BACKGROUND The objectives of this study were to determine whether older individuals who participated in a reablement (restorative) program rather than immediately receiving conventional home care services had a reduced need for ongoing support and lower home care costs over the next 57 months (nearly 5 years). MATERIALS AND METHODS Data linkage was used to examine retrospectively the service ...

OBJECTIVE This report presents national estimates of the organizational characteristics of home health and hospice care agencies in 2007. Comparisons of organizational characteristics and provision of selected services are made by agency type. A comparison of selected characteristics between 1996 and 2007 is also provided to highlight changes that have occurred leading to the current compositio...

UNLABELLED Aim The aim of this study was to explore how nurses can support patients who are crying in a palliative home care context. BACKGROUND In palliative care the nurse has a central role in the team whose duty it is to create a sense of security and trust, as well as to give comfort and support the patients. The nurse's responsibility is to identify different needs of the patients for s...

We developed a consultation and teaching concept about leg wounds and their care, for use by patients and caregivers in a home health-care setting. Descriptive data were gathered through a survey distributed to three groups, comprising 21 individuals (18 nurses and 3 health administrators). These participants provided answers regarding group activities, meeting frequency, meeting notes and meet...

BACKGROUND In Central Norway a generic care pathway was developed in collaboration between general hospitals and primary care with the intention of implementing it into everyday practice. The care pathway targeted elderly patients who were in need of home care services after discharge from hospital. The aim of the present study was to investigate the implementation process of the care pathway b...

BACKGROUND Health and social services provided at home are becoming increasingly important. Hence, there is a need for information on home care in Europe. The objective of this literature review was to respond to this need by systematically describing what has been reported on home care in Europe in the scientific literature over the past decade. METHODS A systematic literature search was per...

OBJECTIVES Care coordination and the medical home may ensure access to specialty care. Children with special health care needs (CSHCN) have higher rates of specialty care use and unmet need compared with the general pediatric population. We hypothesized that care coordination, regardless of whether it was provided in a medical home, would decrease unmet specialty care needs among CSHCN and that...

Introduction Home-based child care—regulated family child care and child care provided by family, friends, and neighbors who are legally exempt from regulation—accounts for a significant share of the child care supply in the United States. 1 Researchers estimate that more than 40 percent of all children under age 5 receive care in these settings (Johnson, 2005), although the proportions of chil...

UNLABELLED As the number of children receiving care in out-of-home settings increases in the United States, the risk of injury in such settings has become the subject of intense research. OBJECTIVES This study examined the relative safety of out-of-home care compared with care in a child's own home. METHODS This community based prospective cohort study of 656 families in three adjacent coun...

There is a known high disparity in access to perinatal care services between urban and rural areas in Tanzania. This study analysed repeated cross-sectional (RCS) data from Tanzania to explore the relationship between antenatal care (ANC) visits, facility-based delivery and the reasons for home births in women who had made ANC visits. We used data from RCS Demographic and Health Surveys spannin...