Can we do better? Economic analysis of human resource investment to improve home care service for the elderly in Serbia

Mihić, Marko; Todorović, Marija; Obradović, Vladimir; Mitrović, Zorica

doi:10.2147/cia.s96778

Cited by 3 publications

(2 citation statements)

References 39 publications

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“…There are plenty of studies on elderly care services, which are mainly about the practices, experiences, and current situation in different countries and areas, and so on. Mihic et al (2016) focused on analyzing the investments into human resources aimed at enhancing home care for the elderly. Lei et al (2015) provided insights into how it is possible to bridge the gap between policy intent and actual practice of care and service provision, and they elaborated on the concept of modularity, which could deal with the problem.…”

Section: Literature Reviewmentioning

confidence: 99%

A quality function deployment–based resource allocation approach for elderly care service: Perspective of government procurement of public service

Zhang

2020

International Social Work

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In response to the rapidly growing demand for elderly care service in China, rational allocation of limited resources and improvement of public satisfaction have become one of the urgent problems to be solved in government procurement of elderly care services. With the aid of quality function deployment, a programming model is established to allocate resource with maximizing customer satisfaction. Taking home care service as an example, on the basis of identifying the elderly’s requirements, designing attributes, optimal allocation of limited resource is conducted based on the proposed approach. Results show that staff in the home care service center should pay more attention to improve their service attitude and service quality. Meanwhile, more resources should also be allocated to improve the specialization of the franchise center, and to increase the provision of professional medical personnel and purchase of common medicines for emergencies as well as facilities for rehabilitation. This study expands the field of elderly care service by introducing a more efficient resource-allocation approach, thus helping governments in decision-making.

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Section: Literature Reviewmentioning

confidence: 99%

A quality function deployment–based resource allocation approach for elderly care service: Perspective of government procurement of public service

Zhang

2020

International Social Work

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“… 19 , 20 Providing home-based services appears to improve symptoms; saves costs to health services; reduces hospitalization; preserves patients’ preferences, autonomy, and medication adherence; increases practitioners’ satisfaction; and makes better use of psychosocial support. 1 , 34 , 35 Good examples are the home-based reablement (intense rehabilitation) practices, successfully expanded in different countries. 36 Psychosocial health promotion, centered on the patients’ personal and social resources.…”

Section: Introductionmentioning

confidence: 99%

Merging current healthcare trends: innovative perspective in aging care

Solinís¹,

Goswami²

2018

CIA

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Current trends in health care delivery and management such as predictive and personalized health care incorporating information and communication technologies, home-based care, health prevention and promotion through patients’ empowerment, care coordination, community health networks and governance represent exciting possibilities to dramatically improve health care. However, as a whole, current health care trends involve a fragmented and scattered array of practices and uncoordinated pilot projects. The present paper describes an innovative and integrated model incorporating and “assembling” best practices and projects of new innovations into an overarching health care system that can effectively address the multidimensional health care challenges related to aging patient especially with chronic health issues. The main goal of the proposed model is to address the emerging health care challenges of an aging population and stimulate improved cost-efficiency, effectiveness, and patients’ well-being. The proposed home-based and community-centered Integrated Healthcare Management System may facilitate reaching the persons in their natural context, improving early detection, and preventing illnesses. The system allows simplifying the health care institutional structures through interorganizational coordination, increasing inclusiveness and extensiveness of health care delivery. As a consequence of such coordination and integration, future merging efforts of current health care approaches may provide feasible solutions that result in improved cost-efficiency of health care services and simultaneously increase the quality of life, in particular, by switching the center of gravity of health delivery to a close relationship of individuals in their communities, making best use of their personal and social resources, especially effective in health delivery for aging persons with complex chronic illnesses.

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Impact of a New Home Care Payment Mechanism on Growth of the Home Care Workforce in Taiwan

Peng

Hsueh

et al. 2021

The Gerontologist

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Background and Objectives Taiwan implemented its first National 10-Year Long-Term Care Plan in 2008 and its second in 2017. Over the first 10 years, the number of home care workers grew too slowly to meet demand. To increase the home care workforce, the government introduced two new payment mechanisms in 2018. This study assesses these mechanisms’ impact on growth in numbers of home care workers and use of home care services in Taiwan. Research Design and Methods Data was collected from the Ministry of Health and Welfare (2014–2019) and the Division of Long-Term Care (2017–2019). Generalized estimating equations compared rates of growth in the number of home care, institutional care, and foreign care workers and the number of care recipients receiving care from each group before and after 2018. Results Before 2018, rates of growth in all three groups of care workers increased slowly. After 2018, the rate of growth for home care workers increased to 31.8% from 9%, while growth in the other two groups remained stable. While there was greater workforce growth among home care than institutional care workers post implementation of the payment mechanisms (p < .05), the number of home care recipients (p < .05) and monthly home care visits (p < .05) also increased. Discussion and Implications The new payment mechanisms improved home care workers’ autonomy and salaries and appear to have contributed to immediate increased recruitment and retention. Whether this increase continues over the long run will need to be determined.

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Can we do better? Economic analysis of human resource investment to improve home care service for the elderly in Serbia

Cited by 3 publications

References 39 publications

A quality function deployment–based resource allocation approach for elderly care service: Perspective of government procurement of public service

A quality function deployment–based resource allocation approach for elderly care service: Perspective of government procurement of public service

Merging current healthcare trends: innovative perspective in aging care

Impact of a New Home Care Payment Mechanism on Growth of the Home Care Workforce in Taiwan

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