The Operation of a Hospital Based Specialty Home Health Team: Activities and Associated Costs

Fine, Philip R.; Better, Sybil R.; Engstrand, Janet L.

doi:10.1002/j.2048-7940.2000.tb01867.x

Cited by 2 publications

(6 citation statements)

References 2 publications

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“…Several care programmes regarded persons with SCI and their partners or families. 19,[21][22][23][24][25]27,32,33 Responsible care disciplines Almost half of the follow-up care programmes were performed by nurses. [10][11][12][13][14]16,22,[24][25][26]33 The remaining programmes were performed by several care disciplines.…”

Section: Intervention Characteristicsmentioning

confidence: 99%

“…[16][17][18][19][20][21] (c) Home visits. [22][23][24] (d) Case management, involving the coordination of care within, between, and beyond the acute and rehabilitation programmes, extending care and coordination to the community and managing the reemerging needs of the population over time. 25 (e) Miscellaneous types of follow-up care consisting of several of the following methods: outpatient consulting hours, home visits, peer teaching and support, outings, ongoing support, therapy from several care disciplines, SCI education, providing SCI expertise and support to community health-care providers, coordination of care with community nursing agencies.…”

Section: Intervention Characteristicsmentioning

confidence: 99%

“…Fine 23 The assessment of architectural barriers in the place of residence and the need for equipment, and provision of direct patient care…”

Section: Outpatient Consulting Hoursmentioning

confidence: 99%

“…Designs of evaluation In all, 11 evaluations were preexperimental, 10,12,16,20,[22][23][24][25][30][31][32] three studies were quasi-experimental, 13,17,18 and two studies were experimental in design. 14,28 Number of patients The number of patients included in the evaluation studies varied from 1 to 519 persons with SCI.…”

Section: Evaluation Characteristicsmentioning

confidence: 99%

“…The follow-up care programmes described by Dover, 17 Lapierre, 20 and Dinsdale 28 were performed in collaboration with primary health-care providers. Several followup care programmes 15,21,[23][24][25][26]28,30 paid attention to the coordination of care with community care agencies/ providers, for example, by providing SCI expertise, support and communication of information regarding assessments and treatment plans.Content of the follow-up care programmes The degree in which the content of the follow-up care programmes were described was very diverse. The content of patientcaregiver contacts or education were for instance sometimes elaborated, and sometimes not.…”

mentioning

confidence: 99%

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Follow-up care for persons with spinal cord injury living in the community: a systematic review of interventions and their evaluation

2005

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Study design: Systematic review. Objectives: (1) To describe and compare follow-up care programmes, performed by rehabilitation centres, for persons with spinal cord injury (SCI) and (2) to describe the effects of these programmes regarding the occurrence of secondary impairments, well-being, the quality and costs of care. Methods: A systematic literature search was conducted in MEDLINE (1972MEDLINE ( -2003 and CINAHL (1982CINAHL ( -2003. Publications were selected about medical and/or nursing follow-up care to SCI patients living in the community performed by or with rehabilitation facilities for SCI patients. The aim of the follow-up care should be a decrease of secondary impairments, an improvement of well-being, an improvement of the quality and/or a decrease of the costs of care. Results: The search resulted in 24 papers. The descriptions of the programmes in these papers were sometimes rather scattered, vague or brief. The most important methods were telemedicine (six programmes; of which five were performed in the same rehabilitation centre), outpatient consulting hours (six programmes), home visits (three programmes, and case management (one programme). Eight other programmes combined several methods (ie outpatient consulting hours, home visits, peer teaching and support, outings, ongoing support, therapy from several care disciplines, SCI education, providing SCI expertise and support to community health-care providers, coordination of care with community nursing agencies). In all, 16 programmes have been evaluated to some degree. In general the quality of the studies was low. Most evaluations were pre-experimental in design. Only three were quasi-experimental, and two programmes were experimental in design. Although several studies claimed positive effects, it was not possible to draw conclusions on the effect of follow-up care on the occurrence of secondary impairments, well-being, the quality and costs of care. Conclusion: There is a need for the development, the publication and the well-designed evaluation of follow-up care programmes for persons with SCI. IntroductionSince persons with spinal cord injury (SCI) are confronted with all kinds of short-and long-term problems in functioning after discharge from initial rehabilitation, the need for continuing care for persons with SCI living in the community has been emphasised in several reports. [1][2][3][4][5][6][7][8] Until recently follow-up care provided by the Dutch rehabilitation centres has consisted of periodical outpatient visits to a physiatrist. During these visits a comprehensive assessment of total functioning is performed and, if necessary, interventions or other support is given. After discharge from clinical rehabilitation, daily medical and nursing care for persons with SCI is usually given by primary care professionals. As a result of the low prevalence of persons with SCI, primary health-care professionals only sporadically have persons with SCI in their practice. Consequently, they do not www.nature.com/sc often have much opportuni...

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