Background. Studies indicate problems between different professional groups working with palliative care and the organisation of palliative home care at nursing homes. The purpose of this study is to examine international experiences and cooperative development initiatives regarding the organisation of community palliative care services. Method. The study has been carried out as a literature st...

BACKGROUND Patient safety and adverse events in primary care are receiving increasing attention from policy makers, professional bodies and researchers. Various taxonomic models have been developed to specify the factors that predispose to adverse events in hospital settings. These are assumed to have general applicability across different healthcare settings. However, they have never been appl...

The demand for home health care has skyrocketed in recent years. The aging population and the push for more efficient delivery of hospital services have fueled this growing demand. However, health care financing reforms have constrained the industry's growth. Home health agencies struggle to deliver high-quality services while staying within the financial limitations imposed by reimbursement ch...

BACKGROUND The evolution of the provision of palliative care specialised services is important for planning and evaluation. AIM To examine the development between 2005 and 2012 of three specialised palliative care services across the World Health Organization European Region - home care teams, hospital support teams and inpatient palliative care services. DESIGN AND SETTING Data were extrac...

Comparison of Care and Cost Outcomes for Stroke Patients With and Without Home Care • This study was undertaken to compare care and cost outcomes of stroke patients who received home care with those who did not receive home care at St. Luke's Hospital Medical Center, New York, New York. Twenty-five home care stroke patients were matched by age and sex with 25 comparable stroke patients receivin...

Medicare expenditures attributable to smoking in 1993 were estimated using a multivariate model that related expenditures to smoking history, health status, and the propensity to have had a smoking-related disease, controlling for sociodemographics, economic variables, and other risk factors. Smoking-attributable Medicare expenditures are presented separately for each State and by type of expen...

BACKGROUND There has been considerable downsizing of acute care services in British Columbia over the past 2 decades. In this population-based study we examined changes in the proportion of elderly people who used acute care, long-term care and home care services between 1986-1988 and 1993-1995 to explore whether the downsizing has influenced use. Changes in death rates were also examined. ME...

Spreading and promoting home care supporting patients through the end of their lives is an extremely urgent issue in Japan’s super-aging society, where one in every three people is expected to be elderly in the near future. By 1992, the concept of visiting care, not just the traditional home visits, had emerged, with the patient’s home as the medical care delivery point. Visiting care consists ...