Aim: To test the content validity of a modified Oulu Patient Classification instrument (OPCq), part of the RAFAELA Nursing Intensity and Staffing system in home health care (HHC) in Norway. Background: Due to the grow...Aim: To test the content validity of a modified Oulu Patient Classification instrument (OPCq), part of the RAFAELA Nursing Intensity and Staffing system in home health care (HHC) in Norway. Background: Due to the growing number of patients in HHC, a Patient Classification System (PCS) whereby the systematic registration of patients’ care needs, nursing intensity (NI) and the allocation of nursing staff can occur is needed. The validity and reliability of the OPCq instrument have been tested with good outcomes in hospital settings, but only once in an HHC setting. In this study, the OPCq is tested for the first time in HHC in Norway. Methods: A pilot study with a descriptive design. The data were collected through a questionnaire (n = 44). Both qualitative and quantitative analyses were used. Results: The OPCq fulfills the requirements for validity in HHC, but the manual may need some minor adjustments. Discussion: The OPCq seems to be useful for measuring nursing intensity in HHC. Staff training and guidance, high-quality technological solutions and that all technology works satisfactorily are important when implementing a new PCS. Further research is needed in regard to NI and the optimal allocation of nursing staff in an HHC setting.展开更多
Background: The healthcare system in Jordan is evolving and has to continuously respond to the changing risk profile of the population. The purpose of this study was to examine perception of users and providers of the...Background: The healthcare system in Jordan is evolving and has to continuously respond to the changing risk profile of the population. The purpose of this study was to examine perception of users and providers of the quality of home health care services. Methods: A descriptive design was used to collect data from a convenience sample of 82 users of home health care services. Results: Users had low to fair satisfaction (30.5% - 69.5%) about the quality of care provided, had moderate satisfaction (72.0% to 81.7%) about the information received, and had low to fair satisfaction about education related to goal of treatment and medication (46.4% - 53.3%). Users had high level of agreement (>70%) that health agencies provided interpersonal care. Conclusion: The ability of the frail people to choose from a variety of cost-effective long-term care services is limited.展开更多
At present,home health care(HHC)has been accepted as an effective method for handling the healthcare problems of the elderly.The HHC scheduling and routing problem(HHCSRP)attracts wide concentration from academia and ...At present,home health care(HHC)has been accepted as an effective method for handling the healthcare problems of the elderly.The HHC scheduling and routing problem(HHCSRP)attracts wide concentration from academia and industrial communities.This work proposes an HHCSRP considering several care centers,where a group of customers(i.e.,patients and the elderly)require being assigned to care centers.Then,various kinds of services are provided by caregivers for customers in different regions.By considering the skill matching,customers’appointment time,and caregivers’workload balancing,this article formulates an optimization model with multiple objectives to achieve minimal service cost and minimal delay cost.To handle it,we then introduce a brain storm optimization method with particular multi-objective search mechanisms(MOBSO)via combining with the features of the investigated HHCSRP.Moreover,we perform experiments to test the effectiveness of the designed method.Via comparing the MOBSO with two excellent optimizers,the results confirm that the developed method has significant superiority in addressing the considered HHCSRP.展开更多
This study described Subacute and Complex Care Programs developed by the Syracuse hospitals to reduce the expenses of extended hospital stays. They focused on the movement of patients for services such as dialysis and...This study described Subacute and Complex Care Programs developed by the Syracuse hospitals to reduce the expenses of extended hospital stays. They focused on the movement of patients for services such as dialysis and complex care. These programs involved costs of approximately $7100 to $10,600 per patient compared with $12,600 to $25,000 per patient for extended stays in hospitals. The study also suggested that substantial savings were generated in the service area of the Syracuse hospitals by reducing inpatient adult medicine and adult surgery hospital rates. The annual savings for these services were substantial, $4,600,000 for 2017 when compared with 2011.展开更多
Introduction: Home delivery is still a health problem in Kolda (Senegal). The aim of this work is to study the factors associated with the place of delivery in a situation of free care delivery. Method: A descriptive ...Introduction: Home delivery is still a health problem in Kolda (Senegal). The aim of this work is to study the factors associated with the place of delivery in a situation of free care delivery. Method: A descriptive and analytical cross-sectional study was carried out. Sampling was in two-stage clusters. The study focused on women who gave birth in the last 12months. The data were collected during an individual interview at home. The collection focused on knowledge, attitudes and practices about delivery. Logistic regression was used to explore the determinants of childbirth at the level of health facility. Results: The average age was 25.4 ± 6.5 years. Among the interviewed women, education was reported in 35% of the women and 55% of women estimate that the closest health facility is within 5 km to their home. The time to get to the nearest health facility is less than 15 minutes for 39% of the interviewed women. The prevalence of home delivery was 43.5%. Home delivery was related to the remoteness of the health facility (2.43 [1.75 - 3.37]) but also to incomplete antenatal care (2.52 [1.59 - 4.00]). Support groups highlighted difficulties of access to health facilities because of remoteness. Interviews revealed a lack of involvement of husbands in seeking care for women. Cultural barriers are still there. Conclusions: Despite the gratuity of delivery, the remoteness of health structures and socio-cultural factors are still barriers to access to care for pregnant women. These aspects must be taken into account in health policies. Multi-lateral interventions should be implemented to provide solutions for this health problem.展开更多
文摘Aim: To test the content validity of a modified Oulu Patient Classification instrument (OPCq), part of the RAFAELA Nursing Intensity and Staffing system in home health care (HHC) in Norway. Background: Due to the growing number of patients in HHC, a Patient Classification System (PCS) whereby the systematic registration of patients’ care needs, nursing intensity (NI) and the allocation of nursing staff can occur is needed. The validity and reliability of the OPCq instrument have been tested with good outcomes in hospital settings, but only once in an HHC setting. In this study, the OPCq is tested for the first time in HHC in Norway. Methods: A pilot study with a descriptive design. The data were collected through a questionnaire (n = 44). Both qualitative and quantitative analyses were used. Results: The OPCq fulfills the requirements for validity in HHC, but the manual may need some minor adjustments. Discussion: The OPCq seems to be useful for measuring nursing intensity in HHC. Staff training and guidance, high-quality technological solutions and that all technology works satisfactorily are important when implementing a new PCS. Further research is needed in regard to NI and the optimal allocation of nursing staff in an HHC setting.
文摘Background: The healthcare system in Jordan is evolving and has to continuously respond to the changing risk profile of the population. The purpose of this study was to examine perception of users and providers of the quality of home health care services. Methods: A descriptive design was used to collect data from a convenience sample of 82 users of home health care services. Results: Users had low to fair satisfaction (30.5% - 69.5%) about the quality of care provided, had moderate satisfaction (72.0% to 81.7%) about the information received, and had low to fair satisfaction about education related to goal of treatment and medication (46.4% - 53.3%). Users had high level of agreement (>70%) that health agencies provided interpersonal care. Conclusion: The ability of the frail people to choose from a variety of cost-effective long-term care services is limited.
基金supported in part by the National Natural Science Foundation of China(Nos.62173356 and 61703320)the Science and Technology Development Fund(FDCT),Macao SAR(No.0019/2021/A)+3 种基金Shandong Province Outstanding Youth Innovation Team Project of Colleges and Universities(No.2020RWG011)Natural Science Foundation of Shandong Province(No.ZR202111110025)China Postdoctoral Science Foundation Funded Project(No.2019T120569)the Zhuhai Industry-University-Research Project with Hongkong and Macao(No.ZH22017002210014PWC).
文摘At present,home health care(HHC)has been accepted as an effective method for handling the healthcare problems of the elderly.The HHC scheduling and routing problem(HHCSRP)attracts wide concentration from academia and industrial communities.This work proposes an HHCSRP considering several care centers,where a group of customers(i.e.,patients and the elderly)require being assigned to care centers.Then,various kinds of services are provided by caregivers for customers in different regions.By considering the skill matching,customers’appointment time,and caregivers’workload balancing,this article formulates an optimization model with multiple objectives to achieve minimal service cost and minimal delay cost.To handle it,we then introduce a brain storm optimization method with particular multi-objective search mechanisms(MOBSO)via combining with the features of the investigated HHCSRP.Moreover,we perform experiments to test the effectiveness of the designed method.Via comparing the MOBSO with two excellent optimizers,the results confirm that the developed method has significant superiority in addressing the considered HHCSRP.
文摘This study described Subacute and Complex Care Programs developed by the Syracuse hospitals to reduce the expenses of extended hospital stays. They focused on the movement of patients for services such as dialysis and complex care. These programs involved costs of approximately $7100 to $10,600 per patient compared with $12,600 to $25,000 per patient for extended stays in hospitals. The study also suggested that substantial savings were generated in the service area of the Syracuse hospitals by reducing inpatient adult medicine and adult surgery hospital rates. The annual savings for these services were substantial, $4,600,000 for 2017 when compared with 2011.
文摘Introduction: Home delivery is still a health problem in Kolda (Senegal). The aim of this work is to study the factors associated with the place of delivery in a situation of free care delivery. Method: A descriptive and analytical cross-sectional study was carried out. Sampling was in two-stage clusters. The study focused on women who gave birth in the last 12months. The data were collected during an individual interview at home. The collection focused on knowledge, attitudes and practices about delivery. Logistic regression was used to explore the determinants of childbirth at the level of health facility. Results: The average age was 25.4 ± 6.5 years. Among the interviewed women, education was reported in 35% of the women and 55% of women estimate that the closest health facility is within 5 km to their home. The time to get to the nearest health facility is less than 15 minutes for 39% of the interviewed women. The prevalence of home delivery was 43.5%. Home delivery was related to the remoteness of the health facility (2.43 [1.75 - 3.37]) but also to incomplete antenatal care (2.52 [1.59 - 4.00]). Support groups highlighted difficulties of access to health facilities because of remoteness. Interviews revealed a lack of involvement of husbands in seeking care for women. Cultural barriers are still there. Conclusions: Despite the gratuity of delivery, the remoteness of health structures and socio-cultural factors are still barriers to access to care for pregnant women. These aspects must be taken into account in health policies. Multi-lateral interventions should be implemented to provide solutions for this health problem.
