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Artykuły w czasopismach na temat „Home care package services”

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Data publikacji: 24 września 2024

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Brotherhood, Kelly, Barbara Hanratty, Gemma Spiers, Camila Caiado, and Julia Newton. "PATTERNS OF SOCIAL CARE USE WITHIN THE OLDER POPULATION: WHAT CAN WE LEARN FROM ROUTINELY COLLECTED DATA?" Innovation in Aging 7, Supplement_1 (2023): 707. http://dx.doi.org/10.1093/geroni/igad104.2294.

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Abstract Research with routinely collected social care data has untapped potential to inform new care delivery approaches and techniques. To identify opportunities for service improvement and enhance our understanding of care pathways experienced by the older population, we collaborated with a local authority in the North East of England. We set out to characterise the use of social care services and associated outcomes within the local older population (aged 65+). 171,386 records were extracted from the local authority’s social care case management system, relating to 38,191 unique individual

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Missell, Rachel, Sarah Szanton, Thomas Caprio, Kobi Nathan, and Adam Simning. "CAPABLE Transitions: A Home Health Agency-Based Intervention to Optimize the SNF-to-Home Transition." Innovation in Aging 4, Supplement_1 (2020): 872–73. http://dx.doi.org/10.1093/geroni/igaa057.3226.

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Abstract Community Aging in Place-Advancing Better Living for Elders (CAPABLE) consists of an interprofessional team of a registered nurse (RN), occupational therapist (OT), and handyworker that delivers an in-home client-specific package of interventions to optimize function. CAPABLE aims to reduce functional impairment, home hazards, and acute medical services use and is being widely disseminated. To expand CAPABLE to older adults transitioning from the skilled nursing facility (SNF) to home, we developed CAPABLE Transitions, which makes several important modifications to CAPABLE. First, CAP

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Tangcharoensathien, Viroj, Saranya Sachdev, Shaheda Viriyathorn, et al. "Universal access to comprehensive COVID-19 services for everyone in Thailand." BMJ Global Health 7, no. 6 (2022): e009281. http://dx.doi.org/10.1136/bmjgh-2022-009281.

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Despite Thailand having had universal health coverage (UHC) with comprehensive benefit packages since 2002, services are neither listed nor budget earmarked for COVID-19 responses. Policy decisions were made immediately after the first outbreak in 2020 to fully fund a comprehensive benefit package for COVID-19. The Cabinet approved significant additional budget to respond to the unfolding pandemic. The comprehensive benefit package includes laboratory tests, contact tracing, active case findings, 14-day quarantine measures (including tests, food and lodging), field hospitals, ambulance service

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Keogh, Fiona, Tom Pierse, and Eamon O'Shea. "96 Service Priorities for People with Dementia in Ireland: A Mixed Methods Study of Health Care Professionals." Age and Ageing 48, Supplement_3 (2019): iii17—iii65. http://dx.doi.org/10.1093/ageing/afz103.57.

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Abstract Background Public services for people with dementia living in the community face significant resource constraints. The aims of this study are to identify an optimum mix of services for six dementia case types and to gain a greater understanding of the resource allocation decision making process. Methods Irish datasets were used to identify dementia cases types representing 46% of cases in the datasets. Vignettes were prepared for six case types ranging from low to high dependency and needs. Carers, people with dementia and health and social care professionals (HSCPs) took part in mixe

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Doyle, Caroline, Marie King, Shane Kirwan, et al. "Evaluation of the home care service: a remote inpatient service for people requiring mental health care." British Journal of Mental Health Nursing 12, no. 3 (2023): 1–10. http://dx.doi.org/10.12968/bjmh.2022.0023.

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Background/Aims In response to the COVID-19 pandemic, St Patrick's Mental Health Services introduced a home care package, offering all the elements of the inpatient programmes, but provided to the service user remotely in their own home. A survey was used to evaluate service user experiences of receiving remote inpatient mental health treatment via the home care service. Methods All participants who had a virtual admission were invited to complete a quantitative survey online. Data were inputted into the Statistical Package for Social Sciences software and a descriptive analysis was completed.

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Stocker, Rachel, Siân Russell, Jennifer Liddle, et al. "Experiences of a National Early Warning Score (NEWS) intervention in care homes during the COVID-19 pandemic: a qualitative interview study." BMJ Open 11, no. 7 (2021): e045469. http://dx.doi.org/10.1136/bmjopen-2020-045469.

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BackgroundThe COVID-19 pandemic has taken a heavy toll on the care home sector, with residents accounting for up to half of all deaths in Europe. The response to acute illness in care homes plays a particularly important role in the care of residents during a pandemic. Digital recording of a National Early Warning Score (NEWS), which involves the measurement of physical observations, started in care homes in one area of England in 2016. Implementation of a NEWS intervention (including equipment, training and support) was accelerated early in the pandemic, despite limited evidence for its use i

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Ingram, Jennifer, Peter S. Blair, Jane E. Powell, et al. "Preparing for Home: a before-and-after study to investigate the effects of a neonatal discharge package aimed at increasing parental knowledge, understanding and confidence in caring for their preterm infant before and after discharge from hospital." Health Services and Delivery Research 4, no. 10 (2016): 1–114. http://dx.doi.org/10.3310/hsdr04100.

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BackgroundImproved survival and shorter length of stay (LOS) for preterm infants, together with poorly organised discharge planning in some neonatal units, leaves many parents ill prepared to take their babies home, with increased use of out-of-hours services. Despite the importance accorded to family-orientated neonatal care by the Department of Health and the National Institute for Health and Care Excellence, few neonatal units offer structured, family-orientated discharge planning.ObjectivesTo implement a parent-orientated discharge planning approach (Train-to-Home package) for preterm infa

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Stewart, Jill, Rachel Crockett, Jim Gritton, Brendon Stubbs, and Ann Pascoe. "Ageing at home? Meeting housing, health and social needs." Journal of Integrated Care 22, no. 5/6 (2014): 242–52. http://dx.doi.org/10.1108/jica-04-2014-0010.

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Purpose – The purpose of this paper is to consolidate the range of issues relevant to owner occupiers who age in place and to offer an initial overview of how effective partnerships can respond to and meet the changing needs of housing, health and social care of our ageing population. Design/methodology/approach – Issues affecting older people's changing needs are considered holistically and considered in terms of how partnerships can be enhanced to develop improved services in the future. Findings – Most owners wish to stay in their own homes for as long as possible and it can be cost-effecti

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Pearson (Eastern Kuku‐Yalanji and Torres Strait Islander), Odette, Tracy Air, Greer Humphrey, et al. "Aged care service use by Aboriginal and Torres Strait Islander people after aged care eligibility assessments, 2017–2019: a population‐based retrospective cohort study." Medical Journal of Australia 221, no. 1 (2024): 31–38. http://dx.doi.org/10.5694/mja2.52353.

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AbstractObjectiveTo characterise the socio‐demographic characteristics, aged and health care needs, and aged care services used by older Aboriginal and Torres Strait Islander people assessed for aged care service eligibility.Study designPopulation‐based retrospective cohort study; analysis of Registry of Senior Australians (ROSA) National Historical Cohort data.Setting, participantsAboriginal and Torres Strait Islander people aged 50 years or older who were first assessed for aged care service eligibility (permanent residential aged care, home care package, respite care, or transition care) du

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Diema Konlan, Kennedy, Nathaniel Kossi Vivor, Isaac Gegefe, Imoro A. Abdul-Rasheed, Bertha Esinam Kornyo, and Isaac Peter Kwao. "The Practice of Home Visiting by Community Health Nurses as a Primary Healthcare Intervention in a Low-Income Rural Setting: A Descriptive Cross-Sectional Study in the Adaklu District of the Volta Region, Ghana." Scientific World Journal 2021 (March 24, 2021): 1–11. http://dx.doi.org/10.1155/2021/8888845.

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Background. Home visit is an integral component of Ghana’s PHC delivery system. It is preventive and promotes health practice where health professionals render care to clients in their own environment and provide appropriate healthcare needs and social support services. This study describes the home visit practices in a rural district in the Volta Region of Ghana. Methodology. This descriptive cross-sectional study used 375 households and 11 community health nurses in the Adaklu district. Multistage sampling techniques were used to select 10 communities and study respondents using probability

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Taylor, Donald H., Marion Danis, S. Yousuf Zafar, et al. "There Is a Mismatch Between the Medicare Benefit Package and the Preferences of Patients With Cancer and Their Caregivers." Journal of Clinical Oncology 32, no. 28 (2014): 3163–68. http://dx.doi.org/10.1200/jco.2013.54.2605.

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Purpose To identify insured services that are most important to Medicare beneficiaries with cancer and their family caregivers when coverage is limited. Methods A total of 440 participants (patients, n = 246; caregivers, n = 194) were enrolled onto the CHAT (Choosing Health Plans All Together) study from August 2010 to March 2013. The exercise elicited preferences about what benefits Medicare should cover for patients with cancer in their last 6 months of life. Facilitated sessions lasted 2.5 hours, included 8 to 10 participants, and focused on choices about Medicare health benefits within the

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Bose, Mampi. "Determinants of Choice of Care Providers During Childbirth in Rural West Bengal, India." Indian Journal of Human Development 13, no. 1 (2019): 47–70. http://dx.doi.org/10.1177/0973703018822555.

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The article analyses determinants of choice of care providers during childbirth. Public health facilities provide care for free to all women during childbirth in West Bengal. In addition, a cash incentive is also attached with the service package for poor women who give birth at public health facilities. However, a section of women still prefer to give birth at home and some avail services from private facilities. The article attempts to explore the reasons underlying such difference. This analysis is based on primary data collected from four villages of Jalpaiguri district following multistag

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Raeisi, Alireza, Jafar Sadegh Tabrizi, Ardeshir Khosravi, et al. "General Vaccination and Active Prevention of COVID-19 Epidemic at the Primary Health Care Level: The Fifth Step of the National Mobilization Program against COVID-19." Depiction of Health 13, Suppl 1 (2022): 101–16. http://dx.doi.org/10.34172/doh.2022.20.

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Background. One of the most effective ways to prevent coronavirus disease 2019 (COVID-19) is to perform general vaccination and actively prevent the outbreak at the primary health care level. The present study aimed to review the measures against COVID-19 in Iran from April to September 2021. Methods. A cross-sectional and descriptive study was conducted at the national level from April to September 2021. Data related to COVID-19 vaccination, prevention, care, and outpatient services was collected from databases, including first level electronic health record systems, the portal of Network Man

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Clarkson, Paul, David Challis, Jane Hughes, et al. "Components, impacts and costs of dementia home support: a research programme including the DESCANT RCT." Programme Grants for Applied Research 9, no. 6 (2021): 1–132. http://dx.doi.org/10.3310/pgfar09060.

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Background Over half of people with dementia live at home. We know little about what home support could be clinically effective or cost-effective in enabling them to live well. Objectives We aimed to (1) review evidence for components of home support, identify their presence in the literature and in services in England, and develop an appropriate economic model; (2) develop and test a practical memory support package in early-stage dementia, test the clinical effectiveness and cost-effectiveness of routine home support in later-stage dementia and design a toolkit based on this evidence; and (3

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Lolich, Luciana, and Virpi Timonen. "Fortunate and fearful: emotions evoked by home-care policies for older people in Ireland." Emotions and Society 2, no. 1 (2020): 61–78. http://dx.doi.org/10.1332/263169020x15843025702815.

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This article examines the emotions of fear and feeling fortunate experienced by key actors in home-care services in Ireland. We take a relational approach to emotions; that is to say, an understanding that emotions are produced in social interactions and play an essential part in how people engage with, and respond to, long-term care policies. The study involved focus groups and in-depth interviews with 104 participants. Our findings show that the most vulnerable participants – service users and care workers on precarious contracts – feel fortunate or fearful about outcomes that had, or would

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Lewis, Richard. "Assessing Damages for the Costs of Care." Medical Law International 3, no. 2-3 (1998): 159–68. http://dx.doi.org/10.1177/096853329800300304.

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This article examines the compensating benefits which may be taken into account to reduce the amount which a plaintiff may claim for the costs of care in English law. The concern is not with payments of money to the plaintiff, but with savings resulting either from the plaintiff receiving care free of charge, or from paying for a comprehensive care package which saves on the living expenses which the plaintiff would otherwise have had to meet. These compensating benefits therefore include the gratuitous care and nursing provided by family and friends at home; and the care provided in a hospita

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Nesterenko, V. G. "Calculation of the need for resources of the health care system to provide palliative care to the population of Ukraine in 2018–2020." Experimental and Clinical Medicine 91, no. 2 (2022): 65–73. http://dx.doi.org/10.35339/ekm.2022.91.2.nes.

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Financing of the needs of the health care system of Ukraine at the current stage takes place in the form of payment for packages of contracted services by the National Health Service of Ukraine. One of these packages is palliative and hospice care (PHC). In the professional environment, there is a debate about the composition of this package and the amount of funding. The right to PHC is one of the important components of the general right of Ukrainians to health care, and it must be ensured both from the point of view of medical ethics and to fulfill Ukraine's international obligations. The c

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Gavarskhar, Fatemeh, Farid Gharibi, and Elham Dadgar. "Care services for older persons: A scoping review." Malaysian Family Physician 17, no. 2 (2022): 22–37. http://dx.doi.org/10.51866/rv1221.

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Introduction: With an increasing life expectancy and proportion of older adults, the number of people in need of care services is also increasing. This study aimed to determine and describe various available care services for older persons reported in literature. Methods: English-language articles published between the years of 1990 and 2018 in Scopus, ProQuest, PubMed, and Google Scholar databases or search engines were reviewed. The search resulted in 46,927 articles. All selected studies were systematically evaluated and screened based on title, abstract, and full text related to the study’

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Giosa, Justine L., Margaret Saari, Paul Holyoke, John P. Hirdes, and George A. Heckman. "Developing an evidence-informed model of long-term life care at home for older adults with medical, functional and/or social care needs in Ontario, Canada: a mixed methods study protocol." BMJ Open 12, no. 8 (2022): e060339. http://dx.doi.org/10.1136/bmjopen-2021-060339.

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IntroductionThe COVID-19 pandemic exacerbated existing challenges within the Canadian healthcare system and reinforced the need for long-term care (LTC) reform to prioritise building an integrated continuum of services to meet the needs of older adults. Almost all Canadians want to live, age and receive care at home, yet funding for home and community-based care and support services is limited and integration with primary care and specialised geriatric services is sparse. Optimisation of existing home and community care services would equip the healthcare system to proactively meet the needs o

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Maximova, Margarita N., and Dina D. Mutigullina. "Satisfaction of Senior Citizens with Services in the Framework of Social Long-Term Care Packages." Social’naya politika i sociologiya 20, no. 4 (141) (2021): 110–17. http://dx.doi.org/10.17922/2071-3665-2021-20-4-110-117.

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The purpose of the article is to assess the satisfaction of elderly citizens and people with disabilities in need of care with the services included in the social packages of long-term care. A questionnaire survey was carried out for elderly citizens and disabled people who receive services in outof-home social service departments of integrated social service centers for the population of five districts of the Republic of Tatarstan. The results showed that care services play a key role in social services for these categories of citizens, and should be provided free of charge. The directions fo

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Olivier, Cyril, Corinne Collingnon, Emmanuelle Fouteau, Gregory Emery, and Jacques Belghiti. "OP132 How A Shared Management Of Home Infusion Can Control Expenditure." International Journal of Technology Assessment in Health Care 33, S1 (2017): 61–62. http://dx.doi.org/10.1017/s026646231700191x.

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INTRODUCTION:In France, medical devices (MDs) for home-based infusion used to be covered by the health insurance system if included on the list of products and services qualifying for reimbursement under a generic description corresponding to a class of products with the same indications. This coverage modality offered no resistance to unnecessary or wasteful spending. Besides, between 2010 and 2015 the expenditure related to these MDs have increased from EUR192million to EUR289million (+50 percent).METHODS:The French National Authority for Health (HAS) has assessed the actual benefit of these

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Macgregor, Aisha, Alasdair Rutherford, Brendan McCormack, et al. "Palliative and end-of-life care in care homes: protocol for codesigning and implementing an appropriate scalable model of Needs Rounds in the UK." BMJ Open 11, no. 2 (2021): e049486. http://dx.doi.org/10.1136/bmjopen-2021-049486.

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IntroductionPalliative and end-of-life care in care homes is often inadequate, despite high morbidity and mortality. Residents can experience uncontrolled symptoms, poor quality deaths and avoidable hospitalisations. Care home staff can feel unsupported to look after residents at the end of life. Approaches for improving end-of-life care are often education-focused, do not triage residents and rarely integrate clinical care. This study will adapt an evidence-based approach from Australia for the UK context called ‘Palliative Care Needs Rounds’ (Needs Rounds). Needs Rounds combine triaging, ant

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Jessop, Dorothy Jones, and Ruth E. K. Stein. "Providing Comprehensive Health Care to Children With Chronic Illness." Pediatrics 93, no. 4 (1994): 602–7. http://dx.doi.org/10.1542/peds.93.4.602.

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Objectives. To test whether a program of outreach and comprehensive health care for children with chronic disorders provides more complete care and reduces unmet health needs compared with traditional care. Design. A pretest-posttest randomized control trial. Setting. An inner-city municipal teaching hospital. Sample. Two hundred nineteen systematically enrolled mothers of children with diverse chronic physical health conditions. Interventions. A comprehensive outreach program, Pediatric Home Care (PHC), contrasted with Standard Care. Measurements and Results. Nine elements of comprehensive ca

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Tzavaras, A., M. Botsivaly, K. Koutsourakis, and B. Spyropoulos. "Ensuring the Continuity of Care of Cardiorespiratory Diseases at Home." Methods of Information in Medicine 49, no. 02 (2010): 156–60. http://dx.doi.org/10.3414/me9305.

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Summary Objectives: A significant portion of care related to cardiorespiratory diseases is provided at home, usually but not exclusively, after the discharge of a patient from hospital. It is the purpose of the present study to present the technical means which we have developed, in order to support the adaptation of the continuity of care of cardiorespiratory diseases at home. Methods: We have developed an integrated system that includes: first, a prototype laptop-based portable monitoring system that comprises low-cost commercially available components, which enable the periodical or continu

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Sharma, Aarti, Vipin Raj, Nitin Tiwari, Devendra Kumar, Manish Kumar Goel, and Damodar Bachani. "Assessment of Barriers and Facilitators to InstitutionalDelivery in an Urban Area of Delhi: A CommunityBased Cross-Sectional Study." Journal of Maternal and Child Health 8, no. 4 (2023): 382–89. http://dx.doi.org/10.26911/thejmch.2023.08.04.01.

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Background:Since motherhood is one of the most important rolesin the life of any women and needs utmost priority in dealing with the delivery time, so the study was conducted with the aim to explore data related to antenatal check-ups and associated barriers for notavailing the services and the reasons for the health facility preferred (Govt. or Private). for which a semi structured, pretested interview schedule was administered to all the study subjects for obtaining the relevant details. Subjects and Method:The community based cross sectional study was carried out in Palam area of west Delhi

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O’Lawrence, Henry, and Rohan Chowlkar. "Cost effectiveness in palliative care setting." International Journal of Organization Theory & Behavior 21, no. 2 (2018): 62–71. http://dx.doi.org/10.1108/ijotb-02-2018-0017.

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Purpose The purpose of this paper is to determine the cost effectiveness of palliative care on patients in a home health and hospice setting. Secondary data set was utilized to test the hypotheses of this study. Home health care and hospice care services have the potential to avert hospital admissions in patients requiring palliative care, which significantly affects medicare spending. With the aging population, it has become evident that demand of palliative care will increase four-fold. It was determined that current spending on end-of-life care is radically emptying medicare funds and fisca

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Quadir, Aurangzaib, Abdul Ghafoor, Syed Karam Shah, et al. "Optimizing outcomes for drug resistant tuberculosis patients through provision of a comprehensive care package." Pakistan Journal of Public Health 12, no. 1 (2022): 12–16. http://dx.doi.org/10.32413/pjph.v12i1.958.

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Background: The paper presents the salient features of a comprehensive treatment package for drug resistant tuberculosis (DR-TB), its adaptation and implementation in two indoor care hospital settings in Pakistan, and lessons learned from this implementation. Methods: A pilot study was undertaken on a group of 100 patients at two Programmatic Management of Drug-Resistant TB (PMDT) sites. Fifty patients each were selected from the Samli Sanatorium Murree and the Lady Reading Hospital, Peshawar by the National Tuberculosis Control authorities, and delivered a comprehensive package of services, i

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Guisado-Fernandez, Estefania, Brian Caulfield, Paula Alexandra Silva, et al. "Development of a Caregivers’ Support Platform (Connected Health Sustaining Home Stay in Dementia): Protocol for a Longitudinal Observational Mixed Methods Study." JMIR Research Protocols 8, no. 8 (2019): 13280. http://dx.doi.org/10.2196/13280.

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Background Dementia disease is a chronic condition that leads a person with dementia (PwD) into a state of progressive deterioration and a greater dependence in performing their activities of daily living (ADL). It is believed nowadays that PwDs and their informal caregivers can have a better life when provided with the appropriate services and support. Connected Health (CH) is a new technology-enabled model of chronic care delivery where the stakeholders are connected through a health portal, ensuring continuity and efficient flow of information. CH has demonstrated promising results regardin

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Rasaily, Reeta, NC Saxena, Sushma Pandey, et al. "Effect of home-based newborn care on neonatal and infant mortality: a cluster randomised trial in India." BMJ Global Health 5, no. 9 (2020): e000680. http://dx.doi.org/10.1136/bmjgh-2017-000680.

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BackgroundHome-based newborn care has been found to reduce neonatal mortality in rural areas. Study evaluated effectiveness of home-based care delivered by specially recruited newborn care workers- Shishu Rakshak (SR) and existing workers- anganwadi workers (AWW) in reducing neonatal and infant mortality rates.MethodsThis three-arm, community-based, cluster randomised trial was conducted in five districts in India. Intervention package consisted of pregnancy surveillance, health education, care at birth, care of normal/low birthweight neonates, identification and treatment of sick neonates and

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Saari, Margaret, Justine Giosa, Paul Holyoke, John Hirdes, George Heckman, and Valentina Cardozo. "Integrating health and social care in the community to support a new model of Long-term Life Care at home." International Journal of Integrated Care 23, S1 (2023): 487. http://dx.doi.org/10.5334/ijic.icic23181.

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Background: Long-term care (LTC) reform was an international priority well before the COVID-19 pandemic. While strategies to promote de-institutionalization, rehabilitation, caregiver support and enhanced home and community care have varied by country in terms of implementation and success, the pandemic universally reinforced existing system-specific barriers and weaknesses. In Canada, heightened access issues and silo-ed delivery of community-based medical, functional and social care and support services contributed to increased caregiver burnout and growing residential care waitlists.

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Uffendell, Chloe, and John Stevens. "Early intervention in psychosis team (EIT): pathways to care." BJPsych Open 7, S1 (2021): S109. http://dx.doi.org/10.1192/bjo.2021.322.

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AimsThe main aim of this study was to investigate whether the EIT access and waiting time standard (>60% of people experiencing first episode psychosis (FEP) are treated with a NICE-approved care package within two weeks of referral) was being met within Liverpool EIT.We also wanted to understand the pathway to treatment within EIT services, identify delays in the process of triage/assessment/MDT/medical review and implement changes to reduce delays.MethodThis study was a retrospective cross-sectional audit of all patients accepted on to the FEP pathway following MDT discussion in the Liver

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Reed, Elizabeth, Jane Berg, and Lesley Spencer. "36 Together to care." BMJ Supportive & Palliative Care 7, no. 3 (2017): A361.1—A361. http://dx.doi.org/10.1136/bmjspcare-2017-001407.36.

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IntroductionAlthough many care homes are committed to providing good quality end of life care, in reality a significant number of Nursing Home (NH) residents die in hospital after emergency admission hours or days before their death.To provide more coordinated services for dying people and their families, the hospice in partnership with a NH developed a six month project with the NH providing 2 palliative care beds and in return for a comprehensive training package in end of life care.Research aimAssess the impact of the educational intervention on NH staff and therefore their confidence and c

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Jeon, Yun-Hee, Judith Fethney, Judy M. Simpson, et al. "FC18: Can rehabilitation improve functional independence of older people with dementia? A pragmatic randomized controlled trial (RCT) of the Interdisciplinary Home-bAsed Reablement Program (I-HARP)." International Psychogeriatrics 35, S1 (2023): 80–81. http://dx.doi.org/10.1017/s1041610223001163.

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Objective:The Interdisciplinary Home-bAsed Reablement Program (I-HARP) integrates evidence-based rehabilitation strategies into a dementia-specific person-centred, time-limited, home-based, interdisciplinary rehabilitation package. I-HARP was a 4-month model of care, incorporated into community aged care services and hospital-based community geriatric services. I-HARP involved: 8-10 individually tailored home visits by occupational therapist and registered nurse; 2-4 optional other allied health sessions; up to A$1,000 minor home modifications and/or assistive devices; and three individual car

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Dimla, Bernadette, Denise Wood, and Lynne Parkinson. "A Qualitative Study on How Social Workers From Regional and Metropolitan Queensland, Australia Perceive the Impact of the National Prioritisation System on Hospital Discharge Planning: A Study Protocol." International Journal of Qualitative Methods 19 (January 1, 2020): 160940692097354. http://dx.doi.org/10.1177/1609406920973543.

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In 2012, the Australian Commonwealth Government introduced a series of reforms for the aged care sector including the implementation of the National Prioritisation System for a flexible, accessible and demand-driven approach to home care services for older people. Nevertheless, an increasing number of older people continue to wait for months to be assigned home care packages on the national prioritisation queue, a component of the National Prioritisation System. There is limited evidence on the impact of the national prioritisation queue on discharge planning practices of social workers in sup

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Holovanova, I. A., and A. S. Shevchenko. "Evaluation of packaged funding programs for palliative and hospice care by the National Health Service of Ukraine." Experimental and Clinical Medicine 90, no. 4 (2021): 45–52. http://dx.doi.org/10.35339/ekm.2021.90.4.hos.

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Financing of Palliative and Hospice Care (PHC) for adults and children in Ukraine is carried out from the state budget under the Medical Guarantee Programs (MGP) by the National Health Service of Ukraine (NHSU). In the professional medical environment and in the Ukrainian society, an active discussion about the list of pathologies of adults and children that require PCD, about the availability of palliative care, the effectiveness of hospices, palliative departments, wards of specialized and multidisciplinary hospitals, mobile teams, "home hospices", the availability of effective analgesia, de

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Cazorla, Patricia. "A Holistic Decision-Making Process to Improve the Productivity of Public Transportation in Cuenca-Ecuador." Revista Politécnica 48, no. 2 (2021): 33–42. http://dx.doi.org/10.33333/rp.vol48n2.03.

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National governments are responsible for guaranteeing the accessibility, affordability, availability, and social acceptability of public services. If urbanization grows in an unplanned way requires more investments to extend the current infrastructure or build new ones. Since, in general, cities in developing countries lack sufficient economic resources, it is necessary to maximize the productivity of the current infrastructure to satisfy additional demand. Boosting asset utilization, optimizing maintenance planning, and expanding demand management measures could take advantage of the wasted i

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Diwan, S., C. Berger, and E. K. Manns. "Composition of the Home Care Service Package: Predictors of Type, Volume, and Mix of Services Provided to Poor and Frail Older People." Gerontologist 37, no. 2 (1997): 169–81. http://dx.doi.org/10.1093/geront/37.2.169.

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Mohamed, Ibrahim Gedi, Alfred Owino Odongo, and Dominic Mogere. "Factors Influencing Choice of Place for Child Delivery among Child Bearing-Aged Women in Balambala Sub-County, Garissa County, Kenya." International Journal of TROPICAL DISEASE & Health 44, no. 20 (2023): 40–47. http://dx.doi.org/10.9734/ijtdh/2023/v44i201488.

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Background: There has been little progress made in Sub-Saharan Africa in achieving Sustainable Development Goal of reducing maternal deaths. Maternal mortality can be reduced significantly by skilled delivery. Women in low-income countries choose home deliveries despite the risks. In Kenya, maternity services are offered free-of-charge in all public health facilities. Mothers receive non-cash incentives after delivery. Investigated independent variables were health care related factors, gynecological factors and socio-cultural factors. The dependent variable was the proportions of hospital and

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Ohba, T., A. Goto, H. Nakano, et al. "Implementing eHealth with radiation records: a new support package for evacuees returning to areas around the Fukushima Daiichi nuclear power station." Radioprotection 55, no. 4 (2020): 291–95. http://dx.doi.org/10.1051/radiopro/2020083.

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Following the 2011 Fukushima Daiichi nuclear power station (FDNPS) accident, numerous initiatives emerged to address the needs of evacuees, including those eligible to return home. These came from multiple channels, timely in many cases, but in retrospect, needing better coordination. By embracing eHealth, we are attempting to coordinate efforts in Fukushima intended to link returnees with health information and care providers, not only for radiological protection in particular, but also for health promotion in general. We aim to establish a comprehensive support system for residents in munici

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Omongot, Samson, Winters Muttamba, Irene Najjingo, et al. "Strategies to resolve the gap in adolescent tuberculosis care at four health facilities in Uganda: The teenager’s TB pilot project." PLOS ONE 19, no. 4 (2024): e0286894. http://dx.doi.org/10.1371/journal.pone.0286894.

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In 2021, an estimated 10.6 million people fell ill with tuberculosis (TB) globally and 11.3% were children. About 40% of children aged five to fourteen years with TB are missed annually. In Uganda, 44% of adolescents with chronic cough of more than two weeks do not seek care from health facilities. Therefore, strategies to promote health care-seeking behaviour among adolescents were urgently needed to resolve the gap. In regard to this, the research project utilized a before and after design, in which the number of adolescents (10-19years) enrolled in the project health facilities were compare

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Finegan, T., P. J. White, and B. Casey. "53 HEALTHCARE PROVISION FOR OLDER PEOPLE IN KILKENNY THROUGH THE IMPLEMENTATION OF THE INTEGRATED CARE PROGRAMME FOR OLDER PEOPLE." Age and Ageing 50, Supplement_3 (2021): ii9—ii41. http://dx.doi.org/10.1093/ageing/afab219.53.

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Abstract Background An increase in the cost of healthcare provision is directly related to an ageing demographic nationally and internationally. It is, therefore, imperative that the system of health and social care provision for the older person is reformed. The Integrated Care Programme for Older People (ICPOP) envisages moving the locus of care from the acute system to primary and community health and social care. This research looks at the implementation and benefits of ICPOP from a clinicians and third sector organisations perspective. Methods Semi-structured interviews were conducted wit

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Brusco, Natasha K., Nicholas F. Taylor, Ilana Hornung, Shanandoah Schaffers, Anna Smith, and Natalie A. de Morton. "Factors that predict discharge destination for patients in transitional care: a prospective observational cohort study." Australian Health Review 36, no. 4 (2012): 430. http://dx.doi.org/10.1071/ah11052.

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Objective. To investigate factors that predict discharge destination for patients making the transition from hospital to the community. Methods. Using a prospective cohort design, 696 patients from 11 Transition Care Programs were recruited. Baseline patient and program characteristics were considered for predicting discharge destination, functional status, and patient length of stay. Results. An increased physiotherapy staffing ratio in Transition Care Program was associated with an increased likelihood that a patient was discharged home, with an improved functional or mobility status, and af

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Gathercole, Rebecca, Rosie Bradley, Emma Harper, et al. "Assistive technology and telecare to maintain independent living at home for people with dementia: the ATTILA RCT." Health Technology Assessment 25, no. 19 (2021): 1–156. http://dx.doi.org/10.3310/hta25190.

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Background Assistive technology and telecare have been promoted to manage the risks associated with independent living for people with dementia, but there is limited evidence of their effectiveness. Objectives This trial aimed to establish whether or not assistive technology and telecare assessments and interventions extend the time that people with dementia can continue to live independently at home and whether or not they are cost-effective. Caregiver burden, the quality of life of caregivers and of people with dementia and whether or not assistive technology and telecare reduce safety risks

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Lofthouse-Jones, Chloe, Phil King, Helen Pocock, et al. "Reducing ambulance conveyance for older people with and without dementia: evidence of the role of social care from a regional, year-long service evaluation using retrospective routine data." British Paramedic Journal 6, no. 3 (2021): 58–69. http://dx.doi.org/10.29045/14784726.2021.12.6.3.58.

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Introduction: Older people, especially those with dementia, have a high risk of deterioration following admission to hospital. More than 60% of older people attended by South Central Ambulance Service (SCAS) clinicians are conveyed to hospital, although many conveyances may not have been due to life-threatening conditions. We aimed to understand patterns of conveyance and alternative referral pathways used following ambulance attendance to an older person.Methods: Service evaluation, using routinely collected, anonymised electronic records.Participants: Electronic records of people aged ≥75 ye

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Barchielli, Chiara, Marco Pantini, Emanuele Gasperetti, Marco Alaimo, and Paolo Zoppi. "Changing landscapes: helping caregivers, an experience from Tuscany." International Journal of Integrated Care 23, S1 (2023): 123. http://dx.doi.org/10.5334/ijic.icic23361.

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Introduction: While multi-professional care interventions are guaranteed through an integrated care model, sometimes there is no possibility to support full-time assisting patients’ families in terms of allowing them the time for their life and home management activities. The role of the caregiver is essential throughout the day to address the patient’s needs: in this way, an appropriate level of well-being can be assured to who is undergoing the last stages of illness. The growing need for forms of support caregivers who assist those patients at home, generated a reflection by the family and

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Barchielli, Chiara, Marco Pantini, Emanuele Gasperetti, Marco Alaimo, and Paolo Zoppi. "Changing landscapes: helping caregivers, an experience from Tuscany." International Journal of Integrated Care 23, S1 (2023): 256. http://dx.doi.org/10.5334/ijic.icic23099.

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Introduction: While multi-professional care interventions are guaranteed through an integrated care model, sometimes there is no possibility to support full-time assisting patients’ families in terms of allowing them the time for their life and home management activities. The role of the caregiver is essential throughout the day to address the patient’s needs: in this way, an appropriate level of well-being can be assured to who is undergoing the last stages of illness. The growing need for forms of support caregivers who assist those patients at home, generated a reflection by the family and

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Cornes, Michelle, Robert W. Aldridge, Elizabeth Biswell, et al. "Improving care transfers for homeless patients after hospital discharge: a realist evaluation." Health Services and Delivery Research 9, no. 17 (2021): 1–186. http://dx.doi.org/10.3310/hsdr09170.

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Background In 2013, 70% of people who were homeless on admission to hospital were discharged back to the street without having their care and support needs addressed. In response, the UK government provided funding for 52 new specialist homeless hospital discharge schemes. This study employed RAMESES II (Realist And Meta-narrative Evidence Syntheses: Evolving Standards) guidelines between September 2015 and 2019 to undertake a realist evaluation to establish what worked, for whom, under what circumstances and why. It was hypothesised that delivering outcomes linked to consistently safe, timely

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Taib, Fahisham, Hans Van Rostenberghe, and Nurul Adilah Muhammad. "Pediatric Palliative Care in Kelantan: A Community Engagement Model." Bangladesh Journal of Medical Science 15, no. 1 (2016): 51–56. http://dx.doi.org/10.3329/bjms.v15i1.27139.

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Holistic package of palliative care service for children is not available in most places in the South East Asia. This has resulted in unwanted suffering and loss of hope in the unfortunate families. Pediatric palliative care (PPC) is a new subspecialty in Malaysia. In our region, it was started in 2012 as a Universitys community engagement project following completion of self-initiated palliative care distance learning in Australia by a pediatrician. The grant was labeled as a flagship project and secured under the Division of Community & Industry Network of USM (BJIM) to provide servic

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Day, Jenny, Ann Clare Thorington Taylor, Peter Summons, et al. "Home care packages: insights into the experiences of older people leading up to the introduction of consumer directed care in Australia." Australian Journal of Primary Health 23, no. 2 (2017): 162. http://dx.doi.org/10.1071/py16022.

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This paper reports phase one, conducted from March to June 2015, of a two-phase, qualitative descriptive study designed to explore the perceptions and experiences of older people before and after the introduction of consumer directed care (CDC) to home care packages (HCP) in Australia. Eligible consumers with a local HCP provider were mailed information about the study. Data collection occurred before the introduction of CDC and included face-to-face, in-depth interviews, summaries of interviews, field notes and reflective journaling. Semi-structured questions and ‘emotional touchpoints’ relat

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Tesfau, Yemane Berhane, Tesfay Gebregzabher Gebrehiwot, Hagos Godefay, and Alemayehu Bayray Kahsay. "Effect of health facility linkage with community using postnatal card on postnatal home visit coverage and newborn care practices in rural Ethiopia: A controlled quasi-experimental study design." PLOS ONE 17, no. 5 (2022): e0267686. http://dx.doi.org/10.1371/journal.pone.0267686.

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Background Postnatal home visit has the potential to improve maternal and newborn health, but it remains as a missed opportunity in many low-and middle-income countries. This study examines the effect of health extension worker administered postnatal card combined with health facility strengthening intervention on postnatal home visit coverage, newborn care practices, and knowledge of newborn danger signs in rural Ethiopia. Methods We employed quasi-experimental design using controlled before-and-after study in intervention and comparison districts of rural Tigray, northern Ethiopia. Training

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