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At least 19 recordsLinked to original sources
PubMed2002

[Elderly diabetics and care insurance system--does the home care service contribute to the home medical treatment?].

To investigate whether home medical care service based on the public care insurance system contributes to the home medical treatment of elderly diabetics, the following aspects were evaluated. 1. Did glycemic control improve? 2. Were the patients pleased with the results obtained? 3. Was a load to the home care of the family reducing? 4. Did dependence on medical treatment decrease? The investigation was carried out targeting 17 patients among elderly diabetic patients of 65 years of age for whom home care service was provided. 1. HbA1c level did not change after the start of the care service. 2. Some degree of patient's satisfaction was obtained. 3. The burden of the family concerning home care decreased. 4. Dependence on medical treatment (repeated visits or hospitalization) decreased. Therefore, it was suggested that the care service contributed to the home medical treatment of elderly diabetic patients. It was raised as a problem what correspondence to the cases those who dislike the home care service, or an authorization application. From now on, it is considered important to introduce a care service in which a dietitian, a nurse, a pharmacist, etc, are involved.

Aged↗
PubMed1987

[Evaluation of home care services in France].

Home care services in France were established thirty years ago. However, no thorough evaluation of their impact has been made focusing on the original objective: enabling those aged persons who desire it to remain in their own home. This evaluation of the services has three dimensions. In the quantitative evaluation, we try to assess the overall effectiveness of these services in relation to the original objective of the policy for the aged. The qualitative dimension is based on an institutional analysis of the social welfare and medical fields. In the economic dimension, we compare the costs of caring for the aged at home and in institutions.

Aged↗
PubMed1998

Oncology Home Care Service.

The Oncology Home Care Service in Basel provides nursing support to let cancer sufferers choose where they receive palliative care. Most of the cost is borne by the patient's health insurance.

Adolescent↗
PubMed1981

Targeting home care services to vulnerable elders: Massachusetts' Home Care Corporations.

This investigation evaluates how successfully the Massachusetts model of home care targets services to vulnerable elders. It compares data from a random sample of home care recipients with a probability sample of non-institutionalized elders in Massachusetts. The data indicate that the Massachusetts statewide system developed under minimum regulation and decentralized management has successfully reached the vulnerable elders, particularly those living alone and the widowed. The demand for home services exists but is neither excessive nor uncontrollable. These findings support the continued use of a social model of home care delivery instead of a more restrictive medical model.

Aged↗
PubMed1998

Can home care services achieve cost savings in long-term care for older people?

OBJECTIVE: To determine whether efficient allocation of home care services can produce net long-term care cost savings. METHODS: Hazard function analysis and nonlinear mathematical programming. RESULTS: Optimal allocation of home care services resulted in a 10% net reduction in overall long-term care costs for the frail older population served by the National Long-Term Care (Channeling) Demonstration, in contrast to the 12% net cost increase produced by the demonstration intervention itself. DISCUSSION: Our findings suggest that the long-sought goal of overall cost-neutrality or even cost-savings through reducing nursing home use sufficiently to more than offset home care costs is technically feasible, but requires tighter targeting of services and a more medically oriented service mix than major home care demonstrations have implemented to date.

Aged↗
PubMed2000

The home care satisfaction measure: a client-centered approach to assessing the satisfaction of frail older adults with home care services.

OBJECTIVES: The Home Care Satisfaction Measure (HCSM) is an easy to administer, psychometrically sound instrument based on consumer-defined notions of satisfaction, including perspectives of ethnic minorities. The HCSM provides an overall home care satisfaction score and subscale scores for 5 common services, all on a 0-100 scale. METHODS: Focus groups with African American, Hispanic, and non-Hispanic White older adults were audiotaped. Tapes were transcribed and analyzed with grounded theory methods. Correlational and common factor analyses were conducted to select items, and the instrument was field tested with 228 frail, low-income, older home care recipients. RESULTS: Test-retest reliabilities ranged from .68 to .88, with high internal consistency reliabilities. Substantial concurrent validity was achieved for subscale and overall HCSM scores. Home care satisfaction was not related to gender, age or race but was negatively associated with physical disability. Significant social desirability effects were found. DISCUSSION: In the increasingly important area of home care, the HCSM is the first measure developed on the basis of the views of older consumers that also meets standard psychometric criteria. The HCSM provides a consumer-based indicator of quality and can be used to examine changes in satisfaction over time and differences among providers or within a single agency.

Aged↗
PubMed1988

The role of home care service in family care of developmentally disabled children: an exploratory study.

Recent concern about the needs of developmentally disabled children living at home has led to increased attention to family support programs. Home care service is one family support option which should be viewed as a basic fundamental support strategy. An exploratory study of a small number of families caring for developmentally disabled children in New York City indicates that publicly-funded home care produces a great number of benefits for this special population.

Adolescent↗