Tesi: "Home care"

1

Bacovic, Fanola Milenka, e Mackenna María Isabel Errázuriz. "BABY HOME CARE". Tesis, Universidad de Chile, 2014. http://www.repositorio.uchile.cl/handle/2250/130046.

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Tesis para optar al grado de Magíster en Administración
Autor no autoriza el acceso a texto completo de sus documento ( Parte I)
Bacovic Fanola, Milenka [Parte I Análisis estratégico y de mercado], [Parte II Análisis organizativo y financiero]
Una de las principales tareas como padres es el cuidado de los hijos. La llegada de un recién nacido al hogar es un momento muy importante, ya que requieren cuidados especiales y suelen ser muy demandantes en sus primeros días de vida, a los cuales no siempre las madres están preparadas o tienen la capacidad física para cuidarlos de la mejor manera. Las tendencias en Chile nos muestran que las mujeres tienen hijos cada vez mayores, especialmente en los segmentos GSE más altos, en los cuales el poder adquisitivo es mayor, y tienen mayor disposición a pagar por productos y servicios de alta calidad para sus hijos. Actualmente la oferta de servicios de apoyo a domicilio para el cuidado de bebés es ofrecido en forma informal y no organizada, por enfermeras independientes, que se dan a conocer a través de la recomendación proveniente de los mismos usuarios entre conocidos, y son muy demandadas, incluso escasas. Hemos definido que hay una oportunidad de ofrecer Servicios Integrales del Cuidado del Recién Nacido en el hogar, siendo un apoyo para los padres, ofreciendo no sólo el servicio profesional de apoyo diurno y/o nocturno del recién nacido en el hogar, sino también servicios anexos que complementan nuestra oferta, y que agregan valor a nuestros consumidores. Nuestros servicios ofrecidos serán: Servicio básico diurno, servicio básico nocturno, servicio premium diurno, cuidado integral de bebés prematuros, charlas de asesoramiento (lactancia, primeros auxilios, apego del recién nacido). Esperamos ser una empresa reconocida por la alta calidad y calidez de sus servicios, rentable, con personal altamente calificado y motivado y con un alto nivel de lealtad a la empresa, que genere utilidades positivas en el tiempo. La inversión inicial de $88.600 miles de pesos aproximadamente, corresponde en un 22% a la infraestructura de la oficina y equipamiento, 74% para tener fondos para cubrir las necesitadas de capital de trabajo. El monto destinado al capital de trabajo es un monto equivalente a cubrir 3 meses de operación.

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2

Ozaki, Veridiana Tonzar Ristori [UNESP]. "Home care: uma análise". Universidade Estadual Paulista (UNESP), 2014. http://hdl.handle.net/11449/128108.

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O presente trabalho tem por objetivo estudar as implicações bioéticas do home care, como modalidade de assistência de saúde, buscando-se tutelar os Direitos Humanos. Atualmente, o home care é considerado uma prática moderna de assistência, tanto pelos planos de saúde do setor privado, quanto pelo setor das políticas públicas de saúde. Representa uma tendência no mundo e no Brasil e traz o discurso da humanização no atendimento, liberação de leitos hospitalares, redução dos índices de infecção e melhoria da qualidade de vida dos pacientes como vantagens para sua implementação. Todavia, busca-se compreender que o home care apresenta uma série de problemáticas morais e éticas relacionadas aos atores envolvidos: o paciente, o cuidador, a família e a equipe multiprofissional. O trabalho recorre à Bioética de Intervenção e à Bioética da Proteção, vertentes da Bioética que foram desenvolvidas a partir da constatação que a Bioética Principialista se mostrava insuficiente frente a contextos de grande desigualdade social como é o caso do Brasil. Por essa perspectiva, é possível dar voz aos excluídos, oprimidos e vulneráveis. É, nesse sentido, que a Bioética deve recorrer ao referencial dos Direitos Humanos, como forma de tutelar o direito à saúde dos mais necessitados. Dessa forma, procura-se demonstrar que o Home Care é um setor que apresenta sujeitos vulneráveis (paciente, cuidador, família), aos quais as políticas públicas de proteção devem estar voltadas
The present work aims to study the bioethical implications of home care, when considered a form of health care, to protect Human Rights. Currently, home care is considered a modern practical assistance, both by health plans in the private sector and by public health sector policies. Home care represents a trend worldwide and in Brazil, it states humanization in attendance, release of hospital beds, infection rates reduction and patient quality of life improvement as advantages for its implementation. However, we try to understand how home care presents several moral and ethical issues related to the actors involved: the patient, the caregiver, the family and the multidisciplinary team. The work resorts to Bioethics of Intervention and Bioethics of Protection, two Bioethics strands developed after Principlism was proved insufficient in a context of large of social inequalities, which is the case of Brazil. From this perspective, it is possible to give a voice to the excluded, oppressed and vulnerable. It is in this sense that bioethics must resort to human rights, as a way to protect the right to health of the neediest. Thus, it is sought to demonstrate that Home Care is a sector that has vulnerable subjects (patient, caregiver, family), to which the public protection policies should be directed

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3

Ozaki, Veridiana Tonzar Ristori. "Home care : uma análise /". Franca, 2014. http://hdl.handle.net/11449/128108.

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Orientador: João Bosco Penna
Banca: Maria Amália de Figueiredo Pereira Alvarenga
Banca: Marco Aurélio Guimarães
Resumo: O presente trabalho tem por objetivo estudar as implicações bioéticas do home care, como modalidade de assistência de saúde, buscando-se tutelar os Direitos Humanos. Atualmente, o home care é considerado uma prática moderna de assistência, tanto pelos planos de saúde do setor privado, quanto pelo setor das políticas públicas de saúde. Representa uma tendência no mundo e no Brasil e traz o discurso da humanização no atendimento, liberação de leitos hospitalares, redução dos índices de infecção e melhoria da qualidade de vida dos pacientes como vantagens para sua implementação. Todavia, busca-se compreender que o home care apresenta uma série de problemáticas morais e éticas relacionadas aos atores envolvidos: o paciente, o cuidador, a família e a equipe multiprofissional. O trabalho recorre à Bioética de Intervenção e à Bioética da Proteção, vertentes da Bioética que foram desenvolvidas a partir da constatação que a Bioética Principialista se mostrava insuficiente frente a contextos de grande desigualdade social como é o caso do Brasil. Por essa perspectiva, é possível dar voz aos excluídos, oprimidos e vulneráveis. É, nesse sentido, que a Bioética deve recorrer ao referencial dos Direitos Humanos, como forma de tutelar o direito à saúde dos mais necessitados. Dessa forma, procura-se demonstrar que o Home Care é um setor que apresenta sujeitos vulneráveis (paciente, cuidador, família), aos quais as políticas públicas de proteção devem estar voltadas
Abstract: The present work aims to study the bioethical implications of home care, when considered a form of health care, to protect Human Rights. Currently, home care is considered a modern practical assistance, both by health plans in the private sector and by public health sector policies. Home care represents a trend worldwide and in Brazil, it states humanization in attendance, release of hospital beds, infection rates reduction and patient quality of life improvement as advantages for its implementation. However, we try to understand how home care presents several moral and ethical issues related to the actors involved: the patient, the caregiver, the family and the multidisciplinary team. The work resorts to Bioethics of Intervention and Bioethics of Protection, two Bioethics strands developed after Principlism was proved insufficient in a context of large of social inequalities, which is the case of Brazil. From this perspective, it is possible to give a voice to the excluded, oppressed and vulnerable. It is in this sense that bioethics must resort to human rights, as a way to protect the right to health of the neediest. Thus, it is sought to demonstrate that Home Care is a sector that has vulnerable subjects (patient, caregiver, family), to which the public protection policies should be directed
Mestre

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4

Benzarti, Emna. "Home Health Care Operations Management : Applying the districting approach to Home Health Care". Phd thesis, Ecole Centrale Paris, 2012. http://tel.archives-ouvertes.fr/tel-00718914.

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Within the framework of economic constraints and demographic changes which the health care sector is confronted to, the Home Health Care (HHC) which has been created sixty years ago, has known an important growth during this last decade. The main objective of this alternative to the traditional hospitalization consists in solving the problem of hospitals' capacity saturation by allowing earlier discharge of patients from hospital or by avoiding their admission while improving or maintaining the medical, psychological and social welfare of these patients. In this thesis, we are interested in the operations management within the HHC structures. In the first part of this thesis, we develop a qualitative analysis of the operations management in the HHC context. More specifically, we identify the complexity factors that operations management has to face up within this type of structures. For each complexity factor, we discuss how it can affect the organization of the care delivery. These factors pertain to the diversity of the services proposed, the location of care delivery, the uncertainty sources, etc. Thereafter, we survey operations management based models proposed in the literature within the HHC context. Based on this literature review, we identify several emerging issues, relevant from an organizational point of view, that have not been studied in the literature and thus represent unexplored opportunities for operations management researchers. In the second part of this thesis, we are interested in the partitioning of the area where the HCC structure operates into districts. This districting approach fits the policies of improvement of the quality of care delivered to patients and the working conditions of care givers as well as costs' reduction. We begin by proposing a classification of the different criteria that may be considered in the districting problem. We then propose two mathematical formulations for the HHC districting problem for which we consider criteria such as the workload balance, compactness, compatibility and indivisibility of basic units. After that, we present a numerical analysis of the computational experiments carried out on randomly generated instances to validate these two models. We also present two possible exploitations of these models and propose two extensions to these basic formulations. After formulating the problem with a static approach, we also develop a dynamic extension which allows the integration of the different variations that can be observed within the activities of an HHC structure from period to period. We then introduce a new partitioning criterion that concerns the continuity of care evaluated on the basis of two sub-criteria. Depending on the preferences of the decision-makers concerning the sub-criteria related to the continuity of care in the districting problem, we then distinguish three scenarios for which we propose the associated mathematical formulations.

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Burton, Elissa. "Physical activity for older home care clients receiving a restorative home care service". Thesis, Curtin University, 2014. http://hdl.handle.net/20.500.11937/1551.

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This was a three stage study. Stage one identified the physical activity levels and barriers and motivators to activity for older people who had received a restorative or ‘usual’ home care service. Stage two was a pilot study to establish that it was feasible to deliver a lifestyle exercise program (LiFE) within a restorative home care service. Stage three then evaluated the effectiveness of LiFE within the restorative service, comparing it to a structured exercise program.

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Lutz, Peter A. "Tinkering Care Moves : Senior Home Care in Practice". Doctoral thesis, Uppsala universitet, Institutionen för kulturantropologi och etnologi, 2016. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-296321.

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This dissertation builds on the current anthropological studies of care relations in practice. It draws inspiration from science and technology studies (STS) and postfeminist technoscience. A qualitative ethnographic approach grounds the empirical data collection and analysis. This entails ethnographic fieldwork with senior home care in the United States and Sweden during 2007–2008 and 2011–2012. Analytical attention centers on how movements situate various tensions of senior home care in practice. Four interrelated published works comprise the main thematic chapters. Each article exemplifies how human and nonhuman relations move and mediate care. They develop several heuristic terms that advance ideas about how older people, aging bodies, technologies, spaces, and times that tinker each other through movements of care in practice. The comprehensive summary frames these articles with an overview of the primary thematic orientations and methodological concerns. A discussion of the main contributions and implications of the dissertation concludes the work.

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7

Wambugu, Peniel Mugo. "Client-Centered Care Approach to Group Home Care". ScholarWorks, 2015. https://scholarworks.waldenu.edu/dissertations/1948.

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Scholars since the 19th century have focused on the provision of care in group homes and have demonstrated that structure (that is, the staff, facilities, and equipment), is critical in the delivery of care. The researchers, however, advocate doing for, rather than doing with the clients the activities that address the clients' welfare. The purpose of this study is to investigate how a client-centered approach would affect the quality of care delivered to the mentally challenged individuals (MCIs) in a group home. The study employed the quality-care framework in which the emphasis is on structure (skills), process (efficiency), and outcome (results). The research questions examined operational values underpinning company sanctioned work processes, how personal values underpin work processes of the direct caregivers, configuration of personal values the caregivers believe should be supported in the group home context, and how critical incidents shaped the value set of direct caregivers in regard to care processes. Using structured questionnaires and observing staff as they delivered care to their clients, data were collected from participants who were direct caregivers (n = 7), a facility administrator, and a nurse. The data were coded, categorized, and analyzed for emergent themes. The results of the analysis indicated that there was discord between staff and the organizational leadership. This discord could be improved through increased interaction between the mentioned stakeholders. The results further depicted that client-centered care may have a positive impact on the health of the MCIs that would enable the MCIs to make notable contributions to social change.

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Nelson, Ian M. "Predictors of Nursing Home Placement for Home Care Consumers". Miami University / OhioLINK, 2004. http://rave.ohiolink.edu/etdc/view?acc_num=miami1073924945.

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Tariq, Javid, e Sohail Sajid. "Robust Home Care Access Network". Thesis, Halmstad University, School of Information Science, Computer and Electrical Engineering (IDE), 2009. http://urn.kb.se/resolve?urn=urn:nbn:se:hh:diva-2616.

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Critical networks e.g. telecare services, telemonitoring, are implemented to provide the information security and reliability that the end user desires, especially during an emergency. Unlike business carrier systems that are planned for the general public’s use, critical communication systems are designed particularly for public protection and other serious communication situations. Availability and reliability of such networks is highly desirable. The following thesis works to compare and analyze a variety of communication access technologies to find out the best primary means of data transportation for health critical services and model reliable communication link by using redundancy. This study also provides an efficient failover mechanism to implement redundant links. This strategy is intended to provide the reliable communication and to protect the established communication link.

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Bennett, Ashlea R. "Home health care logistics planning". Diss., Georgia Institute of Technology, 2009. http://hdl.handle.net/1853/33989.

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This thesis develops quantitative methods which incorporate transportation modeling for tactical and operational home health logistics planning problems. We define home health nurse routing and scheduling (HHNRS) problems, which are dynamic periodic routing and scheduling problems with fixed appointment times, where a set of patients must be visited by a home health nurse according to a prescribed weekly frequency for a prescribed number of consecutive weeks during a planning horizon, and each patient visit must be assigned an appointment time belonging to an allowable menu of equally-spaced times. Patient requests are revealed incrementally, and appointment time selections must be made without knowledge of future requests. First, a static problem variant is studied to understand the impact of fixed appointment times on routing and scheduling decisions, independent of other complicating factors in the HHNRS problem. The costs of offering fixed appointment times are quantified, and purely distance-based heuristics are shown to have potential limitations for appointment time problems unless proposed arc cost transformations are used. Building on this result, a new rolling horizon capacity-based heuristic is developed for HHNRS problems. The heuristic considers interactions between travel times, service times, and the fixed appointment time menu when inserting appointments for currently revealed patient requests into partial nurse schedules. The heuristic is shown to outperform a distance-based heuristic on metrics which emphasize meeting as much patient demand as possible. The home health nurse districting (HHND) problem is a tactical planning problem which influences HHNRS problem solution quality. A set of geographic zones must be partitioned into districts to be served by home health nurses, such that workload is balanced across districts and nurse travel is minimized. A set partitioning model for HHND is formulated and a column generation heuristic is developed which integrates ideas from optimization and local search. Methods for estimating district travel and workload are developed and implemented within the heuristic, which outperforms local search on test instances.

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梁振聲 e Chun-sing Anthony Leung. "Old People's community: care home". Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2001. http://hub.hku.hk/bib/B31985919.

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Davies, Bethan Mair. "Operations strategy in home care". Thesis, University of Liverpool, 2006. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.437495.

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Leung, Chun-sing Anthony. "Old People's community : care home /". Hong Kong : University of Hong Kong, 2001. http://sunzi.lib.hku.hk/hkuto/record.jsp?B25950368.

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Peltz, Claudia. "Facility design & planning to improve nurses' effectiveness in administering care to fulltime residents of nursing homes". Muncie, Ind. : Ball State University, 2009. http://cardinalscholar.bsu.edu/436.

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Lundqvist, Pontus, e Anton Mathson. "Oral Health Care in Home Care Service – Personnels’ Perspective". Thesis, Umeå universitet, Tandläkarutbildning, 2014. http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-97909.

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Elderly nowadays stay longer in their own home. This raises the standards on home care service to contribute to the maintenance of elderly’s general and oral health. Our objective is therefore to explore attitudes about how home care workers view oral health care and the importance of good oral health for elderly clients. 8 subjects (22 to 61 years of age) were selected for the study working in home care service, which all gave their informed consent. Semi-structured interviews were performed, recorded and transcribed verbatim before evaluation, using qualitative content analysis. From the interviews, a result of total 19 categories and 41 subcategories were assigned which were the bases for the 10 evolved themes. The four themes best representing the study’s purpose are more thoroughly described. At a low level of abstraction attitudes such as reminding the clients to brush their teeth and importance of practical help with oral hygiene are expressed as important. Difficulties occur in forms of lack of accessibility to the oral cavity and the client’s unwillingness to co-operate. The participants also require better contact with dental services. On the emotional level, feelings such as alienation, powerlessness and fear of breaking the client’s integrity occur along with feelings of distantness and lack of interest. This leading to a conclusion of a low level of awareness together with lack of knowledge about oral care and oral health is seen among personnel in home care service, while the personnel themselves are requesting more knowledge and better contact with dental health care services.

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Basu, Priyam. "WIRELESS COMMUNICATION FOR HOME CARE AND HOSPITAL INTENSIVE CARE". Master's thesis, Temple University Libraries, 2013. http://cdm16002.contentdm.oclc.org/cdm/ref/collection/p245801coll10/id/216512.

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Computer and Information Science
M.S.
Many emerging and existing medical applications can benefit from having continuous access to the patients vitals. This paper presents the results of a set of experiments conducted in a medical setting to determine the feasibility of using wireless communication in both home care and hospital intensive care environments. The study is also done with the intention of developing a new wireless protocol for use in medical settings. This protocol will later be incorporated into different medical devices operating inside a patient room with a view that significant performance improvements should be observed.
Temple University--Theses

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Barradell, Emma Louise. "Home from home : concepts of home and homeliness in two residential care settings". Thesis, Keele University, 2004. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.401105.

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This study has been conducted in response to policy initiatives that have aimed to model residential care upon a homely or domesticated ideal. This objective is consolidated by the publications of Home Life (1984) and A Better Home Life (1996) that maintained that older people have rights to receive care in `homely' environments. A major concern of the study has been to contribute to research that has examined the topic of residential care within a domesticated framework. The study intends to integrate these topics in order to further knowledge about the way in which the notion of home can be related to the residential care setting. The study uses the method of participant observation and investigates constructions of home and homeliness in two residential settings. The aim of the research has been to examine, to what extent, the two settings utilise the concept of home within the respective environments with regard to the realities of everyday life, the nature of social relationships and the philosophy of care for residents. The study provides a discussion of how the construction of homeliness is either enhanced or inhibited by the environments and accompanying routines that shape the everyday life experiences of residents. Results indicate that it is factors associated with the structure of routines, the use of space and the consequences of disability that are particularly instrumental in influencing feelings of homelinessThe study makes recommendations for the development of further research to focus on comparisons between people receiving care in their own homes and people receiving care in other special settings. It is considered that this will broaden knowledge about how feelings of homeliness for older people are influenced and determined by the different environments that people inhabit as they grow older

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Hjalmarson, Jenny. "Ergonomics at Home : Design for Safe Living and Home Care". Doctoral thesis, KTH, Centrum för hälsa och byggande, CHB, 2014. http://urn.kb.se/resolve?urn=urn:nbn:se:kth:diva-140418.

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The home should represent safety and security for the person who lives there, and this is an important factor for independence and autonomy in very old age. With aging populations, the needs for long-term care increase, care provided by spouses and/or from the growing home care sector. Injuries among these groups are common. In this study, an ergonomics perspective was applied in the analysis of some basic daily activities performed by old persons and by home care workers, assisting. The postures and movements of home care staff assisting at toilet visits, and transferring persons from wheelchair to toilet, were measured and analysed. Some daily activities related to making food and washing clothes, performed by a group of persons between the age of 75 and 100, were measured and analysed. The task of getting up from the floor – on your own and with the help of a walker equipped with a lifting device – was analysed with the help of older persons and nursing staff. The design was built on the knowledge gained from analysing how older people get up from floor. Requirements for access with a four-wheeled walker in the local built environment were investigated. Observations were made with the help of video recording. Postures were recorded with the CUELA measurement system. The VIDAR ergonomics evaluation instrument was used to register the participants’ experiences of discomfort and pain during getting up from the floor with or without the walker with a lifting device. Structured interviews were used to find out about older peoples’ experience of using the four-wheel walker. It is concluded that ageing at home requires improved architectural and technical bathroom design and improved access in the local built environment.

QC 20140124

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Mulligan, Julia C. A. "Dying at home : an evaluation of specialist home care services". Thesis, Cardiff University, 1989. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.293069.

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Damberg, Jonas. "Availability of primary care physicians in nursing homes and home care nursing services and associations with emergency care consumption". Thesis, Örebro universitet, Institutionen för medicinska vetenskaper, 2017. http://urn.kb.se/resolve?urn=urn:nbn:se:oru:diva-61585.

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Hall, Ruth Elizabeth. "Predicting home care expenditures in Ontario". Thesis, National Library of Canada = Bibliothèque nationale du Canada, 2001. http://www.collectionscanada.ca/obj/s4/f2/dsk3/ftp04/NQ59000.pdf.

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22

Yeung, Hung-kay Keith, e 楊鴻基. "Residential care home for the elderly". Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 1996. http://hub.hku.hk/bib/B31983133.

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23

Logan, Lori W. "Companion dog therapy home care provider". Thesis, California State University, Long Beach, 2016. http://pqdtopen.proquest.com/#viewpdf?dispub=10147300.

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The American healthcare system is being overwhelmed with chronic illnesses. These illnesses account for a significant amount of total healthcare expenditures. Medicare/Medicaid and Managed Care Organizations (MCO’s) are seeking innovative treatment at cost savings. Disease Management (DM) is an intervention intended to reduce healthcare expenditures and advance the quality of life for persons with chronic conditions by preventing or reducing the effects of the disease through integrated care. Companion Pet Therapy 4 U is proposing Complementary and Alternative Medicine (CAM) which is a fluctuating set of diagnostic and therapeutic modalities that are considered to be unconventional. This approach utilizes a combination of Alternative Therapy (AT) and Disease Management (DM) home care services to elderly chronically ill homebound patients. A companion dog/ trainer and a care coordinator/nurse will visit homebound patients, review patient care plans, and educate patients on DM. Companion Pet Therapy 4 U will reduce healthcare expenditures, produce cost savings by empowering chronically ill homebound elderly patients to become pro-active in the treatment process.

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Hale-Hanes, Heidi A. "Hand In Hand Home Health Care". Thesis, California State University, Long Beach, 2016. http://pqdtopen.proquest.com/#viewpdf?dispub=10164122.

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The need for home health care is a growing need in the United States due to the shift of the “baby-boomers” into the post retirement years. However, there is a growing niche market within this aging population: the lesbian, gay, bisexual and transgendered (LGBT) elders who have lived their adult lives “out of the closet” and who are facing difficulty receiving care which is compassionate and culturally sensitive at the same time. The mission of Hand-In-Hand Home Health Care is to provide exceptional home health care with a team of professionals that provide patient-centered care which is culturally sensitive and compassionate, achieved with employee training developed by SAGE (Services & Advocacy for GLBT Elders). Hand-In-Hand Home Health Care will achieve economic viability within the first year through optimal cash flow management with Axxess client software and the initial capital assistance with a 7a Small Business Loan.

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Cronsioe, Carl. "Optimization of Quality in Home Care". Thesis, KTH, Optimeringslära och systemteori, 2017. http://urn.kb.se/resolve?urn=urn:nbn:se:kth:diva-209671.

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As the older population grows larger there is a growing need to provide health care at home. This services are generally done without operational research. As more people will require home care there will be a need to increase the efficiency of the service while keeping the quality high. The purpose of this thesis is to investigate how we can use operation research in home care as well as define how we can model the quality and use those quality parameters in order to offer the best possible service. The model uses VRP with Time windows in order to schedule the routes and incorporates service requirements at the customers. A solution is obtained by first constructing an initial solution that fulfills the duration constraint. Then it uses a local search with a dynamic insertion heuristic to improve on the solution. Tabu search is used as a meta-heuristic to prevent the solution the get stuck in a local minima. The solver is used in order to optimize the quality parameters. The result obtained can be used to help home care providers to determine the level of quality they can supply with a limited budget
När den äldre befolkningen blir större växer behovet av att tillhandahålla vård i hemmet. Denna tjänst använder i allmänhet inte systemteori. Eftersom fler människor kommer att behöva hemtjänst kommer det att finnas behov av att öka effektiviteten samtidigt som kvaliteten hålls hög. Syftet med denna avhandling är att undersöka hur vi kan använda systemteori och optimering inom hemtjänst samt definiera hur vi kan modellera kvaliteten och använda dessa kvalitetsparametrar för att erbjuda bästa möjliga service. Modellen använder VRP med Time windows för att schemalägga rutterna och inkorporerar servicebehov hos kunderna. En lösning erhålles genom att först bygga en initial lösning. Sedan använder den en lokal sökning med en dynamisk heuristisk för att förbättra lösningen. Tabu search används som en meta-heuristik för att förhindra att lösningen fastnar i lokala minima. Algoritmen används för att optimera kvalitetsparametrarna. Resultatet kan användas för att hjälpa leverantörer av hemtjänst att bestämma vilken kvalitetsnivå de kan leverera med en begränsad budget

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26

Saxer, Susanne. "Urinary incontinence in nursing home care". [Maastricht] : Maastricht : [Maastricht University] ; University Library, Universiteit Maastricht [host], 2008. http://arno.unimaas.nl/show.cgi?fid=13767.

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27

Yeung, Hung-kay Keith. "Residential care home for the elderly". Hong Kong : University of Hong Kong, 1996. http://sunzi.lib.hku.hk/hkuto/record.jsp?B2595166x.

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28

Steeves, Denise. "Home sweet home or no sweet home, youth care worker's perspectives of youth homelessness". Thesis, National Library of Canada = Bibliothèque nationale du Canada, 1999. http://www.collectionscanada.ca/obj/s4/f2/dsk1/tape10/PQDD_0020/MQ49448.pdf.

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29

Kihlgren, Annica. "Older patients in transition : from home care towards emergency care /". Stockholm, 2005. http://diss.kib.ki.se/2005/91-7140-271-3/.

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30

Hart, Rebecca Marie. "Hart's Home Away From Home: An Integrative Approach to Dementia Care". Miami University / OhioLINK, 2011. http://rave.ohiolink.edu/etdc/view?acc_num=miami1311203360.

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31

Gäfvert, Matilda, e Caroline Laursen. "Home Care in Thailand A Qualitative Study of Patients‟ Experience of Being Cared in Their Own Home". Thesis, Högskolan i Borås, Institutionen för Vårdvetenskap, 2010. http://urn.kb.se/resolve?urn=urn:nbn:se:hb:diva-20243.

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Abstract (sommario):

This study is sponsored by Minor Field Study (MFS) scholarships from the University of Borås, funded by the Swedish International Development Cooperation Agency (SIDA). Thailand is a densely populated developing country situated in Asia. The relatives are the most important social network in Thailand. People all over the world, including Thai people are in need of aftercare when they have left the hospital. In Thailand this care mostly executed by relatives.There is not much research done that shows the patient‟s perspective of home care in Thailand so it is important to do this study. The aim of the study is to illuminate the Thai patients‟ perspective of being cared in their own home. The qualitative interviews were made with six patients at a hospital in Bangkok. The authors had one in beforehand-prepared question, but had to put in some stimulating questions in all of the interviews. To describe and analyze the result the authors did qualitative content analysis. The criteria to take part in this study were that the interviewees were Thai, over 25 years old and had experiences of being cared in their own home, by relatives or by professionals.The result is presented with meanings units, codes, sub-categories, categories and content areas. The content areas are; the patient does not experience any problems with home care and the patient experience problems with home care. The categories are good experiences and naturally and hard experiences. The authors then made sub-categories and named them; safety, family as caregiver is expected, solidarity, grateful, sense of guilt, insecure and hard to be dependent.The authors found out that all the interviewees experienced home care as something naturally, when it is a part of life to be cared by your relatives in Thailand. This expression fits in under the first content area, but some of the interviewees also expressed feelings that fit in under the opposite content area. In the end of the study the authors discusses different choices that they have done, and the consequences that followed with them, in a discussion of the method. Even the use of an interpreter is discussed in this part. In the discussion of the result the authors discusses the most interesting parts of the result and verify this with references from scientific articles. One thing that the authors found out was that home care in Thailand can be expressed with both positive and negative experiences from the same person.
Program: Sjuksköterskeutbildning

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32

Bonifas, Robin P. "Multi-level factors related to deficiencies in psychological care in Washington State skilled nursing facilities /". Thesis, Connect to this title online; UW restricted, 2007. http://hdl.handle.net/1773/8139.

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33

Heston, Jennifer L. "The Role of Direct Care Workers in Person-Centered Home Care". Miami University / OhioLINK, 2017. http://rave.ohiolink.edu/etdc/view?acc_num=miami1491987309873559.

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34

Lemaire, Diana C. "The effect of home care utilization on acute care hospital readmission". Thesis, National Library of Canada = Bibliothèque nationale du Canada, 1997. http://www.collectionscanada.ca/obj/s4/f2/dsk2/ftp01/MQ28607.pdf.

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35

Bu, Yi-Qin, e Jieyu Wang. "Overview of Care Coordination Within Specialized Home Care in Stockholm County". Thesis, KTH, Skolan för teknik och hälsa (STH), 2016. http://urn.kb.se/resolve?urn=urn:nbn:se:kth:diva-183441.

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Abstract (sommario):

The ageing population of Sweden is expected to increase throughout the future decades. Changing life-style trends and smaller families in the modern society has decreased the population’s access to informal care. This is expected to entail an increase in the services provided by specialized home care. This thesis studies the work performed by nurses within the department of specialized home care (ASIH) in Stockholm County. The nurses represent the majority of all professions active at ASIH in Stockholm County, which puts their work in particular interest for this thesis. The thesis focuses on the ways the nurses’ work procedures may influence continuity of care and patient safety. Continuity of care is an essential component in qualitative care and is characterized by well-executed coordination and minimization of broken patient appointments. A high level of continuity of care consequently entails a high level of patient safety. Descriptions of continuity of care at ASIH in Stockholm County can therefore provide indications on current care quality and areas of improvement. The thesis consists of two parts – a literature review containing international research on continuity within home care and an empirical study containing a retrospective analysis based on the Functional Resonance Analysis Method (FRAM). The empirical study creates an overview of work tasks related to nursing performed at three units of ASIH in Stockholm County. The interdependencies between work tasks are identified and important chain reactions are analyzed. The findings from this thesis indicate that extended training programs for nurses in the initial phase of employment is likely to decrease the number of disruptions in the nurses’ work. Furthermore, well-developed routines could facilitate work task procedures which would decrease the number of delays and disruptions in the nurses’ work. It was found that these findings together with information continuity between all parties involved represent significant factors for attaining continuity of care and patient safety at ASIH in Stockholm County.
Den äldre befolkningen i Sverige förväntas öka under de kommande årtiondena. Det moderna samhället har dessutom medfört förändrade livsstilar och allt mindre familjekonstellationer, vilket har resulterat i en minskad tillgång till anhörigvård. Detta förväntas medföra en ökad efterfrågan av tjänster som tillhandahålls av specialiserad hemsjukvård. Den specialiserade hemsjukvården ansvaras av Avancerad Sjukvård I Hemmet (ASIH) i Stockholms län. Sjuksköterskor utgör den största andelen anställda av de yrken som är verksamma vid ASIH. Denna rapport undersöker sjuksköterskornas arbetsflöden vid tre ASIH-enheter i Stockholms län. Rapporten fokuserar på att undersöka på vilka sätt sjuksköterskornas arbetsprocesser kan påverka vårdens kontinuitet och patientsäkerhet. Vårdkontinuitet är ett centralt begrepp i kvalitativ hemsjukvård och kännetecknas av välkoordinerad vård och lågt antal otillfredsställande patientbesök. God vårdkontinuitet förväntas medföra hög patientsäkerhet. Återgivningar av den nuvarande vårdkontinuiteten på ASIH i Stockholms län tros därför kunna skapa en uppfattning om den nuvarande vårdkvaliteten samt eventuella förbättringsområden. Denna rapport utgörs av två delar – en litteraturstudie som innehåller internationell forskning om vårdkontinuitet i hemsjukvård samt en empirisk studie som innehåller en retrospektiv analys baserad på Functional Resonance Analysis Method (FRAM). Den empiriska studien skapar en översikt över sjuksköterskors huvudsakliga arbetsuppgifter vid de tre undersökta ASIH-enheterna belägna i Stockholms län. Arbetsuppgifternas korrelationer samt ömsesidiga påverkan kartläggs och signifikanta kedjereaktioner analyseras. Resultaten i denna rapport påvisar att utökad undervisning för sjuksköterskor i anställningens inledande skede kan troligen minska antalet störningar i sjuksköterskornas dagliga arbete. Dessutom påvisar resultaten att fler tydliga rutiner skulle kunna underlätta sjuksköterskornas arbetsprocesser, vilket skulle kunna minska antal förseningar och störningar i deras dagliga arbete ytterligare. Dessa fynd i kombination med välfungerande kommunikationer mellan alla berörda parter utgör de huvudsakliga åtgärderna för att erhålla vårdkontinuitet och patientsäkerhet hos ASIH i Stockholms län.

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36

Duncan, Marie Theresa. "Alzheimer's Disease Caregivers: The Transition from Home Care to Formal Care". PDXScholar, 1992. https://pdxscholar.library.pdx.edu/open_access_etds/3228.

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Abstract (sommario):

When family members no longer have the capacity to meet Alzheimer's Disease (AD) caregiving demands at home, a move to a nursing home or other formal care facility becomes the only solution. Recognizing this as a time of transition, three research questions were identified: (1) What do family caregivers to AD individuals experience as they shift their caregiving from home to formal care settings? (2) How does caregiving in formal care differ from caregiving at home? and (3) How do family caregivers perceive the relationships that develop between families and formal care staff? Specific attention was paid to the experiences of spouses and adult children. Using a qualitative approach, two specific bodies of data were investigated. First, transcripts of a series of 30 focus groups with 179 caregivers, and second, ten follow-up interviews were analyzed. Both spouses and adult children overwhelmingly identified physical exhaustion and often emotional exhaustion as the pervasive common experience. After reaching this state, caregivers identified the pivotal nature of events in contributing to placement. These kinds of events turn out to be more like turning points than crises. Caregivers in this study identified five themes that were influential in their decision-making process. In order of their importance to the caregivers, they were: events, the health care system, caregiver-care receiver relationship, support, and options and availability. A male spouse caregiver was likely to cite a turning point event centered on an incontinence problem, while for a female spouse caregiver, it was an AD safety issue. The health care system was usually a negative influence and served to delay the placement decision. Immediately, after placement, family caregivers noted shifts in control, involvement and personal reorganization. Family caregivers frequently noted the development of a caregiving relationship with staff. The individuals whom the family caregivers mentioned most often were the aides. Their bottom line was that staff deliver quality care, which they equated with caring about the resident rather than only taking care of them. The findings from this study have implications for theory development, family caregivers, formal care staff, and health care policy.

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37

Darton, Robin. "The changing landscape of residential care : care homes and alternative forms of housing with care". Thesis, University of Kent, 2014. https://kar.kent.ac.uk/48026/.

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Abstract (sommario):

This thesis draws together a series of publications that were based on research studies conducted between 1981 and 2011, covering care homes and alternative forms of housing with care. The majority of the studies were funded by the Department of Health or its predecessors, and were aimed at responding to policy issues, particularly for local authority grant funding. However, the funding provided the opportunity to collect information for broader purposes, and a central feature linking the studies was the collection, as far as possible, of consistent information about the characteristics of residents over time. The thesis includes 12 pieces of work, based on information collected in ten studies, and illustrates the changes in care home provision from 1981 onwards, and the potential role of alternative forms of housing with care. The aim of the thesis is to explore the following themes: the changing role of care homes and the development of the independent sector, particularly the private sector; factors associated with care home costs; changes in the relative role of residential and nursing homes, including changes in the characteristics of residents over time; changes in the quality of provision; the impact of care home closures; provision for self-funders and the expectations of residents; and the development of alternative forms of housing with care, and the degree to which specialised housing can provide an alternative to residential care. Care homes in the UK provide around 470,000 places and account for over half the expenditure on social care for older people in England. However, information about care facilities and residents is very limited. The papers presented here aimed to fill some of the gaps in understanding residential care and possible alternatives by making use of data collected in a unique series of related research studies conducted over a period of 30 years.

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38

Hanrahan, Anita C. "Sharps injuries in Alberta home care nurses". Thesis, National Library of Canada = Bibliothèque nationale du Canada, 1996. http://www.collectionscanada.ca/obj/s4/f2/dsk3/ftp04/mq22052.pdf.

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39

Greenhill, Sally Jeanette. "Home Care Client Classification and resource use". Thesis, National Library of Canada = Bibliothèque nationale du Canada, 1999. http://www.collectionscanada.ca/obj/s4/f2/dsk2/ftp01/MQ40147.pdf.

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40

Lundberg, Stefan. "Facilities Management and Health Care at Home". Doctoral thesis, Stockholm : Technology and Health, KTH, 2007. http://urn.kb.se/resolve?urn=urn:nbn:se:kth:diva-4306.

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41

Milberg, Anna. "Family members' experience of palliative home care /". Linköping : Univ, 2003. http://www.bibl.liu.se/liupubl/disp/disp2003/med821s.pdf.

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42

Andersson, Agneta. "Health economic studies on advanced home care". Doctoral thesis, Linköping : Univ, 2002. http://www.ep.liu.se/diss/health_society/2002/002/index.html.

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43

Williams, Cynthia. "Home Care Quality Effects of Remote Monitoring". Doctoral diss., University of Central Florida, 2014. http://digital.library.ucf.edu/cdm/ref/collection/ETD/id/6383.

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Despite concerted efforts to decrease costs and increase public health, the embattled U.S. health care system continues to struggle to alleviate these widespread issues. Because the problem of hospital utilizations among patients with heart failure is posited to increase as the population ages, innovative methodologies need to be explored to mitigate adverse events. Remote monitoring harnesses the strength of advanced information and communication technology to affect positive changes in health care quality and cost. By reaching across geographical boundaries, remote monitoring may support increased access to less costly services and improve the quality of home health care. The purpose of the study was to examine the home care quality effects of remote monitoring technology in patients with heart failure and to provide an economic justification for its adoption and diffusion. It compared remote monitoring as a potential intervention strategy to a standard no-intervention group (without remote monitoring). Specifically, it analyzed remote monitoring as a viable strategy to decrease hospital readmissions and emergency department visits. It also compared the cost of remote monitoring against the current standard-of-care. The theoretical framework of Donabedian's Quality Model was used in the evaluation of remote monitoring. A retrospective posttest only, case control study design was used to test the degree which remote monitoring was effective in promoting health care quality (hospital readmissions and decreased emergency department visits). Retrospective chart reviews were performed using electronic medical records (EMR). Analysis of Variance, Path Analysis, Automatic Interaction Detector Analysis (Dtreg), and Cost Outcomes Ratio were used to test the hypotheses and validate the proposed theoretical model. No significant difference was noted in remote monitoring and usual care groups. Results suggested that remote monitoring does not statistically lead to a decrease in heart failure-related hospital readmissions and all-cause emergency department visits. Results of the cost ratio analysis suggested that there was no statistically significant difference in the net income between usual care and remote monitoring; however, data suggest that there were significant increases in cost and intensity of nursing utilization for the remote monitoring intervention. The Automatic Interaction Detector Analysis showed that the unfavorable results in hospital readmissions were due to a decrease in collaborative care and patient education prior to the recommendation for hospitalization. The role of nursing care, whether in hospital or community-based care, in heart failure management is critical to quality outcomes. As the field continues to consider the use of technology in health care, decision makers should think through the process of patient care such that preventable hospital readmissions are decreased and patients received quality care.
Ph.D.
Doctorate
Health and Public Affairs
Public Affairs; Health Services Management and Research Track

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44

Amiribesheli, Mohsen. "A tailored Smart Home for dementia care". Thesis, Bournemouth University, 2017. http://eprints.bournemouth.ac.uk/29789/.

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Abstract (sommario):

Dementia refers to a group of chronic conditions that cause the permanent and gradual cognitive decline. Therefore, a Person with Dementia (PwD) requires constant care from various types of caregivers (e.g., informal, social and formal). It is commonly accepted that utilising Smart Homes (SH), as an instance of Ambient Assisted Living (AAL) technologies, for dementia care could potentially facilitate the care and consequently improve the quality of PwDs’ well-being. Nevertheless, most of the studies view dementia care as a straight application of standard SH technology without accommodating the specific requirements of dementia care. A consequence of this approach is the inadequacy and unacceptability of generic SH systems for the stakeholders of dementia care. This work considers the specific requirements of PwDs and their care circle in all development steps of an SH, such as design, implementation, and evaluation. It investigates how utilising novel design and computing approaches can enhance the quality of SHs for dementia care and consequently improve healthcare and wellbeing of PwDs. To do so, the thesis first studies the existing SHs for healthcare and identifies their drawbacks. Then, the requirements of dementia care stakeholders will be collected, analysed and reflected on in an SH system design. Extensions and adaptation of existing frameworks and technologies will be proposed to implement a prototype based on the design. Finally, a series of thorough evaluations and validation of the prototype will be carried out.

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45

Mani, Kartik M. 1978. "Computer support for home-based health care". Thesis, Massachusetts Institute of Technology, 2001. http://hdl.handle.net/1721.1/86818.

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Thesis (M.Eng.)--Massachusetts Institute of Technology, Dept. of Electrical Engineering and Computer Science, 2001.
Includes bibliographical references (leaves 75-76).
by Kartik M. Mani.
M.Eng.

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46

Gaikwad, Neha Kiran. "Easy care home health agency -- Business plan". Thesis, California State University, Long Beach, 2016. http://pqdtopen.proquest.com/#viewpdf?dispub=10118894.

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Home health care has become a popular long term care option as most seniors prefer to age and heal in the comfort of their homes and among their loved ones. With the advent of the Affordable Care Act (ACA) and a rise in baby boomers, home health care has become an integral part of the health care delivery system. Additionally, these have led to an increased demand for Home Health Agencies - HHA’s, and created a good market for the home health business. The following business plan is developed for the establishment of a Home Health Agency, in Long Beach, California. Chapter 1 Market analysis discusses the market structure and potential for the Home health business and analysis of the company, customers, and competitors. It also presents the marketing strategies, goals and objectives. Chapter 2 Feasibility and SWOT Analysis explains the operational feasibility and financial viability of the business plan. This chapter also explores the strengths and weaknesses of the business, opportunities for the business and threats to the business. Chapter 3 Legal and Regulatory issues, describes various legal aspects and regulatory requirements in a home health agency business. Chapter 4 Financial Analysis, gives detailed explanation of the financial plan and structure for the business like costs, expenses, budget and compensation.

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47

Reisacher, Sally Ann. "Caregiver stress in adult care home operators". Case Western Reserve University School of Graduate Studies / OhioLINK, 1990. http://rave.ohiolink.edu/etdc/view?acc_num=case1054736708.

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48

Ai-Cheng, Li, e 李愛誠. "Quality of Care in Home Care and Nursing Home". Thesis, 2011. http://ndltd.ncl.edu.tw/handle/12111248590566418717.

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碩士
亞洲大學
健康產業管理學系長期照護組
99
Objective: The problem of long-term healthcare for a disabled and aging population has gradually become a point of concern in many countries. Improvement of the quality of long-term healthcare is a topic that requires urgent focus. Thus, this study used the National Health Insurance (NHI) Claim Database to investigate differences in quality of care with regard to home care and nursing home services. Methods: This study obtained data on 2006 inpatient and outpatient medical claims from the data of one million people in 2005 Health Insurance Database. A sample of 1,564 users of home care and nursing home services was taken. This study then investigated the difference in quality indicators of healthcare, drug use, and healthcare utilization among these users within a two-year period. Results: Observation of users of home care services showed the following statistics: 4.5 % sought medical care due to depressive illnesses in the first year; 49.8 % sought medical care due to urinary tract infection (UTI) in the second year; 4.6 types of drugs were issued on average at each outpatient visit, and the average number of outpatient visits per year was 34.Observation of users of nursing home services showed the following statistics: 9.6 % sought medical care due to depressive illnesses in the first year; 62.1 % sought medical care due to urinary tract infection (UTI) in the second year; 4.2 types of drugs were issued on average at each outpatient visit, and the average number of outpatient visits per year was 49. The differences among users of home care services and users of nursing home services reached statistical significance. After other variables had been controlled, logistic regression analysis showed that the probability of depression (first year) and UTI (second year) among users of nursing home services was 2.62 and 1.54 times that of users of home care services, respectively. Conclusion: Although NHI in Taiwan affords a similar degree of disability benefits to users of home care services and nursing home services, the quality of the two service models differs. Related medical referral units and service providers should plan health education and guidance, and improve index management and care processes as soon as possible, to enhance the quality of healthcare services.

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49

Lo, Hsien-Hao, e 羅顯灝. "Development of Home-Care Services in Smart Homes". Thesis, 2017. http://ndltd.ncl.edu.tw/handle/81729957048913456981.

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碩士
國立中興大學
資訊科學與工程學系
105
The aging country population structure has caused huge long-term influences. On the basis of the past experience of life, many elders need life care and health care. Even elders with capability of taking care of himself, they still suffer from inconvenience in their daily life. The people who need to be taken care also include persons with disabilities or injuries, e.g., the people whose need to wheelchairs. These people could suffer from difficulties even for switching lights actions in homes. In this work, we design an application of intelligent home devices based on Amazon Echo system. We use the Alexa Skill Kit to develop a voice control system for the home appliances. The system employs RFID for security authentication to keep strangers from manipulating private devices. We also integrate fall detection with the system to monitor the safety of elderly or patients. When a fall is detected, the system informs the caregiver immediately for promptly medical care.

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50

Di, Bona L., S. Kennedy e Gail Mountain. "Adopt a care home: an intergenerational initiative bringing children into care homes". 2017. http://hdl.handle.net/10454/12942.

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Yes
Dementia friendly communities, in which people living with dementia actively participate and those around them are educated about dementia, may improve the wellbeing of those living with dementia and reduce the associated stigma. The Adopt a Care Home scheme aims to contribute towards this by teaching schoolchildren about dementia and linking them with people living with dementia in a local care home. Forty-one children, ten people living with dementia and eight school / care home staff participated in a mixed methods (questionnaires, observations, interviews and focus groups) evaluation to assess the scheme’s feasibility and impact. Data were analysed statistically and thematically. The scheme was successfully implemented, increased children’s dementia awareness and appeared enjoyable for most participants. Findings, therefore, demonstrate the scheme’s potential to contribute towards dementia friendly communities by increasing children’s knowledge and understanding of dementia and engaging people living with dementia in an enjoyable activity, increasing their social inclusion.
University of Sheffield's Faculty of Medicine Dentistry & Health Innovation Fund.

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