Indicators of an Integrated Home Care Model Shaped by the Needs of Patients Discharged from the Emergency Department

Szwamel, Katarzyna; Kurpas, Donata

doi:10.5334/ijic.5480

Cited by 3 publications

(3 citation statements)

References 42 publications

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“…On the other hand, there are many advantages for elderly individuals to receive comfortable and safe health services at home, such as reducing the risk of hospital infection and using the hospital’s capacity effectively ( 26 ). When elderly and chronically ill individuals receive safe and high-quality health services at home, costs are reduced, and patient satisfaction increases ( 27 ).…”

Section: Discussionmentioning

confidence: 99%

Evaluation of Quality Indicators in Home Health Services Delivery

Esen,

Sengoz

2023

ijph

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Background: We aimed to evaluate the quality indicators monitored within the scope of quality standards health. Methods: In this descriptive study, patients who visited the home health services unit in 2021, were included. Patient age and diagnostic data were obtained from the Basic Health Statistics Module. Other information such as the number of patient visits and nutritional status were obtained from the indicator data collection form followed by the quality management unit of our hospital and from the home health services unit. We included the data of Antalya Training and Research Hospital. Microsoft Excel and SPSS 25.0 program were used in the analysis of the data, and the data obtained were shown as numbers and ratios (%). Results: When the quality indicators of home health services delivery were examined, the timely response rate of the application was 100%, the nutritional status of all patients was evaluated using the Nutritional Risk Score (NRS-2002) evaluation form at the first patient visit; the patients receiving health care from the home health unit of our hospital visited an average of three times in a year, and the health service from the home health unit was determined: the annual average rate of medical appointments kept with patients who receive medical care at the scheduled time is 83%. Conclusion: Quality indicators are being met well, and good-quality care services are being delivered in the home health service of the training and research hospitals.

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Section: Discussionmentioning

confidence: 99%

Evaluation of Quality Indicators in Home Health Services Delivery

Esen,

Sengoz

2023

ijph

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“…Increasingly unmet needs in patients increase the risk of hospitalization threefold compared to patients with high levels of need satisfaction [ 28 ]. Based on studies conducted in 11 highly developed countries, patients with FS were found to have high levels of needs, referred to as high-need patients.…”

Section: Discussionmentioning

confidence: 99%

The Degree of Meeting the Needs of Older People with Frailty Syndrome in the Residential Environment in Relation to Interventions—Experimental Study

Soll-Morka

Kurpas²

2022

IJERPH

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The study aimed to determine the degree of satisfaction with health, psychological, environmental, and social needs and to determine the effects of a nutritional intervention, physical activity, and comprehensive activity (nutritional intervention plus physical activity) on the degree of satisfaction of the needs of older people with frailty syndrome (FS). The study included 188 residents (140 women and 48 men) and was conducted using the Fried scale and Camberwell’s modified brief needs assessment. In addition, data were collected on age, sex, educational level, type of the previous occupation, marital status, remaining in a relationship, co-residents, place of residence, work status, financial situation, and help with housework. Intervention groups were formed: G1-diet, G2-physical activity, G3-comprehensive therapy, and G4-control. Stage 1 (T1)-3 months after the first examination, stage 2 (T2)-after another three months, the measurements from stage 0. In all groups, the majority were women, respondents with a low or medium level of education in relationships. The degree of need satisfaction in groups G2, G3, and G4 depended on the measurement time (p = 0.019, p = 0.007, p = 0.016). The introduction of physical activity and physical activity in combination with dietary changes most effectively influenced the increase in the level of need satisfaction in elderly patients with frailty.

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“…Discharge of patients from the hospital is a critical stage in patient care, especially for older adults because they are more frail or at risk of functional decline. 1,2 Older adults who have mobility limitation, loss of independence, undernutrition, poor compliance for advisable lifestyle, and unstable chronic disease after discharge from hospitals have higher risk for readmission. [3][4][5][6] The readmissions after discharge from hospitals are associated with higher comorbidities including diabetes, cardiovascular disease, chronic kidney disease, and have higher risk mortality compared to those who readmitted, suggesting importance of integrated care after discharge from hospitals to prevent readmission.…”

Section: Introductionmentioning

confidence: 99%

The Effect of Integrated Care After Discharge From Hospitals on Outcomes Among Korean Older Adults

Choi,

Yoo

2024

Int J Health Policy Manag

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Background: The Korean government implemented a pilot project for integrated care of older adults in August 2019. the pilot project of integrated care provided housekeeping support, nutrition support, movement assistance, home repair, consultations and education for healthy lifestyle, and some home-based primary care to older patients discharged from hospitals. This study investigated the outcomes of this project among older adults who participated in it after discharge from the hospital. Methods: This study combined the data from the pilot project survey with that from the National Health Insurance Service. The participants comprised 1,895 older adults who participated in the pilot project between August 01, 2019 and April 30, 2022. For comparison, 7,145 older adults who lived in regions where no pilot project were selected as the matched group using propensity score matching. The length of home stay, total expenses of national health insurance and long-term care insurance, emergency visits, and hospital readmission for the same disease were measured, till July 31, 2022. Statistical analysis was performed through difference-in-differences analysis using a generalized estimating equation and the Cox proportional hazards model. Results: The results indicated an increase of 35.2 days (95% confidence interval [CI] 30.7, 39.8) in length of home stay over an average observation period of 550.5 days and a reduction of 6,960 USD (95% CI: -7,924, -5,996) in total expenses for participants compared to the controls. The odds ratio of emergency visits of the pilot project participants was 0.56 (95% CI 0.48, 0.65) compared with the controls. The hazard ratio for hospital readmission for the same disease after hospital discharge was 3.53 (95% CI 2.98, 4.19) times higher in project participants than that in the controls. Conclusion: The pilot project for integrated care has resulted in an increased length of home stay and hospital readmission and reduced total expenses and emergency visits among older patients discharged from hospitals. The integrated care after discharge from hospitals can help older adults to continue living in the place where they lived, and improved collaboration between clinics and hospitals is required to prevent readmissions.

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Indicators of an Integrated Home Care Model Shaped by the Needs of Patients Discharged from the Emergency Department

Cited by 3 publications

References 42 publications

Evaluation of Quality Indicators in Home Health Services Delivery

Evaluation of Quality Indicators in Home Health Services Delivery

The Degree of Meeting the Needs of Older People with Frailty Syndrome in the Residential Environment in Relation to Interventions—Experimental Study

The Effect of Integrated Care After Discharge From Hospitals on Outcomes Among Korean Older Adults

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