Impact of Home Care Services on Patient and Economic Outcomes: A Targeted Review

Lizano-Díez, Irene; Amaral-Rohter, Sonia; Pérez–Carbonell, Lucía; Aceituno, Susana

doi:10.1177/10848223211038305

Cited by 20 publications

(7 citation statements)

References 72 publications

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“…Moreover, the degree of implementation is heterogeneous; in the USA, for example, in a study carried out by the American Society of Health-System Pharmacists (ASHP) on pharmaceutical practice in hospital settings, only a quarter of the 265 hospitals surveyed performed telepharmacy 27. These data reveal the huge margin for improvement presented by this pharmaceutical care model 28…”

Section: Discussionmentioning

confidence: 99%

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Developing a telepharmacy programme with home medication dispensing and informed delivery in a tertiary hospital: description of the model and analysis of the results

et al. 2022

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ObjectivesThis study aimed to describe the actions taken to implement a telepharmacy programme with home medication dispensing and informed delivery in an outpatient pharmaceutical care unit of a tertiary hospital, where approximately 5000 patients are treated per year. It also aimed to substantiate the applicability and benefits of the programme through analysing the findings and measuring patient satisfaction.MethodsWe identified the operational, logistical, technological and legal needs, as well as the need for training, information and coordination with the care team and patient associations. A standard operating procedure was developed which described the home dispensing model and the profile of patients eligible for telepharmacy. Care activity was evaluated, between the months of July 2020 and January 2021; and a survey was conducted to measure patient satisfaction based on the Enopex project, a cross-sectional observational study of patients who used telepharmacy services during the COVID-19 lockdown period in Spain.ResultsA total of 2536 medication deliveries were made over 144 working days, with a mean of 18 (standard deviation (SD): 6) deliveries per day, and a total of 2854 dispensings (1.1 drugs per delivery). In total, 197 different types of pharmaceutical formulations were delivered, corresponding to 123 active ingredients. The distance and time avoided during the study period totalled 1 05 624 km and 1 09 452 min (76 days), whereby the median distance and time saved per patient were 66 (interquartile range (IQR):122 km and 90 (IQR:90) minutes, which represents an approximate carbon footprint reduction of 25 kg of CO2 per patient and 16.5 tonnes in total. The satisfaction survey conducted, completed by 134 patients, revealed high satisfaction with the pharmacy service of 9.88 points out of 10.ConclusionsThe SARS-CoV-2 pandemic (COVID-19) has provided the pharmacy service with an opportunity to develop and implement a telepharmacy programme that benefits patients, which has enabled better organisation of the unit and greater accessibility for patients attending in person. It is a replicable method that is applicable in other pharmacy services with similar characteristics and requirements.

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Section: Discussionmentioning

confidence: 99%

“… 27 These data reveal the huge margin for improvement presented by this pharmaceutical care model. 28 …”

Section: Discussionmentioning

confidence: 99%

Developing a telepharmacy programme with home medication dispensing and informed delivery in a tertiary hospital: description of the model and analysis of the results

et al. 2022

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“… 7 However, out of 64 HHC services identified worldwide, the majority of these services are provided by nurses (47.47%; 73.4%). 6 …”

Section: Introductionmentioning

confidence: 99%

Innovative services in home health nursing: a scoping review protocol

Eshghi,

Pourgholam,

Kianian

et al. 2024

BMJ Open

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IntroductionAdvances in the use of technology in home health nursing (HHN) not only can facilitate the delivery of home care but can also influence the entire healthcare system. Additionally, it can contribute to the individual autonomy in the area of health. The aim of this scoping review protocol is to identify, describe and map the types of innovative services and their delivery approaches in the HHN structure worldwide.Methods and analysisThe main question of the research is as follows: what are different types of innovative services and their delivery approaches in the HHN structure around the world? The Joanna Briggs Institute (JBI) method for scoping reviews will guide the conducting this scoping review, and the participants, concept and context framework will be used as eligibility criteria. MEDLINE databases via PubMed, Embase, Cochrane Library, Scopus, Web of Science, Science Direct, Persian scientific databases and grey literature will be searched prior to May 2024 to include eligible studies, without any language restrictions. To be included, studies will be reviewed by two independent reviewers. A data extraction form developed for the study purpose will be used to extract the data relevant to the review questions. Data analysis will be performed based on each innovative service and answering the subquestions about it. According to the concepts of interest, the results will be analysed and presented using tables, figures, images and a narrative summary.Ethics and disseminationThis study will not involve human or animal participants. Data will be sourced from the published literature. To be published, the results of the study will be submitted to an international peer-reviewed, open-access journal as well as scientific meetings on HHN and innovative services research.

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“…Strong empirical evidence suggests that continuity of care improves health outcomes and patient satisfaction 32–34. Furthermore, a lack of continuity is associated with poorer care outcomes 35.…”

Section: Introductionmentioning

confidence: 99%

Developing and testing scales for home support service continuity (HSSC): cross-sectional studies in Canada and UK

Zhang

Shi

2023

BMJ Open

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ObjectivesEnsuring the continuity of home support services has become increasingly important due to challenges arising from ageing demographics and healthcare staffing shortages. However, there is a lack of validated measurements specifically designed for assessing service continuity in this context. The primary objective of this study is to develop and validate scales that capture the multidimensional nature of home support service continuity (HSSC), incorporating informational continuity, management continuity and relational continuity as its underlying components. Subsequently, these scales are employed to measure the overall level of continuity experienced within home support services and investigate its association with service quality.MethodsThis study used a cross-sectional survey design with convenience sampling. Direct caregivers in the UK were recruited through the Prolific UK online platform, while direct caregivers in British Columbia, Canada were recruited through local health authorities and home support agencies. A total of 550 direct caregivers completed the online survey following the approved ethics protocol. Structural equation modelling was employed to evaluate HSSC and it underlying components. Furthermore, the study investigated the influence of HSSC on service quality within these two samples.ResultsThe quantitative tests confirmed that HSSC comprises three first-order continuity components. These components showed significant loadings on HSSC in the Canadian sample (N=367) (λinformational=0.81, λmanagement=0.93, λrelational=0.38) at p<0.01 level. This finding was further supported in the UK sample (N=183) (λinformational=0.87, λmanagement=0.90, λrelational=0.93) at p<0.01 level. In both samples, the overall HSSC showed a positive correlation with service quality (path coefficient for the Canadian sample: bHSSC_employee perceived service quality (EPSQ)=0.22, p<0.01; the UK sample: bHSSC_EPSQ=0.70, p<0.01).ConclusionsThe results support the conceptualisation of HSSC as a second-order latent construct. The newly developed and validated scales for the three first-order constructs identify specific items that could be targeted to improve HSSC and service quality.

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Impact of Home Care Services on Patient and Economic Outcomes: A Targeted Review

Cited by 20 publications

References 72 publications

Developing a telepharmacy programme with home medication dispensing and informed delivery in a tertiary hospital: description of the model and analysis of the results

Developing a telepharmacy programme with home medication dispensing and informed delivery in a tertiary hospital: description of the model and analysis of the results

Innovative services in home health nursing: a scoping review protocol

Developing and testing scales for home support service continuity (HSSC): cross-sectional studies in Canada and UK

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