2017
DOI: 10.1371/journal.pone.0182148
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Can home care for homebound patients with chronic heart failure reduce hospitalizations and costs?

Abstract: BackgroundCongestive heart failure (CHF), a common problem in adults, is associated with multiple hospitalizations, high mortality rates and high costs.PurposeTo evaluate whether home care for homebound patients with CHF reduces healthcare service utilization and overall costs.MethodsA retrospective study of healthcare utilization among homebound patients who received home care for CHF from 2012–1015. The outcome measures were number of hospital admissions per month, total number of hospitalization days and da… Show more

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Cited by 12 publications
(14 citation statements)
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“…The impairment of CHF has been a global public health issue [ 125 ], with the utilization of a conjunction between CHIs and WM in its treatment, the efficacy of CHF has been promoted, meanwhile, more and more relevant RCTs and pairwise meta-analysis were carried out. But almost RCTs concerned about the efficacy between a kind of CHI plus WM and WM, many CHIs have not been compared head to head.…”
Section: Discussionmentioning
confidence: 99%
“…The impairment of CHF has been a global public health issue [ 125 ], with the utilization of a conjunction between CHIs and WM in its treatment, the efficacy of CHF has been promoted, meanwhile, more and more relevant RCTs and pairwise meta-analysis were carried out. But almost RCTs concerned about the efficacy between a kind of CHI plus WM and WM, many CHIs have not been compared head to head.…”
Section: Discussionmentioning
confidence: 99%
“…Specialized hospice services such as community paramedicine, comfort medication cardiac kits, and frequency of nursing visits are key benefits for patients with advanced-stage HF to help them better maintain their condition and remain comfortable at home. 30,31 Strategies used to develop the cardiac home hospice program could be expanded to other end-of-life populations that require interprofessional collaboration, including patients with pulmonary disease or dementia. As such, there is strong potential for broad generalizability to patients with other terminal conditions, including pulmonary disease and dementia, which are also associated with risk of acute hospitalization.…”
Section: Discussionmentioning
confidence: 99%
“…Specialized hospice services such as community paramedicine, comfort medication cardiac kits, and frequency of nursing visits are key benefits for patients with advanced-stage HF to help them better maintain their condition and remain comfortable at home. 30,31…”
Section: Discussionmentioning
confidence: 99%
“…HCS stands out for its contribution to the optimization of hospital beds. It is an effective care tool that contributes to reducing the need for the hospitalization of patients with high utilization rates of hospital services [21].…”
Section: Discussionmentioning
confidence: 99%