Home healthcare: Emerging evidence for NHS commissioners

O'Neill, Ciaran; Wallis, Chris

doi:10.1179/csm.2009.3.4.357

Cited by 4 publications

(3 citation statements)

References 3 publications

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“… 18 In the UK and the US, the excessive burden on some chemotherapy units has led to the development of an innovative concept of care model which would allow less complex cancer treatments to be delivered at home outside of the acute hospital setting. 19 For instance the Christie NHS Foundation Trust in the UK has rapidly implemented the home delivery of trastuzumab to early-stage HER2-positive breast cancer patients after the first three hospital administrations in the absence of significant side effects. All treatment is carried out under the direction of the patient’s oncologist, who retains ultimate responsibility for the patient’s care and with whom close contact is maintained at all times.…”

Section: Clinical Evidencementioning

confidence: 99%

Cancer patient-centered home care: a new model for health care in oncology

Tralongo¹,

Ferraú²,

Borsellino³

et al. 2011

TCRM

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Patient-centered home care is a new model of assistance, which may be integrated with more traditional hospital-centered care especially in selected groups of informed and trained patients. Patient-centered care is based on patients’ needs rather than on prognosis, and takes into account the emotional and psychosocial aspects of the disease. This model may be applied to elderly patients, who present comorbid diseases, but it also fits with the needs of younger fit patients. A specialized multidisciplinary team coordinated by experienced medical oncologists and including pharmacists, psychologists, nurses, and social assistance providers should carry out home care. Other professional figures may be required depending on patients’ needs. Every effort should be made to achieve optimal coordination between the health professionals and the reference hospital and to employ shared evidence-based guidelines, which in turn guarantee safety and efficacy. Comprehensive care has to be easily accessible and requires a high level of education and knowledge of the disease for both the patients and their caregivers. Patient-centered home care represents an important tool to improve quality of life and help cancer patients while also being cost effective.

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Section: Clinical Evidencementioning

confidence: 99%

Cancer patient-centered home care: a new model for health care in oncology

Tralongo¹,

Ferraú²,

Borsellino³

et al. 2011

TCRM

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“…Reviews of the literature published in 2004 and 2005 report mixed cost outcomes (Boothroyd & Lehoux ; Hirtzlin & Preaubert‐Hayes ). Although home‐based chemotherapy is generally less costly than inpatient hospital treatment, it may not be less costly than outpatient treatment (Boothroyd & Lehoux ; O'Neill & Wallis ). However, two more recent randomised controlled trials conducted in the UK have found no differences in cost between hospital, outpatient and home chemotherapy delivery (Hall & Lloyd ; Corrie et al .…”

Section: Resultsmentioning

confidence: 99%

A multi-method review of home-based chemotherapy

et al. 2015

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This study summarises research- and practice-based evidence on home-based chemotherapy, and explores existing delivery models. A three-pronged investigation was conducted consisting of a literature review and synthesis of 54 papers, a review of seven home-based chemotherapy programmes spanning four countries, and two case studies within the Canadian province of Ontario. The results support the provision of home-based chemotherapy as a safe and patient-centred alternative to hospital- and outpatient-based service. This paper consolidates information on home-based chemotherapy programmes including services and drugs offered, patient eligibility criteria, patient views and experiences, delivery structures and processes, and common challenges. Fourteen recommendations are also provided for improving the delivery of chemotherapy in patients' homes by prioritising patient-centredness, provider training and teamwork, safety and quality of care, and programme management. The results of this study can be used to inform the development of an evidence-informed model for the delivery of chemotherapy and related care, such as symptom management, in patients' homes.

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“…Reviewing data from other visitors to the Bus, such as friends and family members, revealed that overall, these visitors are also very happy with the services provided and received on the Bus compared to previous appointments. No patient mentioned the reduction of risk from hospital acquired infections, which is often cited as a positive aspect of home chemotherapy (O'Neill & Wallis 2009). Nor was it mentioned that on the Bus there is perhaps less contact and support from other patients as in a hospital ward.…”

Section: Discussionmentioning

confidence: 99%

Patient perceptions of a mobile cancer support unit in South Wales

Iredale

Hilgart

Hayward

2011

European Journal of Cancer Care

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Many patients have to travel long distances to receive treatment and support for cancer, which can lead to increased anxiety and fatigue. Tenovus, the cancer charity, working with the NHS, has developed a new concept of closer-to-home delivery for chemotherapy and other cancer support - a mobile cancer support unit (Bus). Researchers at Cardiff University evaluated the Bus during its first year of operation. The evaluation aimed to determine who was using the Bus and to explore patients' perceptions about having their appointments on the Bus. Data were collected from patients, social care clients and their family and friends using a mixed-methods approach. Quantitative data were collected using postal surveys and qualitative data were collected through semi-structured interviews. In its first year, 3487 people visited the Bus, which included the delivery of 549 chemotherapy treatments. Patient attitudes towards the Bus were extremely positive. Respondents rated highly key aspects of the Bus including comfort and the level of care provided. This evaluation demonstrates that all users are highly receptive to this model of service delivery and agree that the Tenovus Bus is a unique mobile unit, providing excellent clinical and social care to cancer patients and their families.

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Home healthcare: Emerging evidence for NHS commissioners

Cited by 4 publications

References 3 publications

Cancer patient-centered home care: a new model for health care in oncology

Cancer patient-centered home care: a new model for health care in oncology

A multi-method review of home-based chemotherapy

Patient perceptions of a mobile cancer support unit in South Wales

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