Assisting Patients to Age in Place

Abstract

This article describes how one large not-for-profit home health care agency sought to stimulate a practice change among their nurses to better service the frail, complex patient population in a Long-Term Home Health Care Program (LTHHCP). This LTHHCP designed an innovative initiative that encouraged a combination of coaching techniques, assessment tools, and a range of patient-centered evidence-based practices to provide clinicians with necessary skills and competencies to provide the highest standards of care for their patients. The innovative model, called patient-centered care model (PCCM) was piloted in one service area, and a formal evaluation was integrated into the initiative to allow measurement of desired outcomes. This article describes the long-and short-term goals of PCCM, examine the components of the PCCM model, and discuss how the progress of the initiative is being evaluated and assessed.

Präferenzen von Patienten, pflegenden Angehörigen, Leistungserbringern, Kostenträgern und politischen Entscheidungsträgern bei der integrierten Versorgung in Deutschland: Ein Discrete Choice Experiment

“…Außerdem lassen unsere Ergebnisse an dem Fokus auf Personenzentrierung zweifeln, denn auffällig ist die relativ geringe Bewertung des Attributs „Personenzentrierung“ aller Interessengruppen, mit Ausnahme der Leistungserbringer. Dies ist wichtig angesichts des derzeitigen Stellenwertes und gängiger Empfehlungen in der Literatur, Gesundheitsleistungen in enger Anlehnung an die Patientenbedürfnisse und -präferenzen zu erbringen, was bisher nur selten in Frage gestellt wurde 29 49 50 51 52 . Überraschend ist ferner, dass Patienten der „Kontinuität der Versorgung“ im Vergleich zu den Leistungserbringern und Kostenträgern/politischen Entscheidungsträgern eine relativ geringe Präferenz beimessen.…”

Serving Our Homeless Veterans: Patient Perpetrated Violence as a Barrier to Health Care Access

“…However, concerns of safety or the threat of violence toward health care workers visiting veterans' homes can present significant barriers to access (Barling, Rogers & Kelloway, 2001;Bussing & Hodge, 2004;Campbell, 2016;Campbell, McCoy, Burg & Hoffman, 2013;Hutchings, Lundrigan, Mathews, Lynch & Goosney, 2011;Janocha & Smith, 2010). Reports show frequent incidents of veteran clients engaging in violent attacks against health care workers (Beech & Leather, 2006;Blow, Barry, Copeland, McCormick, Lehmann & Ulman, 1999;Campbell, Burg, & Gammonley, 2015;Hodgson et al, 2008;Silver, Keefer & Rosenfeld, 2011). To highlight this issue, in 2016, the U.S. Government Accountability Office (GAO) released a report detailing the prevalence of violence and aggression against health care workers by patients in the workplace.…”