Physical work load, physical capacity and strain among elderly female aides in home-care service

1995 ◽  
Vol 71 (5) ◽  
pp. 444-452 ◽  
Author(s):  
Margareta Torg�n ◽  
Clas-H�kan Nyg�rd ◽  
�sa Kilbom
Keyword(s):  
Home Care ◽  
Care Service ◽  
Work Load ◽  
Physical Capacity ◽  
Home Care Service ◽  
Physical Work ◽  
Physical Work Load ◽  
Elderly Female

scholarly journals First trimester employment, working conditions and preterm birth: a prospective population-based cohort study

2021 ◽  
pp. oemed-2020-107072
Author(s):  
Tanja Vrijkotte ◽  
Teus Brand ◽  
Gouke Bonsel
Keyword(s):  
Preterm Birth ◽  
Working Conditions ◽  
Work Load ◽  
First Trimester ◽  
Physical Work ◽  
Pregnancy Induced Hypertension ◽  
Prolonged Standing ◽  
Physical Work Load ◽  
Increased Risk ◽  
Induced Hypertension

ObjectivesTo explore the association between working conditions during first trimester and total preterm birth (PTB), and subtypes: spontaneous PTB and iatrogenic PTB, additionally to explore the role of hypertension.MethodsPregnant women from the Amsterdam Born Children and their Development study, filled out a questionnaire between January 2003 and March 2004, two weeks after first prenatal screening (singleton liveborn, n=7561). Working conditions were working hours/week, standing/walking hours/week, physical work load and job strain.ResultsProlonged standing/walking during first trimester was associated with an increased risk for total PTB (OR=1.5; 95% CI 1.0–2.3, after adjustments). Other working conditions were not related to total PTB. The separation into spontaneous and iatrogenic PTB revealed that standing/walking was associated with iatrogenic PTB only (OR=2.09; 95% CI 1.00–4.97). The highest risk was found for the combination of a long workweek with high physical work load (OR=3.42; 95% CI 1.04–8.21). Hypertension did not mediate these associations; however, stratified analysis revealed that high physical work load was only related to iatrogenic PTB when pregnancy-induced hypertension was present (OR=6.44; 95% CI 1.21–29.76).ConclusionThis study provides evidence that high physically demanding work is associated with an increased risk for iatrogenic PTB and not with spontaneous PTB. Pregnancy-induced hypertension may play a role: when present, high physical work load leads to a more severe outcome.

Home Care Service

1950 ◽  
Vol 50 (2) ◽  
pp. 49
Author(s):  
Inc. Pathescope Company of America
Keyword(s):  
Home Care ◽  
Care Service ◽  
Home Care Service

Facilitators and Barriers to Accepting Long Term Care at Home: An Analysis of Licensed Home Care Service Agency Websites

2021 ◽  
pp. 108482232199477
Author(s):  
Tracy Chippendale ◽  
Patricia Gentile
Keyword(s):  
Home Care ◽  
Care Service ◽  
Home Care Services ◽  
Home Care Service ◽  
Service Agency ◽  
Term Care ◽  
Age In Place ◽  
Care Services ◽  
Facilitators And Barriers ◽  
Website Content

Most people prefer to age in place. However, there is a growing body of literature to suggest a reluctance to accept supportive services in the home due to concerns about trust, privacy, cost, and fear of being a burden. The purpose of this study was to examine potential facilitators and barriers to accepting home care services in the website content of Licensed Home Care Service Agencies (LHSCA). In this linguistic analysis study, the written content from 88 randomly selected LHCSA websites was examined. We used LIWC2015 and Microsoft® Word software to analyze websites for relevant word categories that reflect older adult identified facilitators and barriers to the acceptance of home care services. Results revealed that the summary score for clout (i.e., confidence and leadership reflected in the writing) was high. Some of the most commonly used word categories were positive emotions, present focused, and affiliation. The word category money was included, but to a lesser degree. However, Burden and related words were highly prevalent in the writing sample. In summary, LHCSA website content contains both facilitators and barriers to the acceptance of home care services. Given the importance of home care services in promoting the ability of older adults to age in place, greater attention may be needed regarding the way services are presented and advertised to consumers.

Estimating physical work-load on ED clinicians and staff using real-time location systems

2021 ◽  
pp. 1-1
Author(s):  
Anoushka Kapoor ◽  
Moein Enayati ◽  
Alisha Chaudhry ◽  
Nasibeh Zanjirani Farahani ◽  
Shivaram P. Arunachalam ◽  
...  
Keyword(s):  
Real Time ◽  
Work Load ◽  
Physical Work ◽  
Physical Work Load ◽  
Location Systems

Contemporary Home Care Service and Family Medicine in Turkey

2013 ◽  
Vol 25 (3) ◽  
pp. 104-109 ◽  
Author(s):  
Haluk Mergen ◽  
Ilhami Unluoglu ◽  
Omur Elcioglu
Keyword(s):  
Family Medicine ◽  
Home Care ◽  
Care Service ◽  
Home Care Service

scholarly journals A Web-Based Communication Platform to Improve Home Care Services in Norway (DigiHelse): Pilot Study (Preprint)

2019 ◽  
Author(s):  
Linn Nathalie Støme ◽  
Tron Moger ◽  
Kristian Kidholm ◽  
Kari J Kværner
Keyword(s):  
Pilot Study ◽  
Home Care ◽  
Rate Ratio ◽  
Care Service ◽  
Behavioral Data ◽  
Home Care Service ◽  
Early Assessment ◽  
Web Based ◽  
Digital Platform ◽  
One Year

BACKGROUND Home care service in Norway is struggling to meet the increasing demand for health care under restricted budget constraints, although one-fourth of municipal budgets are dedicated to health services. The integration of Web-based technology in at-home care is expected to enhance communication and patient involvement, increase efficiency and reduce cost. DigiHelse is a Web-based platform designed to reinforce home care service in Norway and is currently undergoing a development process to meet the predefined needs of the country’s municipalities. Some of the main features of the platform are digital messages between residents and the home care service, highlighting information on planned and completed visits, the opportunity to cancel visits, and notifications for completed visits. OBJECTIVE This study aimed to test the usability and economic feasibility of adopting DigiHelse in four districts in Oslo by applying registry and behavioral data collected throughout a one-year pilot study. Early health technology assessment was used to estimate the potential future value of DigiHelse, including the predictive value of behavior data. METHODS Outcome measures identified by stakeholder insights and scenario drafting in the project’s concept phase were used to assess potential socioeconomic benefits. Aggregated data were collected to assess changes in health consumption at baseline, and then 15 and 52 weeks after DigiHelse was implemented. The present value calculation was updated with data from four intervention groups and one control group. A quasi-experimental difference-in-difference design was applied to estimate the causal effect. Descriptive behavioral data from the digital platform was applied to assess the usability of the platform. RESULTS Over the total study period (52 weeks), rates increased for all outcome estimates: the number of visits (rate ratio=1.04; <italic>P</italic>=.10), unnecessary trips (rate ratio=1.37; <italic>P</italic>=.26), and phone calls (rate ratio=1.24; <italic>P</italic>=.08). A significant gap was found between the estimated value of DigiHelse in the concept phase and after the one-year pilot. In the present pilot assessment, costs are expected to exceed potential savings by €67 million (US $75 million) over ten years, as compared to the corresponding concept estimates of a potential gain of €172.6 million (US $193.6 million). Interestingly, behavioral data from the digital platform revealed that only 3.55% (121/3405) of recipients actively used the platform after one year. CONCLUSIONS Behavioral data provides a valuable source for assessing usability. In this pilot study, the low adoption rate may, at least in part, explain the inability of DigiHelse to perform as expected. This study points to an early assessment of behavioral data as an opportunity to identify inefficiencies and direct digital development. For DigiHelse, insight into why the recipients in Oslo have not made greater use of the Web-based platform seems to be the next step in ensuring the right improvement measures for the home care service.

scholarly journals A Web-Based Communication Platform to Improve Home Care Services in Norway (DigiHelse): Pilot Study

10.2196/14780 ◽  
2020 ◽  
Vol 4 (1) ◽  
pp. e14780
Author(s):  
Linn Nathalie Støme ◽  
Tron Moger ◽  
Kristian Kidholm ◽  
Kari J Kværner
Keyword(s):  
Pilot Study ◽  
Home Care ◽  
Rate Ratio ◽  
Care Service ◽  
Behavioral Data ◽  
Home Care Service ◽  
Early Assessment ◽  
Web Based ◽  
Digital Platform ◽  
One Year

Background Home care service in Norway is struggling to meet the increasing demand for health care under restricted budget constraints, although one-fourth of municipal budgets are dedicated to health services. The integration of Web-based technology in at-home care is expected to enhance communication and patient involvement, increase efficiency and reduce cost. DigiHelse is a Web-based platform designed to reinforce home care service in Norway and is currently undergoing a development process to meet the predefined needs of the country’s municipalities. Some of the main features of the platform are digital messages between residents and the home care service, highlighting information on planned and completed visits, the opportunity to cancel visits, and notifications for completed visits. Objective This study aimed to test the usability and economic feasibility of adopting DigiHelse in four districts in Oslo by applying registry and behavioral data collected throughout a one-year pilot study. Early health technology assessment was used to estimate the potential future value of DigiHelse, including the predictive value of behavior data. Methods Outcome measures identified by stakeholder insights and scenario drafting in the project’s concept phase were used to assess potential socioeconomic benefits. Aggregated data were collected to assess changes in health consumption at baseline, and then 15 and 52 weeks after DigiHelse was implemented. The present value calculation was updated with data from four intervention groups and one control group. A quasi-experimental difference-in-difference design was applied to estimate the causal effect. Descriptive behavioral data from the digital platform was applied to assess the usability of the platform. Results Over the total study period (52 weeks), rates increased for all outcome estimates: the number of visits (rate ratio=1.04; P=.10), unnecessary trips (rate ratio=1.37; P=.26), and phone calls (rate ratio=1.24; P=.08). A significant gap was found between the estimated value of DigiHelse in the concept phase and after the one-year pilot. In the present pilot assessment, costs are expected to exceed potential savings by €67 million (US $75 million) over ten years, as compared to the corresponding concept estimates of a potential gain of €172.6 million (US $193.6 million). Interestingly, behavioral data from the digital platform revealed that only 3.55% (121/3405) of recipients actively used the platform after one year. Conclusions Behavioral data provides a valuable source for assessing usability. In this pilot study, the low adoption rate may, at least in part, explain the inability of DigiHelse to perform as expected. This study points to an early assessment of behavioral data as an opportunity to identify inefficiencies and direct digital development. For DigiHelse, insight into why the recipients in Oslo have not made greater use of the Web-based platform seems to be the next step in ensuring the right improvement measures for the home care service.

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