Satisfaction with Hospital at Home Care

Leff, Bruce; Burton, Lynda; Mader, Scott L.; Naughton, Bruce J.; Burl, Jeffrey B.; Clark, Rebecca; Greenough, William B.; Guido, Susan; Steinwachs, Donald M.; Burton, John

doi:10.1111/j.1532-5415.2006.00855.x

Cited by 133 publications

(114 citation statements)

References 19 publications

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“…Hastalık sürecinde yaşanan zorluklar hasta birey kadar aileyi de etkilemektedir [2,4,6]. Ailedeki bakım vericiler hastanın yardıma ihtiyacı olan konuların belirlenmesi, semptomların tedavisinin sürdürülmesi, beklenmedik tıbbi sorunların ortaya çıkmasının ve tekrarlı hastane yatışlarının önlenmesi gibi birçok konuda sorumluluk almaktadır [2,[7][8][9][10]. Bakım vericilerinin KOAH'lı hastaların hastalık semptomlarının izleminde, hastaların semptom yönetimini başarmalarında ve sağlık ekibi ile iletişimi sürdürmede olumlu etkilerinin olduğu belirlenmiştir [10].…”

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Care Burden and Quality of Life Among the Caregivers of Patients with COPD

Tel¹,

Demirkol²,

Kara³

et al. 2012

Tur Toraks Der

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Objective: An individual with COPD needs the assistance and support of the caregiver in many areas, such as his daily life, medicines and medical controls. The difficulties undergone during the disease course affect not only patients but also their caregivers. The aim of the research was to determine the care burden and quality of life of caregivers. Materials and Methods:Two hundred and eighteen caregivers of COPD patients who lived within the responsibility area of a district clinic were included in the research. The Informational Form, Burden Interview and WHOQOL BREF were used to collect the data.Results: It was found that the quality of life of caregivers decreased as the care burden increased. The caregivers whowere aged 45<, lived in the extended family, had low economic incomes and experienced difficulty in the care had more burden. It was determined that the psychological domain of the quality of life of caregivers who were aged 45> and literate was lower. The social domain of the quality of life of those who were widowed and had an insufficient economic income was lower. All domains of the quality of life among those who lived in separated families were low. Scores of psychological and social domains of the caregivers of female patients were lower, whereas scores of the social domain of caregivers who had dependent patients, had completed primary education and used aids to daily living were lower. Conclusion:The quality of life of the caregivers decreases while they perform care of the COPD patient.

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Care Burden and Quality of Life Among the Caregivers of Patients with COPD

Tel¹,

Demirkol²,

Kara³

et al. 2012

Tur Toraks Der

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“…destacan varios trabajos de la universidad John Hopkins (8)(9)(10). En España, cabe señalar la revisión realizada desde la óptica de la geriatría en 2015 (11).…”

Section: Algunos Resultadosunclassified

Por qué sigo creyendo en el hospital a domicilio

Romero

2017

Hosp Domic

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Por qué sigo creyendo en el hospital a domicilioFue en los años 80 cuando entré por primera vez en contacto con el Hospital a Domicilio (HAD). Fue por casualidad durante unas prácticas de la especialidad en París. Posteriormente, realicé el trabajo de campo de un estudio de costes de quimioterapia en hospital convencional y con bombas elastoméricas en HAD, y tuve que acompañar a las enfermeras en sus rutas y visitar todo tipo de domicilios y pacientes. Al finalizar el periplo extranjero, me incorporé a la Conselleria de Sanitat de la Comunidad Valenciana (CV). En 1990 ya se habían creado las tres primeras unidades de HAD (UHD) y, quizás por aquella pequeña experiencia extranjera, en 1992 me propusieron trabajar en su desarrollo. Mi destino profesional estuvo ya siempre vinculado al HAD y me ha permitido acompañar con más o menos intensidad su desarrollo en la CV. Hoy, 25 años después me gustaría aportar algunas reflexiones sobre por qué sigo creyendo en el HAD.A nivel internacional, existe cierto consenso sobre la definición de HAD. Pero también es innegable que la interpretación de dicha definición y su implementación varían en los diferentes países. Esto da lugar a múltiples experiencias locales a veces muy dispares entre sí a lo largo de la geografía mundial, experiencias muy condicionadas por los diferentes modelos sanitarios y su forma de financiación, lo que dificulta tanto la comparación y evaluación de estos servicios como las decisiones políticas para su desarrollo. Tradicionalmente, se ha buscado en la comparación con el hospital de agudos la razón de ser del HAD. Y se van acumulando evidencias.

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“…Leff et al found that family members are more satisfied with treatment and care at home than with the hospital. [10] Similarly, Wilson et al found that caregivers in the primary health care feel that hospital at home does not produce a higher burden of care. [5] The relatives in our study were at least just as satisfied as the patients.…”

Section: Methodological Considerationsmentioning

confidence: 99%

“…In the quantitative studies, the questionnaires are either poorly described [4,9] or long and time-consuming (a 40-question survey). [10] Richards et al used an 11-item patient satisfaction questionnaire to compare hospital at home with routine hospital care. [11] However, the validity of that questionnaire was unclear.…”

Section: Introductionmentioning

confidence: 99%

Patient satisfaction and early geriatric follow-up after discharge in older acute medical patients

Gregersen

Haahr

Pedersen

et al. 2016

Clinical Nursing Studies

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Objective: "Early geriatric follow-up after discharge" is a care model designed to create a safe transition from hospital to home by adding a follow-up visit in the patient's home within 24 hours after discharge. Patient satisfaction is of major importance to evaluate health care services. Therefore, the aim of this study was to compare patient satisfaction after early geriatric follow-up with that of usual follow-up after discharge. Materials and methods: The study is a cross-sectorial quantitative questionnaire survey. The target population was 75+ years' medical patients acutely admitted to an emergency department (ED) and enrolled in a quasi-randomized controlled trial. A 14-item satisfaction questionnaire, based on semi-structured interviews, was mailed to all cognitively well-functioning patients in both groups 2-4 weeks after discharge during three defined time periods. The themes of importance were: feeling safe, receiving sufficient information, experiencing good communication between health care professionals, involvement in care decisions, and relatives' involvement. Each question was evaluated by a 5-point Likert scale. The patients, who did not respond within 14 days, were reminded by phone and offered assistance to fill out the questionnaire. Results: In total, 173 out of 272 patients (64%) returned their questionnaire. Baseline characteristics of the groups were similar. More patients in the intervention group (receiving early geriatric follow-up after discharge) were "satisfied with treatment and care after discharge" and were "satisfied with the continuity of care at home" compared to the patients in the control group (receiving usual follow-up). More women were non-responders than men. Conclusions: Older medical patients acutely admitted to hospital were more satisfied with early geriatric follow-up than usual follow-up after discharge.

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Satisfaction with Hospital at Home Care

Abstract: Hospital at Home care was associated with greater satisfaction than acute hospital inpatient care for patients and their family members. These findings support further dissemination of the Hospital at Home care model.

Cited by 133 publications

References 19 publications

Care Burden and Quality of Life Among the Caregivers of Patients with COPD

Care Burden and Quality of Life Among the Caregivers of Patients with COPD

Por qué sigo creyendo en el hospital a domicilio

Patient satisfaction and early geriatric follow-up after discharge in older acute medical patients

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