Home Health Care: The Missing Link in Health Delivery System for Indian Elderly Population—A Narrative Review

Singh, Ankit

doi:10.5005/jp-journals-10035-1082

Cited by 7 publications

(6 citation statements)

References 84 publications

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“…Home health care is a new concept for India and India's aging population is pushing the growth of home health care market. 1 It is majorly present in metro cities such as New Delhi, Kolkata, Mumbai, Chennai, Hyderabad, and Bangalore. The home health service providers exist in two forms in India, that is, standalone units and as extended service in hospitals.…”

Section: Introductionmentioning

confidence: 99%

Perceived Risk and Hazards Associated With Home Health Care Among Home Health Nurses of India

Singh

Jha

Purbey

2019

Home Health Care Management & Practice

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The objective of this study is to categorize the home health nursing care activities and hazards applicable to Indian settings, into high, medium, and low priority levels with the help of risk assessment table and risk matrix. The research design is exploratory and the study is cross-sectional, A self-administered questionnaire is prepared for Indian settings based on the literature review; the content validity and the internal consistency were ensured; the mean scores and the frequencies for the activities were calculated. The severity scores for the identified 14 perceived high-risk activities were assigned with the help of the brainstorming session. The hazard of slippery floors and exposure to blood fell into high priority area (denoted by red area) with high severity and high occurrence score, similarly overloaded and unsafe electrical outlets, rushing with clients, time pressure for reaching the client’s home, and contact with chemicals fell into medium priority category (denoted by yellow area). Finally, hazards such as uncontrolled pets and verbal abuse from patients fell into low priority levels. The providers should take measures for hazards such as slippery floors, overloaded and unsafe electrical outlets, rushing with clients, time pressure for reaching the client’s home, exposure to blood, and contact with chemicals, as these hazards fell into high-medium severity rating with high-medium probability.

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Section: Introductionmentioning

confidence: 99%

Perceived Risk and Hazards Associated With Home Health Care Among Home Health Nurses of India

Singh

Jha

Purbey

2019

Home Health Care Management & Practice

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“…The unorganised home care setting constitutes the most significant percentage, where the family hires paid caregivers who are offered on-the-job training by the family or visiting physician (Singh, 2017).…”

Section: How Could the Findings Be Used To Influence Policy Or Practi...mentioning

confidence: 99%

Transitional care for older adults with chronic illness: A qualitative inquiry

Isac,

Lee

2024

Int J Older People Nursing

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BackgroundImproved public health strategies and medical advancements have expanded older adults' survival after acute insults from chronic diseases. The resultant increase in disability and care requirements among older adults is significant. However, transitional care interventions to support the efficient transition from acute care settings to home are primitive in developing countries like India.ObjectiveThis qualitative survey aimed to estimate the transitional care requirements of older adults with chronic illness discharged from acute care facilities.MethodsDescriptive phenomenological approach was utilised for this qualitative study. The older adult‐family caregiver dyads fulfilling the inclusion criteria were interviewed until the achievement of information saturation. The transcribed narratives between the researcher, older adults and their caregivers were thematically analysed. Consolidated Criteria for Reporting Qualitative Research (COREQ) served as the framework for reporting this research.ResultsThirteen older adult‐caregiver dyads participated in the semi‐structured interview, which yielded six themes. Older adults have a hidden self with characteristics ranging between a continuum of ‘insistence’ to ‘giving up’. Caregiver attributes identified from this inquiry were exhaustion, engagement and empowerment. The remaining four themes which constitute the framework for the ‘transitional care progression’ model include ‘complications are mature when identified among older adults’, ‘medication knowledge is proportionate with its compliance’, ‘ignorance of supportive care increases caregiver burden’ and ‘deficient follow‐up practices compromise health’.ConclusionsTransitional care for older adults with chronic illness is premature in developing countries. However, the needs of older adults with chronic disease and their caregivers evolved from the present study align with global perspectives. Themes generated from the current qualitative interview, blended with evidence‐based interventions, yielded the transitional care progression model, which serves as the only available framework for implementing transitional care in the region.Implications for PracticeFuture research to establish the feasibility and validity of the ‘transitional care progression model’ is forecasted. The model requires inclusion within the healthcare curriculum. Professional nurses prepared to implement coordinated transitional care pathways are recommended.

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“…The geriatric syndrome, i.e. cognitive decline, immobility, falls, and incontinence affects most of the elderly population (Singh, 2017). According to Aye et al (2019), common morbidities among older people, irrespective of the development status of the country, include: hypertension, arthritis, diabetes mellitus, stroke, angina, cataract, cardiovascular disease, chronic lung disease, musculoskeletal disorder, ocular problems, urinary problems, and sleeping problems.…”

Section: Introductionmentioning

confidence: 99%

“…The geriatric syndrome, i.e. cognitive decline, immobility, falls, and incontinence affects most of the elderly population (Singh, 2017). According to Aye et al.…”

Section: Introductionmentioning

confidence: 99%

Healthcare provider selection for elderly patients suffering from NCD's: an analysis with the combined approach of DEMATEL and AHP

Singh

Jha²,

Purbey³

et al. 2022

JICA

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PurposeElderly patients suffering from non-communicable disease face a dilemma in the selection of healthcare providers. This study attempts to identify the key variables playing a crucial role and identify the appropriate healthcare destination with the help of a combination of Decision-making Trial and Evaluation Laboratory (DEMATEL) and analytic hierarchy process (AHP) techniques. The primary objective is to introduce the DEMATEL and AHP as efficient decision-making methods to choose the right healthcare provider for elderly patients suffering from non-communicable diseases.Design/methodology/approachAn integrative approach utilizing DEMATEL and AHP is used to reach the ideal solution for healthcare provider selection decisions. The DEMATEL approach is used to segregate the cause and effect variables. Similarly, the AHP is used to identify the weights of the top five cause-inducing variables, and the paired comparison method is used to select the healthcare provider.FindingsThe variables such as dependency on family members, easily accessible services, and patient autonomy play a vital role in the selection decision of healthcare providers in elderly patients suffering from non-communicable diseases.Practical implicationsIn terms of priority, home healthcare should be considered the preferred provider for elderly patients suffering from non-communicable diseases followed by neighbourhood registered medical practitioners and hospitals.Originality/valueThis is the first of its kind study which has attempted to solve the healthcare provider selection decision with the combined approach of DEMATEL and AHP.

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Home Health Care: The Missing Link in Health Delivery System for Indian Elderly Population—A Narrative Review

Cited by 7 publications

References 84 publications

Perceived Risk and Hazards Associated With Home Health Care Among Home Health Nurses of India

Perceived Risk and Hazards Associated With Home Health Care Among Home Health Nurses of India

Transitional care for older adults with chronic illness: A qualitative inquiry

Healthcare provider selection for elderly patients suffering from NCD's: an analysis with the combined approach of DEMATEL and AHP

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