Impact of Home Care Services on Patient and Economic Outcomes: A Targeted Review

IF 0.8 Q4 NURSING

Home Health Care Management and Practice Pub Date : 2021-08-31 DOI:10.1177/10848223211038305

I. Lizano-Díez, Sonia Amaral-Rohter, Lucía Pérez-Carbonell, S. Aceituno

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引用次数: 4

Abstract

Patient Support Programs (PSPs) reinforce patients’ care provided by health care professionals with the aim to improve adherence and patient empowerment. PSPs may include interventions such as home-based care, individualized medication counseling, support, training, and home delivery of medicines and/or devices. This study described these services and its impact on patient-reported outcomes and health care savings. We conducted an integrative literature review which was limited to publications from the last 10 years (2009-2019) and focused on diseases that require special support and/or parenteral administration. From 7040 total citations, we identified 64 home-based care services performed worldwide. Among the home-based care services, most were provided by nurses (n = 47/64; 73.4%) and addressed to cancer patients (n = 22/64; 34.4%); 23 out of 64 services (35.9%) incorporated telepharmacy. In general, home-based services and PSPs showed a positive impact on patients’ adherence to medication, patient satisfaction, and health-related quality of life. In addition, 14 (21.9%) services reported economic results, most of which showed that home therapy led to substantial cost savings.

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家庭护理服务对患者和经济结果的影响：一项有针对性的综述

患者支持计划（PSP）加强了卫生保健专业人员提供的患者护理，旨在提高依从性和患者赋权。PSP可能包括干预措施，如家庭护理、个性化药物咨询、支持、培训以及药物和/或设备的家庭交付。这项研究描述了这些服务及其对患者报告结果和医疗保健节省的影响。我们进行了一次综合文献综述，仅限于过去10年的出版物年（2009-2019年），重点关注需要特殊支持和/或胃肠外给药的疾病。从7040次引用中，我们确定了全球范围内提供的64项家庭护理服务。在家庭护理服务中，大多数由护士提供（n = 47/64；73.4%），并针对癌症患者（n = 22/64；34.4%）；64项服务中有23项（35.9%）包含远程制药。总的来说，家庭服务和PSP对患者的药物依从性、患者满意度和健康相关的生活质量有积极影响。此外，14家（21.9%）服务机构报告了经济结果，其中大多数表明家庭治疗可以大幅节省成本。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Home Health Care Management and Practice NURSING-

CiteScore

2.30

自引率

18.20%

发文量

期刊介绍： Home Health Care Management & Practice is a comprehensive resource for clinicians, case managers, and administrators providing home and community based health care. Articles address diverse issues, ranging from individual patient care and case management to the human resource management and organizational operations management and administration of organizations and agencies. Regular columns focus on research, legal issues, psychosocial perspectives, accreditation and licensing, compliance, management, and cultural diversity. Specific topics include treatment, care and therapeutic techniques, cultural competence, family caregivers, equipment management, human resources, home health center.