The aging population and the consequent increase in the incidence of dementias is causing many challenges to health systems, mainly related to infrastructure, low services quality and high costs. One solution is to provide the care at house of the patient, through of home care services. However, it is not a trivial task, since a patient with dementia requires constant care and monitoring from a...

We focus on hybrid solution methods for a large-scale realworld multimodal homecare scheduling (MHS) problem, where the objective is to find an optimal roster for nurses who travel in tours from patient to patient, using different modes of transport. In a first step, we generate a valid initial solution using Constraint Programming (CP). In a second step, we improve the solution using one of th...

To fully quantify the impact of the homecare and hospice industry within the various geographical areas throughout this study, Tripp Umbach established a comprehensive, yet conservative, methodology to estimate the operational impact based on information compiled using uniform and consistent techniques that could be replicated in the future. Using IMPLAN (IMpact analysis for PLANning) data and ...

Rural home nursing care is a neglected area in the research of palliative care offered to older cancer patients. Because access to specialized services is hampered by long distances and fragmented infrastructure, palliative care is often provided through standard home nursing services and delivered by general district nurses. This study aimed to illuminate the lived experience and to interpret ...