global, 2019. http://dx.doi.org/10.4018/978-1-5225-8069-0.ch001.
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This chapter focuses on the past and present of educating students with special education needs. Historically, these children were shunned, were the victims of credulity, and were sometimes even killed simply because they learned differently than the rest of the human race. The chapter includes an overview of the various laws and court cases that helped to shape special education as we know it today, as well as a discussion of a variety of educational models in which special education students can be educated depending on their needs. These models include a range of environments, from home-based programs to inclusion with peers for either the entire school day or part of it to a specialized school. The chapter also includes a discussion on ethics and thoughts about what the future may hold for the field of special education. Finally, the chapter presents a way to evaluate any service delivery model using the program evaluation theory.
Konferenzberichte zum Thema "Specialized Education and Home Care Services"
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Totsuka, Yuya, und Hiroshi Yajima. „Research on an information sharing system using COI specialized for urgency in the home care field“. In 2018 IEEE 20th International Conference on e-Health Networking, Applications and Services (Healthcom). IEEE, 2018. http://dx.doi.org/10.1109/healthcom.2018.8531176.
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Li, Xiaoqin, und Jing Wang. „Research on Community Based Aged-Care at Home Information Services in Cloud Computing Environment“. In 2015 International Conference on Social Science, Education Management and Sports Education. Paris, France: Atlantis Press, 2015. http://dx.doi.org/10.2991/ssemse-15.2015.45.
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Allen, Gemma L. „7 Outside the margins: palliative and end-of-life care education for homeless support services“. In Accepted Oral and Poster Abstract Submissions, The Palliative Care Congress 1 Specialty: 3 Settings – home, hospice, hospital 19–20 March 2020 | Telford International Centre. British Medical Journal Publishing Group, 2020. http://dx.doi.org/10.1136/spcare-2020-pcc.28.
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He, Muye, und Zhiqiang Mao. „The Demand of Home-Based Care Service for the Naxi Elderly—An Analytical Perspective Based on the Status quo of Naxi Culture and Services“. In Proceedings of the 2019 International Conference on Management, Education Technology and Economics (ICMETE 2019). Paris, France: Atlantis Press, 2019. http://dx.doi.org/10.2991/icmete-19.2019.9.
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Ettema, Roelof, Goran Gumze, Katja Heikkinen und Kirsty Marshall. „European Integrated Care Horizon 2020: increase societal participation; reduce care demands and costs“. In CARPE Conference 2019: Horizon Europe and beyond. Valencia: Universitat Politècnica València, 2019. http://dx.doi.org/10.4995/carpe2019.2019.10175.
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BackgroundCare recipients in care and welfare are increasingly presenting themselves with complex needs (Huber et al., 2016). An answer to this is the integrated organization of care and welfare in a way that personalized care is the measure (Topol, 2016). The reality, however, is that care and welfare are still mainly offered in a standardized, specialized and fragmented way. This imbalance between the need for care and the supply of care not only leads to under-treatment and over-treatment and thus to less (experienced) quality, but also entails the risk of mis-treatment, which means that patient safety is at stake (Berwick, 2005). It also leads to a reduction in the functioning of citizens and unnecessary healthcare cost (Olsson et al, 2009).Integrated CareIntegrated care is the by fellow human beings experienced smooth process of effective help, care and service provided by various disciplines in the zero line, the first line, the second line and the third line in healthcare and welfare, as close as possible (Ettema et al, 2018; Goodwin et al, 2015). Integrated care starts with an extensive assessment with the care recipient. Then the required care and services in the zero line, the first line, the second line and / or the third line are coordinated between different care providers. The care is then delivered to the person (fellow human) at home or as close as possible (Bruce and Parry, 2015; Evers and Paulus, 2015; Lewis, 2015; Spicer, 2015; Cringles, 2002).AimSupport societal participation, quality of live and reduce care demand and costs in people with complex care demands, through integration of healthcare and welfare servicesMethods (overview)1. Create best healthcare and welfare practices in Slovenia, Poland, Austria, Norway, UK, Finland, The Netherlands: three integrated best care practices per involved country 2. Get insight in working mechanisms of favourable outcomes (by studying the contexts, mechanisms and outcomes) to enable personalised integrated care for meeting the complex care demand of people focussed on societal participation in all integrated care best practices.3. Disclose program design features and requirements regarding finance, governance, accountability and management for European policymakers, national policy makers, regional policymakers, national umbrella organisations for healthcare and welfare, funding organisations, and managers of healthcare and welfare organisations.4. Identify needs of healthcare and welfare deliverers for creating and supporting dynamic partnerships for integrating these care services for meeting complex care demands in a personalised way for the client.5. Studying desired behaviours of healthcare and welfare professionals, managers of healthcare and welfare organisations, members of involved funding organisations and national umbrella organisations for healthcare and welfare, regional policymakers, national policy makers and European policymakersInvolved partiesAlma Mater Europaea Maribor Slovenia, Jagiellonian University Krakow Poland, University Graz Austria, Kristiania University Oslo Norway, Salford University Manchester UK, University of Applied Sciences Turku Finland, University of Applied Sciences Utrecht The Netherlands (secretary), Rotterdam Stroke Service The Netherlands, Vilans National Centre of Expertise for Long-term Care The Netherlands, NIVEL Netherlands Institute for Health Services Research, International Foundation of Integrated Care IFIC.References1. Berwick DM. The John Eisenberg Lecture: Health Services Research as a Citizen in Improvement. Health Serv Res. 2005 Apr; 40(2): 317–336.2. Bruce D, Parry B. Integrated care: a Scottish perspective. London J Prim Care (Abingdon). 2015; 7(3): 44–48.3. Cringles MC. Developing an integrated care pathway to manage cancer pain across primary, secondary and tertiary care. International Journal of Palliative Nursing. 2002 May 8;247279.4. Ettema RGA, Eastwood JG, Schrijvers G. Towards Evidence Based Integrated Care. International journal of integrated care 2018;18(s2):293. DOI: 10.5334/ijic.s22935. Evers SM, Paulus AT. Health economics and integrated care: a growing and challenging relationship. Int J Integr Care. 2015 Jun 17;15:e024.6. Goodwin N, Dixon A, Anderson G, Wodchis W. Providing integrated care for older people with complex needs: lessons from seven international case studies. King’s Fund London; 2014.7. Huber M, van Vliet M, Giezenberg M, Winkens B, Heerkens Y, Dagnelie PC, Knottnerus JA. Towards a 'patient-centred' operationalisation of the new dynamic concept of health: a mixed methods study. BMJ Open. 2016 Jan 12;6(1):e010091. doi: 10.1136/bmjopen-2015-0100918. Lewis M. Integrated care in Wales: a summary position. London J Prim Care (Abingdon). 2015; 7(3): 49–54.9. Olsson EL, Hansson E, Ekman I, Karlsson J. A cost-effectiveness study of a patient-centred integrated care pathway. 2009 65;1626–1635.10. Spicer J. Integrated care in the UK: variations on a theme? London J Prim Care (Abingdon). 2015; 7(3): 41–43.11. Topol E. (2016) The Patient Will See You Now. The Future of Medicine Is in Your Hands. New York: Basic Books.
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Motlova, Lenka. „USING HEALTH AND SOCIAL SERVICES AS PREVENTION OF SOCIAL EXCLUSION IN OLD AGE“. In NORDSCI International Conference Proceedings. Saima Consult Ltd, 2019. http://dx.doi.org/10.32008/nordsci2019/b1/v2/32.
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With regard to the demographic aging of the population, the use of health and social services has become hot topic in old age. Care of elderly people should be holistic and complex – i.e. health and social care, because deterioration of the health of the elderly leads to a worsening of the social situation and vice versa. An unsatisfactory social environment leads to a deterioration in the health of the elderly because health and social situations interact and condition each other. Social exclusion is a topical issue that can take different kinds and forms (spatial; economic; cultural, social and political exclusion and symbolic exclusion). The use of health and social services and their availability for the elderly can prevent the emergence of social exclusion in old age. The aim of the paper is to describe the relationship between the use of health and social services by the elderly and the emergence of social exclusion in old age. The author will focus on the presentation of results of qualitative research, which has been realized in seniors 65+ living in a home environment in the Czech Republic. The results will focus on the use and availability of health and social services in the context of social exclusion. The contribution was supported by the project “Social Exclusion in Seniors Living in the Home Environment in the Czech Republic” supported by the Ministry of Education, Youth and Sports of the Czech Republic in the INTER-COST sub-program, INTER-EXCELLENCE, No. LTC18066.
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„Maternal health seeking behaviors and health care utilization in Pakistan“. In International Conference on Public Health and Humanitarian Action. International Federation of Medical Students' Associations - Jordan, 2022. http://dx.doi.org/10.56950/xzpo9700.
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Background: Direct estimations of maternal mortality were carried out in Pakistan for the first time. Maternal health and health issues, maternal mortality and the specific causes of death among women must be studied to improve the health care of women and better utilization of maternal health services for better public health. Objective: The main objectives of this study are to analyze maternal health, morbidity and mortality indicators. The causes of death and health care utilization will be highlighted, hence, useful recommendations can be made to reduce maternal deaths and to attain the Sustainable Development Goal 3.1. Method: Utilizing the data of Pakistan Maternal Mortality Survey 2019, crosstabs and frequency tables are constructed and multivariant analysis was conducted to find out the most effective factors contributing to the deaths. IBM SPSS and STATA were used for the analysis. Results and Conclusion: 40% population surveyed was under 15, age 65 or above. Average household members were 6-7. Drinking water facility was majorly improved in both urban and rural areas. Hospital services in rural areas were mostly (54%) in the parameter of 10+ kms and Basic Health Units were mainly found inside the community. Very few urban households were in the poorest quantile while very few rural households were in the wealthiest quantile. Women education distribution showed that a high percentage of women (52%) were uneducated and only a 12% had received higher education. Maternal mortality ratio (MMR) for the 3-year period before the survey was 186 deaths per 100,000 live births while pregnancy related mortality rate was 251 deaths per 100,000 live births, which was higher compared to the MMR. Maternal death causes were divided into direct and indirect causes, where major causes were reported to be obstetric Hemorrhage (41%), Hypertensive disorders (29%), Pregnancy with abortive outcome (10%), other obstetric pregnancy related infection (6%) and non-obstetric (4%). 37% women who died in the three years before the survey sought medical care at a public sector health facility while 26% at private sector and 5% at home. A majority (90%) of women who had pregnancy complications in the 3 years before the survey received ANC from a skilled provider. Keywords: Maternal health, antenatal care, maternal mortality rates, pregnancy related diseases
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Logunov, Konstantin Valerievich, Sergei Anatolievich Antipov und Andrey Borisovich Karpov. „Offshore Health Innovations“. In Abu Dhabi International Petroleum Exhibition & Conference. SPE, 2021. http://dx.doi.org/10.2118/207945-ms.
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Objectives/Scope Analysis of 15 years results of remote occupational health care in oil and gas production industries. Methods, Procedures, Process Continuous observation, statistical analysis of morbidity, mortality, and treatment results in industrial personnel at different endpoints depending on the variability of care models. Cost-efficacy analysis of several occupational health interventions. Targeted polls of Customers. Dynamics of new Customers. Results, Observations, Conclusions The best practices which provide the maximum efficacy include risk assessment and risk management, action planning for emergencies, telemedicine, education, registry maintenance. Each of all these gave a 10-100-fold rise in Customer satisfaction, seriously improved medical statistics. Telemedicine implies both: the delivery of highly specialized diagnostic technologies directly to the industrial production site, where a GP or paramedic is present, and it implements the direct replacement of medics with gadgets at the patient's bedside. Education involves hands-on training for both industrial personnel at remote sites and for medical professionals who provide care. The 2020-21 COVID19 pandemic was a great real stress test for remote health models when systemic integrated management procedures played a pivotal role in ensuring smooth industry operation due to the high quality of back medical services. Novel/Additive Information Modern efficient models of medical care for remote industries are necessarily comprehensive, modular, adaptive, and rely on personnel health registers. Remote health practices gain a 5-15% rise in price every year, but it pays off in greater labor productivity and in improving the health of industry personnel.
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Alves, Ediane, und Paulo Prado. „DOMESTIC VIOLENCE AGAINST WOMEN AND ITS IMPACT ON CHILDREN'S SCHOOL PERFORMANCE“. In International Psychological Applications Conference and Trends. inScience Press, 2021. http://dx.doi.org/10.36315/2021inpact030.
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"This research addressed the issue of domestic violence investigating whether and how it affects the school performance of the child who witnesses episodes of violence against the mother in the home. Personal characteristics and other environments in which these children and adolescents are inserted in, such as family, school and community interact with each other and can influence their school performance. Because the school is the second most common space for children, it is in it where family environment is expressed. The main objective of this study was to analyze whether and how domestic violence experienced by children affects their school performance. The data were collected throughout documentary research, one analyzing the information recorded in the files of the Reference and Service Center for Women (CRAM in Portuguese) and the Municipal Education Secretariat (SME). Records were selected from 20 children regularly enrolled in elementary public schools, whose mothers sought the services of CRAM. The dependent variable was school grades, which were analyzed according to a repeated measures design: during the occurrence of domestic violence episodes and after these episodes have ceased. Analyzes were also conducted with the aim of verifying possible effects of other variables, such as school attendance, family socioeconomic status and mothers education level. The results showed that the students had lower school performance after the end of the episodes of violence. No effects of other variables were observed. Factors related to the phenomenon are discussed as possible causes: separation from the father, change of address, custody’s change and others. Considering that the casuistry of this study was composed of students from low-income families, the results point to a kind of ""Matthew effect"", that is, a relationship between violence, poverty and ignorance in which everyone feeds each other forming a cycle quite hard to break. Therefore, it is necessary that public policies be formulated in the scope of education so that students who experience domestic violence receive specialized attention aiming at realizing their learning potential."
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Adora, Ashita, Carissa R. Mysliwiec, Cristina Dekker, Danielle N. Lasusa und Lynne M. Dearborn. „Understanding Staff and Student Experiences at McKinley Health Center“. In 112th ACSA Annual Meeting. ACSA Press, 2024. http://dx.doi.org/10.35483/acsa.am.112.41.
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Contemporary preoccupation with physical and mental well-being demands that we study physical environments to ensure they contribute to overall wellness. Despite scarce research probing them, student health centers on university campuses are no exception. The environments of campus health centers must encourage university students’ mental and physical wellbeing while offering preventative and acute health services and providing a supportive work environmentfor staff. The McKinley Health Center, housed in a 97-year-old building, exists to provide university students with professionalprimary, specialized, and emergency healthcare and to serve as a campus center for medications, resources, and health education. This mission provided a framework for a post-occupancy study of the facility to structure advice for architectural renovations to improve staff and student experiences. Two research questions focused the study’s mixed methods research design.How do current environmental conditions at the facility influence experiences of student-patients, and staff, and staff-student interactions?What physical-environment changes would improve these?We collected data through observation of physical traces, building-document analysis, two surveys administered to distinct user populations, and content from public online facility reviews. Through descriptive, content, and the maticanalyses, we identified way finding, indoor environmental quality, and student-staff interactions as prominent themes in the experiences of student-patients as they seek care and health resources; and staff as they go through their daily work activities. McKinley’s floor plan complexity underpins severe way finding challenges that frustrate student-patients and distract staff. Among our redesign suggestions, we propose color-coded wings to provide redundant cognitive cues, simplify directions, and ease patient anxiety. The introduction of color can also transform an environment perceived as “grey” and “boring”. This relatively straightforward intervention can augment clearer signage. We believe this design approach can improve both student-patient and staff experiences and reflect an environment supportive of the student health and wellbeing priorities of the university.
Berichte der Organisationen zum Thema "Specialized Education and Home Care Services"
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Kwon, Heeseo Rain, HeeAh Cho, Jongbok Kim, Sang Keon Lee und Donju Lee. International Case Studies of Smart Cities: Songdo, Republic of Korea. Inter-American Development Bank, Juni 2016. http://dx.doi.org/10.18235/0007012.
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This case study is one of ten international studies developed by the Korea Research Institute for Human Settlements (KRIHS), in association with the Inter-American Development Bank (IDB), for the cities of Anyang, Medellin, Namyangju, Orlando, Pangyo, Rio de Janeiro, Santander, Singapore, Songdo, and Tel Aviv. At the IDB, the Competitiveness and Innovation Division (CTI), the Fiscal and Municipal Management Division (FMM), and the Emerging and Sustainable Cities Initiative (ESCI) coordinated the study. This project was part of technical cooperation ME-T1254, financed by the Knowledge Partnership Korean Fund for Technology and Innovation of the Republic of Korea. At KRIHS, the National Infrastructure Research Division coordinated the project and the Global Development Partnership Center provided the funding. Songdo, as part of Incheon Free Economic Zone, is an iconic new smart city of Korea that hosts international business events and attract IT, biotech, ad R&D facilities. Its smart city initiative began in 2008 and is still ongoing with an aim for completion by 2017. The project is largely divided into six sectors including transport, security, disaster, environment, and citizen interaction while other services related to home, business, education, health and car are also being developed. Specialized service in Songdo includes smart bike services, criminal vehicle tracking and monitoring unusual activities through motion detecting technology while Integrated Operation and Control Center (IOCC) readily facilitates collaboration between various agencies and citizen engagement. Songdo smart city initiative is managed by Incheon U-city Corporation, a private- public partnership in order to secure funding for system operation through effective business model.
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Glista, Danielle, Robin O’Hagan, Danielle DiFabio, Sheila Moodie, Karen Muñoz, Keiran Joseph, Christine Brown et al. Virtual Hearing Aid Care – Clinical Practice Guidance Document. Western Libraries, Western University, August 2021. http://dx.doi.org/10.5206/0820211097.
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This document was informed by literature reviews conducted in accordance with the Joanna Briggs Institute’s guide to evidence synthesis (Aromataris & Munn, 2017; https://joannabriggs.org) and includes evidence related to client candidacy, delivery models, modalities of delivery, and outcomes of virtual hearing aid fitting and management. This document provides clinical practice guidance for virtual hearing aid fitting and management processes and technological requirements in the delivery of such services (herein referred to as virtual hearing aid care). Virtual hearing aid care can include services delivered directly to a client by a provider or using facilitator-supported services and specialized equipment, depending on client factors, type of care, and the timepoint in the care process (e.g., initial versus follow-up appointments). This document will address virtual care including the following types of hearing aid care: o Programming o Verification o Validation o Management (counselling and education) Currently, virtual hearing aid care is better suited to follow-up appointments
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Wang, Zaisheng, Chris Blackmore und Scott Weich. Mental Health Services International Students can Access in UK Higher Education: an Evidence and Gap Map (EGM). INPLASY - International Platform of Registered Systematic Review and Meta-analysis Protocols, Dezember 2022. http://dx.doi.org/10.37766/inplasy2022.12.0038.
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Review question / Objective: a. Question • What kind of mental health services that international students can access in UK higher education? b. Objectives • to systematically search and identify the range of mental health services that international students in UK higher education can access. • to gather and display evidence on health care and services to maintain or enhance mental health conditions of mental health services in the UK. • to collect clusters of existing evidence and gaps to inform the potential literature review design. Background: Mental health is already a significant global issue in higher education (Alonso et al., 2018; Auerbach et al., 2016a, 2016b; Mortier et al., 2018). As the WHO argued, there is no health without mental health (DH, 2011; Prince et al., 2007; WHO, 2018, 2021, 2022a). Higher education students who are far away from home, lack social support and face language and cultural differences are the vulnerable populations in terms of mental health compared with home students (Blackmore et al., 2019; Forbes-Mewett & Sawyer, 2016, 2019; Minutillo et al., 2020; Sachpasidi & Georgiadou, 2018; Sherry et al., 2010). As a critical industry, UK higher education has the second-largest group of international higher education students globally (Department for Education & Department for International Trade, 2021; QS, 2019; QS Enrolment Solutions, 2021; Universities UK, 2021a, 2021b). However, compared with home students, international students are less likely to use mental health services in UK higher education. Attention to the mental health conditions of international students in UK higher education has more possibility to be improved in this country (HESA, 2021; Orygen, 2020; Quinn, 2020).
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Chou, Roger, Tracy Dana, Azrah Y. Ahmed, Leah Williams, Eric Herman, Jordan Anderson, Ilya Ivlev und Shelley Selph. Long COVID Models of Care. Agency for Healthcare Research and Quality (AHRQ), April 2024. http://dx.doi.org/10.23970/ahrqepctb45.
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Background. Long COVID is characterized by persistent, new, or relapsing symptoms following severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection. A standardized and reliable definition is needed to accurately identify patients with long COVID, and a number of models of care have been developed or proposed to provide the services needed to manage this complex condition. Purpose. The purpose of this Technical Brief is to summarize definitions of long COVID and describe what is known about long COVID models of care, including models currently in use, promising approaches, advantages and disadvantages of models in different populations and settings, barriers and facilitators to implementation, access and equity issues, and needed research. Methods. We performed searches in electronic databases from 2021 to November 2023, reviewed reference lists, searched grey literature sources, and interviewed Key Informants. We described key definitions of long COVID, identified components characterizing different long COVID models of care, developed a framework to categorize models based on these components, described representative practice- and systems-based models of care, and identified future research needs. Findings. We identified five definitions for long COVID based on clinical criteria and one proposed definition based on a summary symptom score. Clinical definitions varied with regard to requirement for documenting acute SARS-CoV-2 infection, timing of onset, and duration of symptoms. One newly proposed definition developed using data from people with symptoms for greater than 6 months is based on exceeding a threshold on a composite symptom score and requires further validation. Based on 49 long COVID models of care described in the literature review or by Key Informants, we identified five key principles of long COVID care: (1) core “lead” team; (2) broad multidisciplinary expertise; (3) broad range of diagnostic and therapeutic services; (4) patient-centered, individualized, and equitable care; and (5) capacity to meet demand. Models of care varied with regard to how they addressed these principles. We developed a framework for describing and categorizing long COVID models of care based on seven key components that varied across models: (1) home department or clinical setting; (2) clinical lead; (3) co-location of other specialties; (4) role of primary care; (5) population managed; (6) use of teleservices; and (7) whether the model was practice- or system-based. Using this framework, we described 10 representative practice-based and 3 systems-based long COVID models of care. There was overlap between model components as well as variability within the same model. Across models, implementation strategies addressed multispecialty collaboration, use of systematic intake and assessment methods, care coordination, and education and training of clinic staff. viii Research is needed to understand appropriate methods for measuring quality of care, approaches for providing access to underserved populations, strategies to ensure sustainability, provision of long COVID care in areas lacking multidisciplinary expertise, optimal education and training and care coordination methods, outcomes of long COVID models of care, and strategies for integrating long COVID management into primary care. Decisions about long COVID models of care may best be tailored to address the unique milieu of each implementation setting, leveraging the resources and expertise available. Conclusions. Definitions of long COVID vary and efforts are ongoing to develop a more standardized and reliable definition. A framework based on key model components may be useful to describe and categorize different long COVID models of care. Research is needed to clarify optimal long COVID models of care in different settings and to understand effective strategies for overcoming implementation barriers, including integration of long COVID management in primary care. The models of care presented in this Technical Brief may help inform the individualized implementation of long COVID models of care in different settings.