Improving Operations Management Practices in Home Health Care Structures by Using Patients' Activity Projects

Author(s):  
Salma Chahed ◽  
Evren Sahin ◽  
Yves Dallery ◽  
Herve Garcin
2006 ◽  
Vol 39 (3) ◽  
pp. 641-646 ◽  
Author(s):  
Salma Chahed ◽  
Andrea Matta ◽  
Evren Sahin ◽  
Yves Dallery

2020 ◽  
Author(s):  
Thais Silva ◽  
Renata Maciel ◽  
Lourdinha Florencio ◽  
Simone Machado Santos

Abstract Home health services are of great concern, as infectious diseases can be transmitted not only to residents but also to home health care workers. Worldwide, there are few studies related to home health waste management. Before the COVID-19 pandemic, a survey on waste management from home health care services was carried out between October and December 2019. In the survey, all 67 stakeholders (health teams and caregivers/patients) involved in home health care services in the municipality of Caruaru (Brazil) were interviewed. The collected data showed that the home health care and waste management practices identified during field visits would be severely impacted by the pandemic. In this context, a SWOT analysis and TOWS matrix were employed in the analysis of home health care practices; in this work, those practices include care provided by health teams and patient caregivers, encompassing the handling of waste resulting from health care. The results show the need to promote strategies to improve home health care services to preserve the health of professionals and patients in the pandemic and post-pandemic periods. In this context, care related to the transmission of COVID-19 has been ratified, generating additional actions for the proper management of health waste.


2020 ◽  
Author(s):  
Abdulaziz A Alodhayani ◽  
Marwah Mazen Hassounah ◽  
Fatima R Qadri ◽  
Noura A Abouammoh ◽  
Zakiuddin Ahmed ◽  
...  

BACKGROUND There is growing evidence of the need to consider cultural factors in the design and implementation of digital health interventions. However, there is still inadequate knowledge pertaining to what aspects of the Saudi Arabian culture need to be considered in the design and implementation of digital health programs, especially in the context of home health care services for chronically and terminally ill patients. OBJECTIVE This study aims to explore the specific cultural factors relating to patients and their caregivers from the perspective of physicians, nurses, and trainers that have influenced the pilot implementation of Remotely Accessible Healthcare At Home (RAHAH); a connected health program in the Home Health Care Department at King Saud University Medical City, Riyadh, Saudi Arabia. METHODS A qualitative study design was adopted to conduct a focus group discussion (FGD) in July 2019 using a semi-structured interview guide with 3 female and 4 male participants working as nurses, family physicians, and information technologists. Qualitative data obtained were analyzed using a thematic framework analysis. RESULTS Two categories emerged from the FGD that influenced the experiences of digital health program intervention: (1) culture-related factors including language and communication, cultural views on using cameras during consultation, non-adherence to online consultations, and family role and commitment (2) caregiver characteristics in telemedicine that includes their skills and education and electronic literacy. Participants of this study revealed that indirect contact with the patients and their family members may work as a barrier to proper communication through RAHAH. CONCLUSIONS We recommend exploring the use of interpreters in digital health, creating awareness among the local population regarding privacy in digital health, and actively involving the direct family members with the healthcare providers.


2019 ◽  
Vol 7 (4) ◽  
pp. 561-569
Author(s):  
Jo-Ana D Chase ◽  
David Russell ◽  
Meridith Rice ◽  
Carmen Abbott ◽  
Kathryn H Bowles ◽  
...  

Background: Post-acute home health-care (HHC) services provide a unique opportunity to train and support family caregivers of older adults returning home after a hospitalization. To enhance family-focused training and support strategies, we must first understand caregivers’ experiences. Objective: To explore caregivers’ experiences regarding training and support for managing older adults’ physical functioning (PF) needs in the post-acute HHC setting. Method: We conducted a qualitative descriptive study using semi-structured telephone interviews of 20 family caregivers. Interviews were recorded, transcribed, and analyzed using conventional content analysis. Results: We identified the following primary categories: facilitators to learning (eg, past experience, learning methods), barriers to learning (eg, learning on their own, communication, timing/logistics, preferred information and timing of information delivery), and interactions with HHC providers (eg, positive/negative interactions, provider training and knowledge). Conclusion: Caregivers were responsive to learning strategies to manage older adults’ PF needs and, importantly, voiced ideas to improve family-focused training and support. HHC providers can use these findings to tailor training and support of family caregivers in the post-acute HHC setting.


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