Trends and risks in home health care

Abstract

PurposeThe number of care‐dependent people will rise in future. Therefore, it is important to support home health care (HHC) providers with suitable methods and information, especially in times of disasters. The purpose of this paper is to reveal potential threats that influence HHC and propose an option to incorporate these threats into the planning and scheduling of HHC services.Design/methodology/approachThis paper reveals the different conditions and potential threats for HHC in rural and urban areas. Additionally, the authors made a disaster vulnerability analysis, based on literature research and the experience of the Austrian Red Cross (ARC), one of the leading HHC providers in Austria. An optimization approach is applied for rural HHC that also improves the satisfaction levels of clients and nurses. A numerical study with real life data shows the impacts of different flood scenarios.FindingsIt can be concluded that HHC service providers will be faced with two challenges in the future: an increased organizational effort and the need for an anticipatory risk management. Hence, the development and use of powerful decision support systems are necessary.Research limitations/implicationsFor an application in urban regions new methods have to be developed due to the use of different modes of transport by the nurses. Additionally, an extension of the planning horizon and triage rules will be part of future research.Practical implicationsThe presented information on developments and potential threats for HHC are very useful for service providers. The introduced software prototype has proven to be a good choice to optimize and secure HHC; it is going to be tested in the daily business of the ARC.Social implicationsEven in the case of disasters, HHC services must be sustained to avoid health implications. This paper makes a contribution to securing HHC, also with respect to future demographic trends.Originality/valueTo the best of the authors’ knowledge there are no comprehensive studies that focus on disaster management in the field of HHC. Additionally, the combination with optimization techniques provides useful insights for decision makers in that area.

A fuzzy simulated evolution algorithm for multi-objective homecare worker scheduling

“…2 shows a typical candidate solution for a homecare scheduling problem with 6 clients and 3 workers. Code 1, [1 2 | 3 5 | 7 4 6], is made up of client groups: (1,2), (3,5), and (7,4,6), to be assigned to care workers w 1 , w 2 , and w 3 respectively. On the other hand, code 2 defines the delimiters, "|", that separate the elements of the solution.…”

“…Not surprisingly, homecare services have been known to reduce hospitalization rate, decrease healthcare costs, and to improve the quality of life of the patients involved [2]. Thus, home healthcare services are a flexible mechanism and a cost-effective way to improve the health of modern communities [3]. In addition, there is an ever-increasing concern for shortages of healthcare professionals all over the world [3] [4].…”

“…Thus, home healthcare services are a flexible mechanism and a cost-effective way to improve the health of modern communities [3]. In addition, there is an ever-increasing concern for shortages of healthcare professionals all over the world [3] [4]. To that effect, it is very important to develop novel approaches to healthcare operations in general, and to healthcare staff scheduling in particular [5] [6].…”

A matheuristic for routing real-world home service transport systems facilitating walking

“…Additionally, a growing number of nurses are without driver's permits or reluctant to drive. Consequently, with HHC demand drastically increasing (Rest et al, 2012), novel sustainable concepts are required. This is further stimulated by stricter environmental regulations and the desire to decrease companies' ecological footprints.…”

Evaluation of trip and car sharing concepts for home health care services

“…Whilst the majority of tasks are nursing services and counselling, demand for short-term care is particularly expected to increase (Dorin et al 2014). As a result, home health care (HHC) providers face increased organisational efforts, whilst being additionally exposed to various risks affecting service quality as well as client and employee satisfaction (Rest et al 2012). An overview of various operations managementrelated decisions of HHC providers is provided in Matta et al (2012).…”