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Добірка наукової літератури з теми "Home care package services"

Автор: Grafiati

Опубліковано: 24 вересня 2024

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Статті в журналах з теми "Home care package services"

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 (December 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 individuals across the last 40 years. We identified the care packages provided to the local population, including care provided in care homes (with and without nursing), private households and assisted living facilities. The study population varied in terms of the number of care packages provided to each individual (median 7 packages, IQR 4-11) and the average duration of individual care packages (median 41 days, IQR 14 - 274 days). The care pathways that are most common amongst the older population will be described, including sequencing and outcomes, and grouped by the reason for providing care (e.g., respite, long-term care) and the reason why each care package ended (e.g., death, returning home). The wide range of care pathways experienced demonstrate the heterogeneity in needs and preferences within the older population. This dataset and analyses are an invaluable way of identifying areas of potential unmet need and evaluating the effectiveness of short-term care services.

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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 (December 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, CAPABLE Transitions will be implemented within a Medicare-certified home health agency (CHHA) and delivered to CHHA clients. Second, it will be delivered to CHHA clients with and without dementia. Adding urgency to CAPABLE Transitions’ development, including persons with dementia has the potential to decrease high utilization of services and meet care transition needs. Third, it includes an initial RN care transition visit. Fourth, its services are more intensely delivered at the beginning of the intervention, shortly after SNF discharge. Beginning in the fall of 2020, CAPABLE Transitions will be tested in a feasibility study of 60 older adults discharged from post-acute SNF care to CHHA services in Rochester, NY. We have designed this 3-year feasibility study to consist of yearly recruitment waves that will enable us to iteratively assess and refine the intervention. Following this study, we hope to test CAPABLE Transitions’ effect on improving home time, quality of life, and the use of acute medical services in order to assist older adults in aging in place.

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Tangcharoensathien, Viroj, Saranya Sachdev, Shaheda Viriyathorn, Kriddhiya Sriprasert, Lalitaya Kongkam, Kanchana Srichomphu, and Walaiporn Patcharanarumol. "Universal access to comprehensive COVID-19 services for everyone in Thailand." BMJ Global Health 7, no. 6 (June 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 services for referral, clinical services both at hospitals and in home and community isolation, vaccines and vaccination cost, all without copayment by users. No-fault compensation for adverse events or deaths following vaccination is also provided. Services were purchased from qualified public and private providers using the same rate, terms and conditions. The benefit package applies to everyone living in Thailand including Thai citizens and migrant workers. A standardised and comprehensive COVID-19 benefit package for Thai and non-Thai population without copayment facilitates universal and equitable access to care irrespective of capacity to pay and social status and nationality, all while aiming to supporting pandemic containment. Making essential services available, notably laboratory tests, through the engagement of qualified both public and private sectors boost supply side capacity. These policies and implementations in this paper are useful lessons for other low-income and middle-income countries on how UHC reinforces pandemic containment.

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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 (September 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 mixed methods workshops. Initial findings for the HSCPs are reported here (N=23). HSCP participants firstly quantitatively identified an optimum care package for a set of six vignettes, then qualitatively discussed the needs and individual case factors that were driving service recommendations. The quantitative exercise was repeated with a budget constraint. The sessions finished with a discussion on service and case prioritisation. Results When no budget constraint is imposed, participants recommended the use of a wide range of services. Home help, in-home respite and day care services comprised 62% of spending in this scenario. When a budget constraint was imposed, participants focused on essential care and reduced services aimed at prevention, quality of life and carer support. Resources were not redistributed between cases (e.g. from low need to higher need cases) as a similar proportion of the budget was allocated to each of the cases in both scenarios. Conclusion People with dementia living in the community and their families have a wide range of health and social care needs. Optimum dementia care packages included a wide range of services to meet these needs. However, a budget constraint resulted in a much narrower range of services with consequent implications in terms of unmet need and a reactive rather than preventive approach to care.

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Doyle, Caroline, Marie King, Shane Kirwan, Bernie Jennings, Aoife Farrington, Brian Keogh, and Gráinne Donohue. "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 (August 2, 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. Results A total of 88 participants completed the online survey, the majority of whom were women (62.5%) and between the ages of 61 and 70 years (28.4%). Diagnosis was most often depression (60.2%) or anxiety (29.4%) and almost 66% of participants had previous inpatient experience. Staff rated most highly by participants were the consultant psychiatrist (96.7%), ward-based nursing staff (95.2%) and their psychologist (92.3%). The highest rating statements, which participants rated as part of a questionnaire, were around technology options (87.1%), one-to-one work with a clinician (81.3%) and arranging collection of medicine (81%). Conclusions Preliminary scores on this survey demonstrate that remote care is an effective way to improve access, enhance quality and provide efficient care. Further research should consider clinical outcomes with this model compared to standard care.

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Stocker, Rachel, Siân Russell, Jennifer Liddle, Robert O. Barker, Adam Remmer, Joanne Gray, Barbara Hanratty, and Joy Adamson. "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 (July 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 in the care home setting.ObjectivesTo understand how a NEWS intervention has been used in care homes in one area of North-East England during the COVID-19 pandemic, and how it has influenced resident care, from the perspective of stakeholders involved in care delivery and commissioning.MethodsA qualitative interview study with care home (n=10) and National Health Service (n=7) staff. Data were analysed using thematic analysis.ResultsUse of the NEWS intervention in care homes in this area accelerated during the COVID-19 pandemic. Stakeholders felt that NEWS, and its associated education and support package, improved the response of care homes and healthcare professionals to deterioration in residents’ health during the pandemic. Healthcare professionals valued the ability to remotely monitor resident observations, which facilitated triage and treatment decisions. Care home staff felt empowered by NEWS, providing a common clinical language to communicate concerns with external services, acting as an adjunct to staff intuition of resident deterioration.ConclusionsThe NEWS intervention formed an important part of the care home response to COVID-19 in the study area. Positive staff perceptions now need to be supplemented with data on the impact on resident health and well-being, workload, and service utilisation, during the pandemic and beyond.

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Ingram, Jennifer, Peter S. Blair, Jane E. Powell, Sarah Manns, Heather Burden, David Pontin, Margaret Redshaw, 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 (March 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 infants and investigate the effects on parental self-efficacy scores, infants’ LOS and change in costs associated with use of health-care resources in the 8 weeks after discharge, before and after implementation.DesignA before-and-after study, investigating the effects of Train-to-Home package during two 11-month periods, immediately before and after its implementation.SettingFour local neonatal units in South West England.ParticipantsInfants without major anomalies, born at 27–33 weeks’ gestation, admitted to the participating units, and their parents.Train-to-Home interventionA parent-orientated package that incorporated approaches to improving parents’ involvement in, and understanding of, their baby’s needs. It comprised a train graphic and supporting care pathways to facilitate parents’ understanding of their baby’s progress through the neonatal unit, combined with improved estimation, soon after hospital admission, of the baby’s likely discharge date.Main outcome measuresPrimary – Perceived Maternal Parenting Self-Efficacy (PMPS-E) scores before and after implementing the Train-to-Home package; secondary – infant LOS and health-care utilisation after discharge.ResultsWe recruited 128 and 117 infants, respectively, in phase 1 (before implementation) and phase 2 (after implementation). In phase 2, parents reported improved understanding of babies’ progress, and preparedness for discharge, although PMPS-E scores did not change. The number of visits to emergency departments (EDs) fell from 31 in phase 1 to 20 in phase 2 (p < 0.05), with a significant reduction in associated health-care costs (from £3400 to £2200;p < 0.05) after hospital discharge. LOS did not change, but in both phases of the study > 50% of infants went home at > 3 weeks before their estimated date of delivery. Many nurses felt that the estimated discharge dates were over-optimistic, despite being based upon recent local data, and accurately predicting discharge dates for almost 75% of babies in the study.HarmsNo adverse consequences were identified.ConclusionsThe very early discharge of most babies made further shortening of LOS very difficult to achieve. Despite the lack of change of the parental self-efficacy scores, parents reported that their understanding and confidence in caring for their infants were improved by the Train-to-Home package, and the reduction in ED attendance and associated costs supports this assessment. The present study was limited by the tight time constraints for implementation, limited cascading of staff training and lack of staff confidence in the estimated dates of discharge.Future workProvision of the Train-to-Home package as a web-based system, allowing individual neonatal units and parents to access and use the materials, may allow more effective implementation in the future.FundingThe National Institute for Health Research Health Services and Delivery Research programme.

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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 (December 15, 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-effective to do so; however, we need to look at new and innovative ways of developing and providing front-line services to enhance health and safety in the home, but also quality of life and wellbeing such as combating loneliness and isolation. However, although there are examples of evidence-based good practice, service provision is variable and there is a risk that many older home owners may miss out on services for which they may are eligible. With this in mind, it may be helpful to develop a new framework where one key practitioner holds responsibility to consolidate and coordinate the range of local services available as a package that offers a range of housing, health and social care services. Originality/value – There are currently many policy and practice gaps in older owner occupier's housing conditions and suitability to meet their changing needs. This paper has a particular starting point in housing, and how other personal or technological services can help support independence for as long as possible and adapt to the owner-occupier's changing health and social care needs as they age in place. The authors emphasise the importance of sharing evidence-based good practice partnerships.

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Pearson (Eastern Kuku‐Yalanji and Torres Strait Islander), Odette, Tracy Air, Greer Humphrey, Clare Bradley, Noeleen Tunny, Alex Brown (Yuin Nation), Steven L. Wesselingh, Maria C. Inacio, and Gillian E. Caughey. "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 (July 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) during 1 January 2017 – 31 December 2019.Major outcome measuresSocio‐demographic and aged care assessment characteristics; health conditions and functional limitations recorded at the time of the assessment; subsequent aged care service use.ResultsThe median age of the 6209 people assessed for aged care service eligibility was 67 years (interquartile range [IQR], 60–75 years), 3626 were women (58.4%), and 4043 lived in regional to very remote areas of Australia (65.1%). Aboriginal health workers were involved in 655 eligibility assessments (10.5%). The median number of health conditions was six (IQR, 4–8); 6013 (96.9%) had two or more health conditions, and 2592 (41.8%) had seven or more. Comorbidity was most frequent among people with mental health conditions: 597 of 1136 people with anxiety (52.5%) and 1170 of 2416 people with depression (48.5%) had seven or more other medical conditions. Geriatric syndromes were recorded for 2265 people (36.5%); assistance with at least one functional activity was required by 6190 people (99.7%). A total of 6114 people (98.5%) were approved for at least one aged care service, 3218 of whom (52.6%) subsequently used these services; the first services used were most frequently home care packages (1660 people, 51.6%).ConclusionDespite the high care needs of older Aboriginal and Torres Strait Islander people, only 52% used aged care services for which they were eligible. It is likely that the health and aged care needs of older Aboriginal and Torres Strait Islander people are not being adequately met.

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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 sampling methods. A pretested self-designed questionnaire and an interview guide for household members and community health nurses, respectively, were used for data collection. Quantitative data collected were coded, cleaned, and analysed using Statistical Package for Social Sciences into descriptive statistics, while qualitative data were analysed using the NVivo software. Thematic analysis was engaged that embraces three interrelated stages, namely, data reduction, data display, and data conclusion. Results. Home visit is a routine responsibility of all CHNs. The factors that influence home visiting were community members’ education and attitude, supervision challenges, lack of incentives and lack of basic logistics, uncooperative attitude, community inaccessibility, financial constraint, and limited number of staff. Household members (62.3%) indicated that health workers did not adequately attend to minor ailments as 78% benefited from the service and wished more activities could be added to the home visiting package (24.5%). Conclusion. There should be tailored training of CHNs on home visits skills so that they could expand the scope of services that can be provided. Also, community-based health workers such as community health volunteers, traditional birth attendants, and community clinic attendants can also be trained to identify and address health problems in the homes.

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Дисертації з теми "Home care package services"

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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Snyman, J. S. "Effectiveness of the basic antenatal care package in primary health care clinics." Thesis, Nelson Mandela Metropolitan University, 2007. http://hdl.handle.net/10948/728.

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Pregnancy challenges the health care system in a unique way in that it involves at least two individuals – the woman and the fetus. The death rates of both pregnant women (maternal mortality) and newborns (perinatal mortality) are often used to indicate the quality of care the health system is providing. In terms of maternal and perinatal outcomes South Africa scores poorly compared to other upper-middle income countries (Penn-Kekana & Blaauw, 2002:14). The high stillbirth rate compared to the neonatal death rate reflects poor quality of antenatal care. Maternal and perinatal mortality is recognised as a problem and as a priority for action in the Millennium Development Goals (Thieren & Beusenberg, 2005:11). The Saving Mothers (Pattinson, 2002: 37-135) and Saving Babies (Pattinson, 2004:4-35) reports describe the causes and avoidable factors of these deaths with recommendations on how to improve care. The quality of care during the antenatal period may impact on the health of the pregnant woman and the outcome of the pregnancy, in particular on the still birth rate. In primary health care services there are many factors which may impact on and influence the quality of antenatal care. For example with the implementation of the comprehensive primary health care services package (Department of Health, 2001a:21-35) changes at clinic level resulted in a large number of primary health care professional nurses having to provide antenatal care, who previously may only have worked with one aspect of the primary health care package such as minor ailments or childcare. Because skills of midwifery or antenatal care, had not been practiced by some of these professional nurses, perhaps since completion of basic training, their level of competence has declined, and they have not been exposed to new developments in the field of midwifery. The practice of primary health care nurses is also influenced by the impact of diseases not specifically related to pregnancy like HIV/AIDS and tuberculosis. The principles of quality antenatal care are known (Chalmers et al. 2001:203) but despite the knowledge about these principles the maternal and perinatal mortality remains high. The Basic Antenatal Care quality improvement package is designed to assist clinical management and decision making in antenatal care. The implementation of the BANC package may influence the quality of antenatal care positively, which in turn may impact on the outcome of pregnancy for the mother and her baby. The aim of this study was to evaluate the effectiveness of the Basic antenatal care (BANC) package to improve the quality of antenatal care at primary health care clinics.

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O'Connor, Denise F. "The governance of home care in Ontario and England: contracts, markets and the effects on service providers, clients and workers in an era of balanced budgets /." *McMaster only, 2005.

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King, Anna Irene Ivy. "Creating sustainable home care services for older people." Thesis, University of Auckland, 2010. http://hdl.handle.net/2292/5765.

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Background: The population is ageing and recent years have revealed substantial increases in expenditure and demand for home care services. However, provision of home care is fraught with quality issues such as high staff turnover rates, inadequate staff training, a lack of coordinator support and reduced continuity of care. Consequently, ensuring the sustainability of home care services remains a critical area of concern. Objective: To evaluate the impact of a restorative home care service, for older people with varying levels of need, in relation to improving quality and sustainability. Design: Randomised controlled trial with cluster randomisation. Older people and their support workers were identified via a home care agency and cluster randomised to receive either the restorative home care service (intervention=93) or usual home care (control=93). Intervention: The restorative home care service involved goal facilitation, repetitive activity of daily living exercises, and an in-depth initial assessment for older people; experiential training for support workers; care management role and enhanced skill and competency level for the coordinator. Participants: Older people (65+ years), living in their own homes, who received assistance from a home care agency in South Auckland, New Zealand. Methods: Face-to-face interviews were conducted with older people at baseline, four and seven months. The primary outcome was change in health related quality of life measured by the Short Form 36 Health Survey. Other scale measurements were utilised to assess physical, mental and social wellbeing. Informal carer stress was assessed with the Carer Reaction Assessment. Focus groups were held with support workers at baseline and 14 months to ascertain their opinions. Coordinator perceptions were established via one-on-one interviews at 14 months. A basic comparison of costs for the two groups was undertaken. Results: Compared with usual care, restorative home care demonstrated a statistically significant improvement in health related quality of life over time for older people (P=0.05). There were no changes in other scale measurements for older people in both groups over time. Support worker turnover was 42.5 and 17.9 percent for the control and intervention group, respectively, and job satisfaction improved within the intervention group in comparison to the control group. Value adding costs increased, while, non-value adding costs were reduced. Key aspects of the intervention contributing to these findings included goal facilitation and development of personalised support plans, the coordinators enhanced input and support and the improved training for support workers. Conclusions: This study demonstrated a restorative home care service can enhance the quality of service provision to benefit both older people and support worker staff. Further amendments are addressed, such as improving support worker employment conditions and raising the eligibility criteria for home care, to ensure future sustainability.

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Kidambi, Supriya. "WeCare Home Healthcare Support Services Business Plan." Thesis, California State University, Long Beach, 2017. http://pqdtopen.proquest.com/#viewpdf?dispub=10261395.

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Considering the expanding populace of elderly in the United States of America, there has been a significant growth in demand for home healthcare organizations which serve to deliver continuous quality care. Home healthcare organizations guarantee to support our economy and decrease healthcare costs to a huge level. This marketable business plan inspects the business capability of a home healthcare services startup located in San Diego Downtown.

This business plan has been broken down into several compartments where chapter 1 accounts on the market analysis of our business providing marketing strategies and intricate details of our company and its analysis, services provided, services in demand, customer and competitor analysis, marketing potential and demand. Chapter 2 deals with feasibility and SWOT analysis, to evaluate pros and cons, and to get a better idea of the organizational structure of the business plan. In Chapter 3, we talk about the legal aspects concerning State and Federal laws. Chapter 4 explains about the financial assumptions and analysis, annual expenditures as well as monthly expenses with the overall potential of home healthcare services to survive market competition.

We conclude that WeCare home healthcare services plan showed great potential to withstand the competitive market and drive towards success.

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Steeg, Jörg Michael. "Mathematical models and algorithms for home health care services." Tönning Lübeck Marburg Der Andere Verl, 2008. http://d-nb.info/994324375/04.

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Yu, Mei-yuk Doris. "The perceptions of home help services recipients towards institutional services." Hong Kong : University of Hong Kong, 1997. http://sunzi.lib.hku.hk/hkuto/record.jsp?B19470289.

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Wing, Donna Marie. "The use of political strategies for resource acquisition and allocation for home health care a comparative field study of Central Thames, United Kingdom, and Energytown, United States /." Access abstract and link to full text, 1987. http://0-wwwlib.umi.com.library.utulsa.edu/dissertations/fullcit/8712610.

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Pham, Misty Mong-Xuan. "Flymed Pharmacy, LLC, Home Delivery Services a Business Plan." Thesis, California State University, Long Beach, 2017. http://pqdtopen.proquest.com/#viewpdf?dispub=10601380.

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With advances in technology and science, life expectancy is increasing, but most of the elders must take care of themselves or live in assisted home. Between 2015 and 2060, the U.S. Census Bureau predicts that the population adult aged 65 to 84 will grow to 89%; meanwhile, the number of adult 85 and older are expected to more than triple and about 11 million people age sixty-five and older are predicted to live alone, which is almost a third of the American population. They may have problems to receive essential medications because they are unable to drive or do not have access to public transportations. The FlyMed Pharmacy will assist the elderly by providing home delivery services such as emergency or maintenance medications. Consultations and advice will be provided through a mobile app, DeliverMyMed.

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Hurley, Sarah. "Factors affecting long-term outcomes following intensive in-home services." View the abstract Download the full-text PDF version (on campus access only), 2008. http://etd.utmem.edu/ABSTRACTS/2008-050-Hurley-index.htm.

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Thesis (Ph.D.)--University of Tennessee Health Science Center, 2008.
Title from title page screen (viewed on February 18, 2008). Research advisor: Teresa M. Waters, Ph.D. Document formatted into pages (viii, 88 p. : ill.). Vita. Abstract. Includes bibliographical references (p. 67-79).

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Книги з теми "Home care package services"

Yates, Martin. When is support most effective?... when it's not visible: The essential guide to establishing and managing your own support package. s.l: Yates Press, 1999.

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Commission, Australia Law Reform. Aged care: Nursing homes, hostels, community aged care packages & the domiciliary nursing care benefit : review of legislation administered by Department of Human Services and Health. Sydney: Australian Law Reform Commission, 1994.

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Betty, Templeton, ed. Home care services. Edinburgh: Churchill Livingstone, 1992.

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Romaine-Davis, Ada. Home health care. Washington, DC: Association for Gerontology in Higher Education, 1994.

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Federal/Provincial/Territorial Working Group on Home Care (Canada), ed. Report on home care. [Ottawa, Ont.]: Health Services and Promotion Branch, Health and Welfare Canada, 1990.

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Chisolm, David. Home health care. Edited by Bay Area Health Associates. Oakland, Calif. (77 Fairmont Ave., Suite 111, Oakland 94611): Bay Area Health Associates, 1993.

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(Firm), Find/SVP, ed. Home health care products & services. New York, N.Y: FIND/SVP, 1987.

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Illinois. Department of Rehabilitation Services. Options through home services. Springfield, Ill.]: Illinois Dept. of Rehabilitation Services, 1994.

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N, Catania Patrick, and Rosner Martin M, eds. Home health care practice. Palo Alto, Calif. (851 Moana Ct., Palo Alto 94306): Health Markets Research, 1986.

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1951-, Benefield Lazelle Emminizer, ed. Home health care management. Englewood Cliffs, N.J: Prentice Hall, 1988.

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Tester, Susan. "Health Services Outside the Home." In Community Care for Older People, 102–25. London: Macmillan Education UK, 1996. http://dx.doi.org/10.1007/978-1-349-24479-9_5.

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McKenna, Pacifica, and Ken Tout. "Extending services of an elderly persons’ home." In Elderly Care, 181–86. Boston, MA: Springer US, 1993. http://dx.doi.org/10.1007/978-1-4899-4509-9_29.

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van Mosseveld, C. J. P. M., and P. van Son. "Attempted Bilateral Comparable Package Block V: Other services." In International Comparison of Health Care Data, 179–90. Dordrecht: Springer Netherlands, 1998. http://dx.doi.org/10.1007/978-94-011-4675-3_14.

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Cornwell, Thomas, and Kara R. Murphy. "Care Planning and Coordination of Services." In Geriatric Home-Based Medical Care, 29–55. Cham: Springer International Publishing, 2015. http://dx.doi.org/10.1007/978-3-319-23365-9_3.

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Bossie, Sekeria, and Danita H. Stapleton. "Introduction: History of Home Care Services." In Home Care for Older Adults Using Interprofessional Teams, 1–15. Cham: Springer International Publishing, 2023. http://dx.doi.org/10.1007/978-3-031-40889-2_1.

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Bretl, Scott, Adan Vazquez, and Geordan Stapleton. "Other Relevant Home Care Services: Prosthetics and Orthotics, Pharmacy Services, Durable Medical Equipment, and Nutritional Services." In Home Care for Older Adults Using Interprofessional Teams, 131–53. Cham: Springer International Publishing, 2023. http://dx.doi.org/10.1007/978-3-031-40889-2_9.

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Di Giandomenico, Isabella, and Mariacristina Picchio. "Children's transition between home and ECEC services." In Early Childhood Education and Care in a Global Pandemic, 44–56. London: Routledge, 2022. http://dx.doi.org/10.4324/9781003257684-4.

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Aubrecht, P., Lenka Lhotska, J. Dolezel, and J. Dolezal. "Mobile Devices for e-Services in Home Care." In IFMBE Proceedings, 1006–9. Berlin, Heidelberg: Springer Berlin Heidelberg, 2009. http://dx.doi.org/10.1007/978-3-540-89208-3_239.

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Krejcar, Ondrej, and Leona Motalova. "Home Care Web Services Evaluation by Stress Testing." In Communications in Computer and Information Science, 238–48. Berlin, Heidelberg: Springer Berlin Heidelberg, 2011. http://dx.doi.org/10.1007/978-3-642-22729-5_20.

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Ozturk, Onur, Mehmet A. Begen, and Gregory S. Zaric. "Home Health Care Services Management: Districting Problem Revisited." In Lecture Notes in Management and Industrial Engineering, 407–21. Cham: Springer International Publishing, 2021. http://dx.doi.org/10.1007/978-3-030-76724-2_30.

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Wilkinson, E., and R. Boehm. "Shading Analysis for a Zero Energy House." In ASME 2004 International Solar Energy Conference. ASMEDC, 2004. http://dx.doi.org/10.1115/isec2004-65017.

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Di Napoli, Claudia, Marco Valentino, Luca Sabatucci, and Massimo Cossentino. "Adaptive Workflows of Home-Care Services." In 2018 IEEE 27th International Conference on Enabling Technologies: Infrastructure for Collaborative Enterprises (WETICE). IEEE, 2018. http://dx.doi.org/10.1109/wetice.2018.00008.

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Maglavera, S., A. Prentza, N. Maglaveras, I. Lekka, E. Sakka, and L. Leondaridis. "Continuous home care monitoring services through INTERLIFE." In Conference Proceedings. Annual International Conference of the IEEE Engineering in Medicine and Biology Society. IEEE, 2006. http://dx.doi.org/10.1109/iembs.2006.260230.

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Wang, Feng, Liam S. Docherty, Kenneth J. Turner, Mario Kolberg, and Evan H. Magill. "Services and Policies for Care At Home." In 2006 Pervasive Health Conference and Workshops. IEEE, 2006. http://dx.doi.org/10.1109/pcthealth.2006.361701.

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Ejdys, Joanna. "PROSPECTIVE QUALITY ATTRIBUTES OF NURSING HOME CARE SERVICES." In Business and Management 2016. VGTU Technika, 2016. http://dx.doi.org/10.3846/bm.2016.59.

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One of the forms of care for the elderly are the nursing homes, long-term care homes. Still, in many countries the low level of quality of such services is still the main criterion for the perception of objects as a final option, in the absence of alternative forms of care for an older person. The aim of the article is to seek answers to the questions about the expected quality of the services offered by nursing homes. The article presents the results of research on the expectations of the society in terms of quality of services, carried out on a sample of 602 Polish citizens. The study allowed to identify the key characteristics that determine the quality of services from the perspective of the future decisions related to the choice of the resort.

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Wilkinson, Elena, and Robert Boehm. "Zero Energy House for the Southern Nevada Area." In ASME 2005 International Solar Energy Conference. ASMEDC, 2005. http://dx.doi.org/10.1115/isec2005-76037.

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Las Vegas, Nevada, is one of the country’s most rapidly growing cities. To accommodate this growth, a great deal of home building takes place in Clark County, where the city is located. Builders can sell virtually as many houses as they can construct. All of these houses require utility services that, in general, have to be developed. These, of course, include water, electrical power and natural gas. With the high cooling loads required in this environment, the summer demand peaks for electricity are particularly severe. The emphasis of this paper was placed on the energy conservation methods for a planned zero energy residential home for the Southern Nevada area, which would enable net zero electric energy consumption from the local utilities over a year period. Although also important, the cost outcome of the project was considered a secondary issue. The energy analysis was arranged in three principal parts: • Reduction of heating and cooling loads through implementation of sound envelope construction. • Use of highly energy efficient A/C, gas furnace, and lights. • Solar control and utilization. The computer simulation package Energy 10 version 1.6 is employed during the envelope, A/C, furnace and energy-efficient light analysis. The software allows modeling and simulating of a buildings performance based on inputs such as geographical location, building type, orientation, construction materials used and others. The model selected for this study is reflective of the local construction practices, is a single-family one story, 1,610 ft residential house with north facing fac¸ade and an attached two-car garage, which in this paper is called the “Base Case”. As a result of the energy analysis performed in this paper, the low-energy house (Modified Case) was created. The Modified Case has the identical orientation and floor plan. Implementation of the full spectrum of energy conserving features yielded a dramatic 105% saving on the annual electrical energy consumption by the Modified Case house when compared to the house built according to the local practices. In addition, the space heating and space cooling energy consumptions were reduced by 96% and 72% respectively. Details of the simulations and the final design details are given in the paper.

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He, Chengwan, and You Shi. "Workforce Scheduling and Routing for Home Health Care Services." In the 3rd International Conference. New York, New York, USA: ACM Press, 2019. http://dx.doi.org/10.1145/3331453.3361673.

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van 't Klooster, Jan-Willem, Catherine Combes, and Bert-Jan van Beijnum. "Towards decision support for a home care services platform." In the 4th International Workshop. New York, New York, USA: ACM Press, 2012. http://dx.doi.org/10.1145/2189736.2189747.

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Teijeiro, T., P. Felix, J. Presedo, and A. Gandara. "SERVANDO: An extensible platform for home-care services providing." In 2011 33rd Annual International Conference of the IEEE Engineering in Medicine and Biology Society. IEEE, 2011. http://dx.doi.org/10.1109/iembs.2011.6092020.

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Clavet, Nicholas-James, Réjean Hébert, and Pierre-Carl Michaud. The future of long-term care in Quebec: what are the cost savings from a realistic shift towards more home care? CIRANO, April 2022. http://dx.doi.org/10.54932/zrzh8256.

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This paper aims to estimate the future long-term care needs and expenditures in Quebec while proposing and evaluating a reform package that could deliver increased coverage as well as be more financially sustainable than current policy. This reform package consists of a shift towards more intensive use of home care while increasing public coverage of care needs. A key feature of the proposed reform is to improve the ability of users to choose their provider with the creation of a senior’s care account, an account that grants individuals in need to purchase services from several providers, including both home and institutional care. To improve the neutrality of public support across care arrangements, we also propose to increase residents’ contribution in nursing homes while favoring the continued use of existing tax credits to help seniors with lower needs in terms of care. Using detailed dynamic modelling of care needs, living arrangements, and expenditures, we estimate that long-term care needs will grow rapidly in the next two decades and the costs will quickly become prohibitive under current policy. We show that substantial cost savings may exist.

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Mawson, Susan, Ali Ali, Mandy Higginbottom, Steven Ariss, Joanna Blackburn, Joseph Langley, Chris Redford, et al. Circle of Care for Home: Community Stroke Services Sheffield. Project Report, Part 1: January 2021. Sheffield Hallam University, 2021. http://dx.doi.org/10.7190/circle-care-home-2020-2021.

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Mwangi, Annie, and Charlotte Warren. Taking critical services to the home: Scaling-up home-based maternal and postnatal care, including family planning, through community midwifery in Kenya. Population Council, 2008. http://dx.doi.org/10.31899/rh4.1179.

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Keane, Claire, Sean Lyons, Mark Regan, and Brendan Walsh. HOME SUPPORT SERVICES IN IRELAND: EXCHEQUER AND DISTRIBUTIONAL IMPACTS OF FUNDING OPTIONS. ESRI, February 2022. http://dx.doi.org/10.26504/sustat111.

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A new statutory scheme for the provision of home support services is currently being developed by the Department of Health. Research has shown that access to home support services varies across the country. The new scheme aims to tackle this issue to ensure equitable access to home support services nationwide and is part of wider reform of Ireland’s health and social care systems as envisaged in the Sláintecare report and Department of Health action plans. Publicly funded home support services in Ireland are currently provided free of charge for recipients, unlike long-term residential or nursing home care, which involves a contribution from residents. In 2019, the HSE’s Older Persons’ Services provided care to 53,000 people at a cost of €440 million. It is anticipated that demand for home support services may increase under the new scheme, for example if unmet demand is met or if the new scheme results in more people being able to remain in their own home, substituting away from long-term residential care. Any increased demand would result in an increased cost, which may also rise as the population ages. This report examines the possible introduction of co-payments for home support services. We focus on the likely Exchequer impact of a range of different funding scenarios along with the distributional, poverty and inequality impacts of such charges. Due to data limitations, and the fact that the majority of home support services are provided to older age groups, we focus on those aged 65 years and over. Regarding co-payments we examine the impact of flat-rate charges for users, regardless of means, as well as co-payments for home support recipients above a variety of income levels. The tapering of payments is also examined to ensure that individuals just over a specific income threshold would see co-payments gradually increasing as their income rises. We also consider the capping of co-payments so that those needing a high number of home support hours would not potentially face very high costs.

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Homan, Rick, and Catherine Searle. Programmatic implications of a cost study of home-based care programs in South Africa. Population Council, 2005. http://dx.doi.org/10.31899/hiv14.1001.

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The HIV/AIDS epidemic has meant that an increasing number of chronically ill people need ongoing assistance with care and support. Programs providing home-based care (HBC) services are a key component of the response to HIV/AIDS. However, few programs are using operations research, including cost studies, to decide what services to provide and how to structure their services. In 2004, the Horizons Program undertook a study of six HBC programs from different South African provinces to provide key information to NGOs, government ministries, donors, and the programs themselves to inform decisions about service delivery. The study analyzed the cost of HBC services, the best use of resources, and how well programs are able to meet the needs of beneficiaries and their families. The sample represents programs that operate in rural areas and informal settlements. This brief focuses on the coverage, organization, volume, and costs of the services and on findings from two of the methods of data collection: financial records and service statistics, and interviews with financial officers, program managers, and caregivers.

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Doty, Pamela. Cash and Counseling: Self-directed home and community long-term care. Inter-American Development Bank, April 2023. http://dx.doi.org/10.18235/0004857.

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Cash and counseling provides an allowance that recipients can use to purchase home- and community-based long-term care services instead of receiving them from an agency. This scheme gives beneficiaries the choice and independence to self-direct the implementation of their preferred long-term care plan, using an assigned budget, under the supervision of a counselor. One feature of this program is that recipients can choose between hiring a professional or a family member as a caregiver. The objective of this document is to explore how cash and counseling works, with examples of interventions in the United States, and how it is relevant for policy-making in Latin America and the Caribbean.

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Chege, Jane, Ian Askew, Nzwakie Mosery, Mbali Ndube-Nxumalo, Busi Kunene, Mags Beksinska, Janet Dalton, Ester Snyman, Wilem Sturm, and Preshny Moodley. Feasibility of introducing a comprehensive package of antenatal care services in rural public clinics in South Africa. Population Council, 2005. http://dx.doi.org/10.31899/rh4.1203.

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Ciapponi, Agustín, and Sebastián García Martí. Does home-based care reduce morbidity and mortality in people living with HIV-AIDS? SUPPORT, 2016. http://dx.doi.org/10.30846/160416.

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Ciapponi, Agustín, and Sebastián García Martí. Does home-based care reduce morbidity and mortality in people living with HIV-AIDS? SUPPORT, 2017. http://dx.doi.org/10.30846/170410.

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