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
Objectives:Intensive health services'utilization is common in older individuals affected by chronic diseases.This study assessed whether a structured family nurse-led educational intervention would be effective in...Objectives:Intensive health services'utilization is common in older individuals affected by chronic diseases.This study assessed whether a structured family nurse-led educational intervention would be effective in reducing health services'use(readmissions and/or emergency service access)among older people affected by chronic conditions.Methods:This is a non-randomized before-after pilot study.A sample of 78 patients was recruited from two general practices in Italy and 70 among them were followed for 8 months.Standard home care was provided during the first four months'period(months 1-4),followed by the educational intervention until the end of the study(months 5-8).The intervention,based on the teach-back method,consisted of by-weekly 60-min home sessions targeting aspects of the disease and its treatment,potential complications,medication adherence,and health behaviours.Rates of health services'use were collected immediately before(T0),and after the interventions(T1).Differences in utilization rates were examined by the McNemar's test.Potential factors associated with the risk of health services'use were explored with a Cox proportional hazard regression model.Results:The sample(n=78)was predominantly female(n=50,64.1%),and had a mean age of 76.2(SD=4.8)years.Diabetes mellitus was the most frequent disease(n=27,34.6%).McNemar's test indicated a significant reduction in health services'use at T1(McNemar χ^(2)==28.03,P<0.001).Cox regressions indicated that time and patient education,as well as their interaction,were the only variables positively associated with the probability of health services'use.Conclusion:A teach-back intervention led by a family nurse practitioner has the potential to reduce health services'use in older patients with chronic diseases.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
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.
文摘Objectives:Intensive health services'utilization is common in older individuals affected by chronic diseases.This study assessed whether a structured family nurse-led educational intervention would be effective in reducing health services'use(readmissions and/or emergency service access)among older people affected by chronic conditions.Methods:This is a non-randomized before-after pilot study.A sample of 78 patients was recruited from two general practices in Italy and 70 among them were followed for 8 months.Standard home care was provided during the first four months'period(months 1-4),followed by the educational intervention until the end of the study(months 5-8).The intervention,based on the teach-back method,consisted of by-weekly 60-min home sessions targeting aspects of the disease and its treatment,potential complications,medication adherence,and health behaviours.Rates of health services'use were collected immediately before(T0),and after the interventions(T1).Differences in utilization rates were examined by the McNemar's test.Potential factors associated with the risk of health services'use were explored with a Cox proportional hazard regression model.Results:The sample(n=78)was predominantly female(n=50,64.1%),and had a mean age of 76.2(SD=4.8)years.Diabetes mellitus was the most frequent disease(n=27,34.6%).McNemar's test indicated a significant reduction in health services'use at T1(McNemar χ^(2)==28.03,P<0.001).Cox regressions indicated that time and patient education,as well as their interaction,were the only variables positively associated with the probability of health services'use.Conclusion:A teach-back intervention led by a family nurse practitioner has the potential to reduce health services'use in older patients with chronic diseases.
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.
