Articles tagged with Home Care
A new analysis of care needs in England from 1991 and 2011 reveals an increase in years spent with substantial care needs for older adults. By 2025, an estimated 191000 more people will require medium dependency care, leading to a need for an additional 71000 care home places.
A study found that apathy is present in half of nursing home patients and linked with an increased risk of dying over a 4-month period. Screening and treatment strategies for apathy are necessary to improve quality of life and advanced care planning.
A study by RTI International found that low Medicaid payment rates discourage residential care providers from serving Medicaid beneficiaries, limiting access to community-based care. This results in a reliance on nursing homes, which can be more expensive for taxpayers.
A recent study published in Nursing Outlook found that home care nurses working in better work environments are less likely to miss required care, report burnout, or intend to leave their jobs. The researchers suggest that improving work environments can lead to improved care quality and reduced turnover.
A study by CU Anschutz researchers found serious communication challenges between HHC agencies and physicians following hospital discharge, citing medication list discrepancies, confusion over who wrote patient care orders, and inaccessible hospital records. Improvements in accountability and communication could address these issues an...
Medical expenditures in the US have increased by 47% between 1996-1997 and 2011-2012, mainly due to higher prescription drug use. However, primary care physician visits and home health care costs remained relatively stable.
A standardized discharge planning program called Project ReEngineered Discharge (RED) improves patient experience by providing a clear plan for self-care at home. The study found patients who received the RED intervention were more likely to feel comfortable caring for themselves, with higher satisfaction rates.
A new study found that offering the New York University Caregiver Intervention (NYUCI) program to eligible Minnesota Medicaid enrollees could save $40.4 million over 15 years, with increased net savings of $52.2 million via video teleconferencing.
A RAND Corporation study found that safety-net providers adopting a medical home model improved primary care access but did not decrease specialty care use or Medicare expenditures. The model aims to provide comprehensive, personalized care, which can improve outcomes for chronic conditions like diabetes and asthma.
A recent study found that frail patients are almost twice as likely to die in the year following critical care admission, with nearly 40% dying within one year. Additionally, frail patients were more than twice as likely to need institutional care and become increasingly dependent after discharge from hospital.
A recent study reveals a 400% surge in premature and potentially preventable deaths of Australian nursing home residents over the past decade. Falls and choking were responsible for most unintentional deaths, with a smaller number attributed to clinical care complications or intentional acts such as suicide and assault.
A new study from the University of Pennsylvania School of Nursing suggests that aggressive end-of-life care for advanced lung cancer patients is not associated with better patient outcomes. The research found that high rates of chemotherapy and mechanical ventilation in the final days of life were linked to lower overall ratings of care.
The number of people aged over 65 needing care is projected to reach 2.8 million by 2025, with dementia set to become the biggest growing cause of disability. Effective disease prevention measures and increased investment in health and social care are needed to address this growing burden.
The Trauma Medical Home model provides comprehensive care for injured individuals over 50, addressing physical, psychological, and cognitive recovery. By monitoring patient progress and coordinating with primary care physicians, the model aims to significantly decrease healthcare costs and improve patient outcomes.
The University of Plymouth and a collaboration of Cornish and national partners have been awarded £2.7m European funding to improve the use of e-health in Cornwall and the Isles of Scilly.
A patient-centered medical home model successfully treated 66 patients with HCV, demonstrating that general internists can deliver effective care. The multidisciplinary team approach and enhanced social work services show promise for broader implementation of HCV treatment in primary care settings.
A new study published in JAMA Internal Medicine found that imposing copays on Medicare home health care does not reduce its usage, despite increased out-of-pocket costs for seniors. The researchers analyzed data from over 290,000 seniors and found no significant difference in home care usage between plans with and without copays.
A study found that UK care workers' understanding of their role and job control are significant workplace hazards. Despite this, zero-hours contracts did not significantly influence employee wellbeing, but employees with these contracts had greater levels of engagement in their jobs.
Researchers found that Canadian primary care practices scored an average of 5.36 out of 10 on the Patient Medical Home (PMH) model, with Ontario being the only province to score higher than the national average. Despite efforts to implement the PMH model, provinces showed little variation in achieving key objectives.
A recent study by NYU and the Visiting Nurse Service of New York found that only 18.1% of RN visits and 26.7% of PT visits with LEP patients were language concordant, pointing to a lack of understanding of the language capacity of the US healthcare workforce. This highlights the need for more research on this subject and the implementa...
A study published in Health Affairs found that Partners Pioneer ACO's care management program reduced avoidable hospitalizations and emergency department visits among patients with elevated but modifiable risks. The program achieved a $101 per participant monthly reduction in Medicare spending, a 6% decline.
The LifeCourse model, integrating palliative care principles, positively affects patients' quality of life and medical costs. Allina Health is addressing limited resources by implementing care guides in existing care teams.
The LifeCourse model fulfills the Triple Aim by addressing patients' medical and non-medical needs during late-stage care. Analysis of 900 intervention and usual care patients shows significant improvements in cost reduction and quality of life.
A study found that less than 50% of eligible women in India take up the Janani Suraksha Yojana scheme due to obstacles such as poor care quality and transport challenges. Community health workers, known as ASHAs, were identified as major enabling factors in accessing delivery care.
Emory's Electronic ICU (eICU) Program has reduced length of patient stays, lowered readmissions, and saved millions by expanding access to critical care services. The program credited to standardizing care delivery and offering timely intensivist-led interventions, leading to better patient outcomes.
A study published in the Journal of the American Geriatrics Society found that integrating informal caregivers into discharge planning reduces hospital readmissions by 25% for elderly patients. Proper training and support enable caregivers to manage complex care responsibilities, preventing readmissions.
Research finds that mothers with a history of mental health disorders have decreased perceptions of their infant well-being and readiness for transition home. Enhanced transition services are needed to support this unmet need.
A study by Allina Health researchers reveals that both patients and healthcare providers tend to delay conversations about serious illness. The study's findings emphasize the need for clinicians to discuss patients' social, emotional, and spiritual priorities to provide better end-of-life care.
Oregon's end-of-life care approach is characterized by higher rates of home hospice use and fewer hospitalizations, while Washington lags behind in implementing similar initiatives. The state's POLST Program has been instrumental in honoring patients' wishes and improving symptom management.
Researchers found no decline in primary care availability despite the millions of newly insured individuals. Appointment rates and wait times remained stable or increased slightly in some states, supporting the possibility that primary care capacity was sufficient to absorb the new patients.
A retrospective analysis of 30,112 home-care clients with dementia found that chronic comorbidities significantly increase the risk of hospitalizations and emergency department visits. The study suggests that targeting high-risk individuals may help prioritize healthcare resources.
A tailored preventive oral health intervention significantly improved the cleanliness of teeth and dentures among elderly home care clients. Functional ability and cognitive function were strongly associated with better oral hygiene in this study from the University of Eastern Finland.
Most nursing home residents are inactive, with only one-fifth engaging in outings or excursions. Increasing resident engagement through daily activities is crucial for their thriving in care, according to a Swedish study.
A study of nearly 12,000 records found that community-based palliative care reduced emergency department visits for dying patients by an average of two times per year. Patients receiving palliative care were more likely to live in urban areas and have a partner, leading to significant reductions in ER visits.
A new healthcare model integrating obstetrics, gynecology, pediatrics, and behavioral health has significantly reduced the utilization of emergency services and hospital days for pregnant women and their newborns. The study found annual savings of over $800,000 for pregnant women and $1.6 million for newborns.
Nurse practitioners have surpassed doctors in providing house calls, with over 1.13 million visits in 2013, according to a new study. However, regulations in many states are limiting the profession's growth and increasing demand for in-home care.
The US has shifted from institutional to community-based long-term care, allowing individuals to choose services at home and in the community. Self-directed care programs improve participant well-being and cost containment, according to The Gerontological Society of America's Public Policy & Aging Report.
A national study led by Boston Children's Hospital found that families provide an estimated $36 billion worth of unpaid medical care to 5.6 million children with special health care needs. The study also estimates a loss of $18 billion in household income due to parents taking time off work to care for their children.
A new study by USC researchers finds that US families provide nearly $36 billion in uncompensated medical care to children with special health care needs each year. These caregivers spend an estimated 5.1 hours per week providing care, which can be time-intensive and emotionally stressful.
A new analysis of US health spending reveals that just 20 conditions account for half of all spending, with diabetes, ischemic heart disease, and low back and neck pain being the top three. Total personal health care spending reached $2.4 trillion in 2013, with women aged 85 and older spending the most per person on healthcare.
A new study finds that middle-aged patients with psychosis are incurring significant costs in long-term care facilities and with hospitalization, highlighting the need to address both mental and physical health in younger patients. Chronic psychotic disorders, such as schizophrenia, are associated with high health care costs due to you...
A Cardiff University study found that home-based rehabilitation significantly improves visual function and daily life for people with low vision. Home visits by visual rehabilitation officers led to a greater improvement in visual function compared to standard hospital appointments.
A recent study by University at Buffalo researchers found that nearly 90% of nursing home patients do not take advantage of dental services, even when they are free. The longer a patient stayed at the facility, the more likely they were to use dental services, but only 55% of patients used them during their stay.
Researchers found that palliative care treatment reduced hospital admissions and difficult transitions for older adults with serious illnesses in nursing homes. Palliative care consultations earlier in the illness also improved outcomes.
Researchers assess documentation of advance care planning preferences in Indiana nursing homes, finding that a majority of residents have orders for CPR. The study aims to identify ways to improve practice and ensure time is taken to discuss and record preferences, increasing the likelihood that treatment wishes will be honored.
A randomized controlled trial found that physiotherapy treatment for mild to moderate ankle sprains has little clinical benefit compared to basic self-management. Fewer than half of patients achieved 'excellent recovery' by six months in the physiotherapy group.
Testing for HPV types 16 and 18 in women with minor cervical lesions may help determine which patients should be referred to colposcopy. This approach could lead to more precise patient management and reduced healthcare burden.
Researchers found that post-acute care, specifically nursing home factors, had a significant impact on long-term recovery for hip fracture patients. Higher-level physician staffing and lower occupancy rates were associated with better outcomes.
A new study from Indiana University found that a low-cost workforce model can effectively reduce depression burden in primary care. The ABC Medical Home program, which utilizes trained and scalable care coordinator assistants, resulted in a 50% decrease in depression severity over six months.
A study by Brown University researchers found that hospital readmission history is a strong predictor of future readmissions after controlling for key confounding factors. The analysis showed that patients are going to skilled nursing facilities based on logistics-related preferences rather than the severity of their illness.
A new study highlights the importance of advance care planning in nursing homes, where most residents prefer less aggressive treatment and comfort care over life-extending measures. The study found that formal conversations facilitated by specially trained nurses resulted in changes to care plans about two-thirds of the time.
A study by the Indiana University Center for Aging Research and Regenstrief Institute found that employing nurse practitioners significantly improves transfer process resulting in fewer errors and safer care. The OPTIMISTIC program led to a 21% decrease in hospitalizations.
A home-based palliative care (HBPC) program for individuals with advanced illnesses was associated with significant cost savings and improved quality of care. The study found a mean total cost of care per person reduced by $12,000, fewer hospital admissions, and greater use of hospice during the final three months of life.
Researchers recommend using shorter post-discharge timeframes to accurately measure factors within a hospital's control. A five- to seven-day period is ideal, isolating the impact of hospital care from other drivers of readmissions.
A study published by Nationwide Children's Hospital found that treadmill hand burns are the second most common hand injury after stovetop burns, requiring greater and longer care. Children under 5 years old are most prone to these injuries due to curiosity and lack of understanding about potential dangers.
A University of Missouri study finds that increased IT sophistication in nursing homes leads to improved health care quality measures. The research assessed national trends in IT adoption every year over a three-year period and found a positive impact on quality measures as technology improves resident care.
A study found that integrated team-based care practices were associated with higher rates of quality measures, such as active depression screening and adherence to diabetes care bundles. This approach also led to lower rates of acute care utilization and reduced payments received by the delivery system.
A recent analysis calls for broader support for patients with serious chronic illnesses, moving away from end-of-life focus and expanding medical education. Canada ranks 18th worldwide in palliative care availability and must develop more strategies to promote care to patients with non-cancerous illnesses.
A simple phone checklist can help detect telltale changes in health status of people receiving nonmedical home care, according to a pilot study. Changes in clinical status occur relatively common, with 2% of caregiver shifts and 2% of recipients affected.
A study by Trinity College Dublin found that home births are associated with higher breastfeeding rates due to midwife-led care, skin-to-skin contact, and reduced stress. In contrast, hospital births have been linked to lower breastfeeding rates due to interventions, pain-relieving medications, and formula supplementation.