scholarly journals An emergency department tackles bed management and home-based care

1998 ◽  
Vol 21 (4) ◽  
pp. 127 ◽  
Author(s):  
Stephen Brierley ◽  
David King
Keyword(s):  
Emergency Department ◽  
Rapid Assessment ◽  
Early Discharge ◽  
Vital Role ◽  
District Health ◽  
Home Program ◽  
Bed Management ◽  
Home Based ◽  
New Treatment ◽  
Home Based Care

Ipswich Hospital Emergency Department played a vital role in the Post AcuteTreatment in the Home Program (PATH) of West Moreton District Health Service.PATH used two strategies to reduce the district reliance on acute hospital beds: a short-stayunit for rapid assessment, treatment and early discharge of patients with simpleconditions; and a hospital-in-the-home program utilising community health servicesto treat acute conditions.The program enhanced existing services to create a new treatment stream for acutepatients and to promote a cultural shift from fragmented care to district responsibilityfor total episode of patient care.

scholarly journals Challenges Facing Home-Based Caregivers in the Management of Health Care Risk Waste

2018 ◽  
Vol 15 (12) ◽  
pp. 2700
Author(s):  
Thobile Zikhathile ◽  
Harrison Atagana
Keyword(s):  
Health Care ◽  
Quantitative Methods ◽  
Management Practices ◽  
Early Discharge ◽  
Policy Framework ◽  
Research Approach ◽  
Running Water ◽  
Care Services ◽  
Home Based ◽  
Home Based Care

The quadruple burden of diseases, early discharge from hospital and hospital at home have resulted in home-based care services becoming a requirement in South Africa. These home-based care services generate a significant amount of health care risk waste that is mismanaged. More attention is given to the health care risk waste generated in hospitals and clinics than to health care risk waste generated by home-based caregivers. Therefore, this study investigates the health care risk waste management practices by home-based caregivers. The study adopted a mixed research approach, qualitative and quantitative methods, using a literature review, interviews, and questionnaires as means of data collection. Results show that there are different types of health care risk waste generated as a result of different activities performed by home-based caregivers, but that the waste was found to be managed in an unsafe manner. The majority of households receiving home-based care did not have basic sanitation facilities such as toilets, running water and waste removal services, aggravating the issue of health care risk waste mismanagement. The study recommends a new policy framework that will lead to safe management practices of generated health care risk waste to be adopted by home-based caregivers.

scholarly journals Frustrated Potential, False Promise or Complicated Possibilities? Empowerment and Participation Amongst Female Health Volunteers in South Africa

2009 ◽  
Vol 11 (2) ◽  
pp. 315-336 ◽  
Author(s):  
Catherine Campbell ◽  
Andy Gibbs ◽  
Yugi Nair ◽  
Sbongile Maimane
Keyword(s):  
South Africa ◽  
Social Transformation ◽  
Vital Role ◽  
Three Dimensions ◽  
Longitudinal Case Study ◽  
Home Based ◽  
Women's Participation ◽  
Time Period ◽  
Home Based Care

We present a longitudinal case study of lay women's participation in a project seeking to facilitate home-based care of people dying of AIDS in a rural community in South Africa, drawing on four sets of interviews conducted with volunteers over a five-year period. We link participation in the project to three dimensions of women's agency: their knowledge and skills, their confidence; and their personal experiences of efficacy. We show that whilst the experience of participation enhanced each of these dimensions of volunteers’ agency at various stages of the project, the empowerment that did take place appeared to be limited to women's project-related roles, rather than generalising to other areas of their lives beyond the project. The project had limited impact on women's ability to negotiate condom use with husbands, to assert themselves in relation to male project leaders and to become more involved in wider community decision-making and leadership. We discuss three possible interpretations of our findings: (i) that greater empowerment might have occurred had the project run for a longer time period; (ii) that whilst such projects play a vital role in providing services, the more general ‘empowerment via participation’ agenda is a false promise in highly marginalised communities; or (iii) that whilst generalised positive impacts of such projects on volunteers are hard to track, such projects do open up glimpses of increased agency for many women. These might have positive but unpredictable results in ways that defy formulation in linear conceptualisations of social transformation and development, understood in terms of clearly observable and measurable inputs and outputs.

scholarly journals Challenges Facing Home-Based Caregivers in the Management of Health Care Risk Waste

2018 ◽  
Author(s):  
Thobile Zikhathile ◽  
Harrison Atagana
Keyword(s):  
Health Care ◽  
Quantitative Methods ◽  
Management Practices ◽  
Early Discharge ◽  
Policy Framework ◽  
Research Approach ◽  
Running Water ◽  
Care Services ◽  
Home Based ◽  
Home Based Care

The quadruple burden of diseases, early discharge from hospital and hospital at home have resulted in home-based care services becoming a requirement in South Africa. The home-based care services generate a significant amount of health care risk waste that is mismanaged. However, more attention is given to the health care risk waste generated in hospitals and clinics than to health care risk waste generated by home-based caregivers. Therefore, this study investigates the health care risk waste management practices by home-based caregivers. The study adopted a mixed research approach, qualitative and quantitative methods, using a literature review, interviews, and questionnaires as means of data collection. Results show that there are different types of health care risk waste generated as a result of different activities performed by home-based caregivers, but that the waste was found to be managed in an unsafe manner. The majority of households receiving home-based care did not have basic sanitation facilities such as toilets, running water and waste removal services, aggravating the issue of health care risk waste mismanagement. The study recommends a new policy framework that will lead to safe management practices of generated health care risk waste to be adopted by home-based caregivers.

scholarly journals Creating contexts for effective homebased care of people living with HIV/AIDS

Curationis ◽  
2004 ◽  
Vol 27 (3) ◽  
Author(s):  
C. Campbell ◽  
C. Foulis
Keyword(s):  
Social Capital ◽  
Vital Role ◽  
Sub Saharan Africa ◽  
Future Research ◽  
Systematic Research ◽  
People Living With Hiv ◽  
Care Community ◽  
Home Based ◽  
Starting Point ◽  
Home Based Care

Home-based care (HBC) plays a vital role in the care of people living with AIDS. Most carers perform their arduous role in adverse conditions. Yet little is known about how to facilitate contexts that maximise the effectiveness of carers. This paper reviews existing research into home-based care in sub-Saharan Africa to highlight gaps in understanding and to outline new conceptual frameworks for future research. Current research identifies multi-level factors that undermine carers in performing their role. These include e.g. lack of knowledge, skills and support - both at the individual and organisational levels; physical and psychological burnout; the destruction of household economies in the face of the demands of care; community stigma and rejection. Research and policy documents repeatedly advocate ‘partnerships’ or ‘linkages’ between carers/ patients and more powerful groupings (locally, nationally and/or internationally) as a solution to these problems. Yet they give no indication as how best to mobilise already over-burdened carers and their terminally ill charges. Furthermore, partnerships between poor communities and more influential groupings and agencies are notoriously difficult to promote and sustain. If partnerships are indeed to play such a key role in supporting carers and their patients, there is an urgent need for systematic research into the effectiveness of various partnership styles and strategies. The concepts of bonding, bridging and linking social capital - within a framework sensitive to the interaction between social capital and poverty - are put forward as a valuable starting point for the development of better understandings of the types of networks and partnerships most likely to support carers and their local communities.

Sign in / Sign up

Export Citation Format

Share Document