Relevant bibliographies by topics / Home care quality

Contents

  1. Journal articles
  2. Dissertations / Theses
  3. Books
  4. Book chapters
  5. Conference papers
  6. Reports

Academic literature on the topic 'Home care quality'

Author: Grafiati
Published: 19 February 2023

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Journal articles on the topic "Home care quality"

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Williams, Ruth. "Quality care at home." Cancer Nursing Practice 11, no. 1 (February 9, 2012): 37. http://dx.doi.org/10.7748/cnp.11.1.37.s10.

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Eustis, N. N., R. A. Kane, and L. R. Fischer. "Home Care Quality and the Home Care Worker: Beyond Quality Assurance as Usual." Gerontologist 33, no. 1 (February 1, 1993): 64–73. http://dx.doi.org/10.1093/geront/33.1.64.

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Kleinman, Leona. "Quality in Nursing Home Care." Journal of Gerontological Nursing 20, no. 3 (March 1, 1994): 5. http://dx.doi.org/10.3928/0098-9134-19940301-03.

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Cohen-Mansfield, Jiska, Barbara Jensen, Barbara Resnick, and Margaret Norris. "Quality of Nursing Home Care." Journal of Nursing Care Quality 27, no. 1 (2012): 70–76. http://dx.doi.org/10.1097/ncq.0b013e31822f2e81.

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Terry, Margaret, and Molly Smith. "Quality Measures in Home Care." Home Healthcare Now 33, no. 7 (2015): 401–2. http://dx.doi.org/10.1097/nhh.0000000000000267.

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Hankwitz, Paul E. "Quality Assurance in Home Care." Clinics in Geriatric Medicine 7, no. 4 (November 1991): 847–64. http://dx.doi.org/10.1016/s0749-0690(18)30524-x.

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Winston, Elaine R., Alexander Pelaez, and B. Dawn Medlin. "Will Quality Measures Debunk Quality Care in the Nursing Home Industry?" International Journal of Public and Private Perspectives on Healthcare, Culture, and the Environment 5, no. 1 (January 2021): 18–28. http://dx.doi.org/10.4018/ijppphce.2021010102.

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This research analyzes publicly available information on the quality of services delivered by healthcare organizations. The accessibility and transparency of healthcare data is exponentially growing. Due to the complexity of different provider groups in healthcare, the focus is on the nursing home industry. A key objective of this research is to explore any association among the government-defined quality ratings, cost-effectiveness, and quality care provided by a nursing home. Quality and performance metrics for all nursing homes that receive reimbursements from CMS is in the public domain. The CMS purports that nursing homes with high overall star ratings provide excellent healthcare to their residents. A surprising result from this study found high-quality-rated nursing homes with more nurse hours per resident provided lower quality care than nursing homes, which had lower nursing hours per resident. The research also suggests that healthcare organizations, such as nursing homes, acquire business analytics (BA) capabilities for specific government metrics.
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Nikmat, Azlina Wati, Graeme Hawthorne, and S. Hassan Al-Mashoor. "Quality of life in dementia patients: nursing home versus home care." International Psychogeriatrics 23, no. 10 (June 24, 2011): 1692–700. http://dx.doi.org/10.1017/s1041610211001050.

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ABSTRACTBackground: Care management providing a high quality of life (QoL) is a crucial issue in dealing with increasing numbers of dementia patients. Although the transition from informal (home-based) care to formal (institutional) care is often a function of dementia stage, for those with early dementia there is currently no definitive evidence showing that informal or formal care provides a higher QoL, particularly where informal care is favored for local cultural reasons. This paper outlines the research protocol for a study comparing formal and informal care in Malaysia. It seeks to provide evidence regarding which is more appropriate and results in higher QoL in early dementia.Methods: This is a quasi-experimental study design involving 224 early dementia patients from both nursing home and community settings. Participants will be assessed for cognitive severity, QoL, needs, activities of daily living, depression and social isolation/connectedness by using the Mini-Mental State Examination (MMSE), Cognitive Impairment Scale – 4 items (CIS-4), EUROPE Health Interview Survey-Quality of Life (WHO8), Assessment of Quality of Life (AQoL8), Camberwell Assessment of Need for the Elderly – Short Version (CANE-S), Barthel Index (BI), Cornell Scale for Depression (CSDD), Geriatric Depression Scale – 15 items (GDS-15), and Friendship Scale (FS) respectively.Conclusion: This study aims to provide a better understanding of care needs in early dementia. Given population aging, the study findings will provide evidence assisting decision-making for policies aimed at reducing the burden of caregiving and preserving the QoL of dementia patients.
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Grøndahl, Vigdis Abrahamsen, and Liv Berit Fagerli. "Nursing home care quality: a cluster analysis." International Journal of Health Care Quality Assurance 30, no. 1 (February 13, 2017): 25–36. http://dx.doi.org/10.1108/ijhcqa-12-2015-0145.

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Purpose The purpose of this paper is to explore potential differences in how nursing home residents rate care quality and to explore cluster characteristics. Design/methodology/approach A cross-sectional design was used, with one questionnaire including questions from quality from patients’ perspective and Big Five personality traits, together with questions related to socio-demographic aspects and health condition. Residents (n=103) from four Norwegian nursing homes participated (74.1 per cent response rate). Hierarchical cluster analysis identified clusters with respect to care quality perceptions. χ2 tests and one-way between-groups ANOVA were performed to characterise the clusters (p<0.05). Findings Two clusters were identified; Cluster 1 residents (28.2 per cent) had the best care quality perceptions and Cluster 2 (67.0 per cent) had the worst perceptions. The clusters were statistically significant and characterised by personal-related conditions: gender, psychological well-being, preferences, admission, satisfaction with staying in the nursing home, emotional stability and agreeableness, and by external objective care conditions: healthcare personnel and registered nurses. Research limitations/implications Residents assessed as having no cognitive impairments were included, thus excluding the largest group. By choosing questionnaire design and structured interviews, the number able to participate may increase. Practical implications Findings may provide healthcare personnel and managers with increased knowledge on which to develop strategies to improve specific care quality perceptions. Originality/value Cluster analysis can be an effective tool for differentiating between nursing homes residents’ care quality perceptions.
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Row, Constance. "Quality Measures For Home-Based Care." Health Affairs 34, no. 4 (April 2015): 716. http://dx.doi.org/10.1377/hlthaff.2015.0206.

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Dissertations / Theses on the topic "Home care quality"

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Cronsioe, Carl. "Optimization of Quality in Home Care." Thesis, KTH, Optimeringslära och systemteori, 2017. http://urn.kb.se/resolve?urn=urn:nbn:se:kth:diva-209671.

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As the older population grows larger there is a growing need to provide health care at home. This services are generally done without operational research. As more people will require home care there will be a need to increase the efficiency of the service while keeping the quality high. The purpose of this thesis is to investigate how we can use operation research in home care as well as define how we can model the quality and use those quality parameters in order to offer the best possible service. The model uses VRP with Time windows in order to schedule the routes and incorporates service requirements at the customers. A solution is obtained by first constructing an initial solution that fulfills the duration constraint. Then it uses a local search with a dynamic insertion heuristic to improve on the solution. Tabu search is used as a meta-heuristic to prevent the solution the get stuck in a local minima. The solver is used in order to optimize the quality parameters. The result obtained can be used to help home care providers to determine the level of quality they can supply with a limited budget
När den äldre befolkningen blir större växer behovet av att tillhandahålla vård i hemmet. Denna tjänst använder i allmänhet inte systemteori. Eftersom fler människor kommer att behöva hemtjänst kommer det att finnas behov av att öka effektiviteten samtidigt som kvaliteten hålls hög. Syftet med denna avhandling är att undersöka hur vi kan använda systemteori och optimering inom hemtjänst samt definiera hur vi kan modellera kvaliteten och använda dessa kvalitetsparametrar för att erbjuda bästa möjliga service. Modellen använder VRP med Time windows för att schemalägga rutterna och inkorporerar servicebehov hos kunderna. En lösning erhålles genom att först bygga en initial lösning. Sedan använder den en lokal sökning med en dynamisk heuristisk för att förbättra lösningen. Tabu search används som en meta-heuristik för att förhindra att lösningen fastnar i lokala minima. Algoritmen används för att optimera kvalitetsparametrarna. Resultatet kan användas för att hjälpa leverantörer av hemtjänst att bestämma vilken kvalitetsnivå de kan leverera med en begränsad budget
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Williams, Cynthia. "Home Care Quality Effects of Remote Monitoring." Doctoral diss., University of Central Florida, 2014. http://digital.library.ucf.edu/cdm/ref/collection/ETD/id/6383.

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Despite concerted efforts to decrease costs and increase public health, the embattled U.S. health care system continues to struggle to alleviate these widespread issues. Because the problem of hospital utilizations among patients with heart failure is posited to increase as the population ages, innovative methodologies need to be explored to mitigate adverse events. Remote monitoring harnesses the strength of advanced information and communication technology to affect positive changes in health care quality and cost. By reaching across geographical boundaries, remote monitoring may support increased access to less costly services and improve the quality of home health care. The purpose of the study was to examine the home care quality effects of remote monitoring technology in patients with heart failure and to provide an economic justification for its adoption and diffusion. It compared remote monitoring as a potential intervention strategy to a standard no-intervention group (without remote monitoring). Specifically, it analyzed remote monitoring as a viable strategy to decrease hospital readmissions and emergency department visits. It also compared the cost of remote monitoring against the current standard-of-care. The theoretical framework of Donabedian's Quality Model was used in the evaluation of remote monitoring. A retrospective posttest only, case control study design was used to test the degree which remote monitoring was effective in promoting health care quality (hospital readmissions and decreased emergency department visits). Retrospective chart reviews were performed using electronic medical records (EMR). Analysis of Variance, Path Analysis, Automatic Interaction Detector Analysis (Dtreg), and Cost Outcomes Ratio were used to test the hypotheses and validate the proposed theoretical model. No significant difference was noted in remote monitoring and usual care groups. Results suggested that remote monitoring does not statistically lead to a decrease in heart failure-related hospital readmissions and all-cause emergency department visits. Results of the cost ratio analysis suggested that there was no statistically significant difference in the net income between usual care and remote monitoring; however, data suggest that there were significant increases in cost and intensity of nursing utilization for the remote monitoring intervention. The Automatic Interaction Detector Analysis showed that the unfavorable results in hospital readmissions were due to a decrease in collaborative care and patient education prior to the recommendation for hospitalization. The role of nursing care, whether in hospital or community-based care, in heart failure management is critical to quality outcomes. As the field continues to consider the use of technology in health care, decision makers should think through the process of patient care such that preventable hospital readmissions are decreased and patients received quality care.
Ph.D.
Doctorate
Health and Public Affairs
Public Affairs; Health Services Management and Research Track
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Mee, Jenny. "Australian home care quality : a political tango." Thesis, Federation University Australia, 2020. http://researchonline.federation.edu.au/vital/access/HandleResolver/1959.17/179509.

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The performance of Australian home care and how it is enacted has been significantly impacted by the economic and political challenges since the announcement of the Aged Care Reforms in July 2012 and the launch of the National Disability Insurance Scheme in July 2013. As a result, the home care business arena has changed, and the effects are being felt as the marketplace shifts, and businesses adapt to new policy directions. The purpose of this research study was to investigate the social context of Australian home care, and to collect information regarding how home care (under the various auspices of government funded and privately funded) service provision is enacted in terms of quality during this time of change. The qualitative research process for this study involved critical reflexive practice and face-to-face semi-structured interviews of 10 home care business leaders from the states of Queensland and Victoria. In listening to the voices of the participants, this research study sought to develop new discursive approaches in order to understand the practice of caring for the Australian community’s most vulnerable people – those who are frail, aged, and for those who have ill-health or a disability. The analytical framework adopted for this study used a post-structural discourse analysis, which was informed by the work of French philosopher Michel Foucault and other contemporary theorists. The philosophical framework of governmentality and discourse analysis helped to situate the voice of the participants at a time when new ideas and the ways of conducting the business of home care are emerging. In using this approach to analyse the data, it became apparent that the discursive practices that had been instituted by government in the home care sector had been constructed to remove progressive inclusionary policies that were contrary to the democratic principles of governing. The research study’s findings reveal the problematic changes that impact on business but more so for consumers as the rules are interpreted. By using the metaphor of ice dancing, the study problematized the leadership of government and the challenges participants faced in maintaining quality service provision in the home care arena. What emerged was the dance of a political tango. These leaders in the arena revealed the importance of knowing when to lead and when to push back. Like the different genres of tango, there are different ways of viewing the world of home care and performing in its different spaces, and there are other ways of viewing quality in caring service provisions. By participating in the research, the participants highlighted the need of being inclusive to hearing and seeing all performers in the arena of home care regardless of social or geographical positioning. This research concludes that hearing and acting on the voices from the wider home care arena continues to be necessary in order to inform future policy direction for quality performance improvements for Australia’s consumers of home care and to move away from home care traditions of governing and ruling. The research additionally advocates for more inclusive governing approaches through more even distribution of power in consultative processes, research, oversight in the marketplace and access to resources for all groups. This thesis is a contribution to creating a new political dance in the space of Australia’s home care politics.
Doctor of Philosophy
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Scharpf, Tanya Pollack M. S. "Functional Status and Quality in Home Health Care." Case Western Reserve University School of Graduate Studies / OhioLINK, 2005. http://rave.ohiolink.edu/etdc/view?acc_num=case1112905040.

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Lee, Hyang Yuol. "Quality of care: Impact of nursing home characteristics." Diss., Search in ProQuest Dissertations & Theses. UC Only, 2009. http://gateway.proquest.com/openurl?url_ver=Z39.88-2004&rft_val_fmt=info:ofi/fmt:kev:mtx:dissertation&res_dat=xri:pqdiss&rft_dat=xri:pqdiss:3352465.

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Thesis (Ph.D.)--University of California, San Francisco, 2009.
Source: Dissertation Abstracts International, Volume: 70-04, Section: B, page: 2206. Advisers: Mary A. Blegen; Charlene A. Harrington. Includes supplementary digital materials.
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Bostick, Jane E. "The relationship of nursing personnel and nursing home care quality." MU has:, 2002. http://wwwlib.umi.com/cr/mo/fullcit?3052150.

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Mathews, Michelle C. "Measuring the quality of informal home-based care programs." Diss., Columbia, Mo. : University of Missouri-Columbia, 2006. http://hdl.handle.net/10355/5882.

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Thesis (Ph. D.)--University of Missouri-Columbia, 2006.
The entire dissertation/thesis text is included in the research.pdf file; the official abstract appears in the short.pdf file (which also appears in the research.pdf); a non-technical general description, or public abstract, appears in the public.pdf file. Title from title screen of research.pdf file viewed on (March 2, 2006) Vita. Includes bibliographical references.
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Nakrem, Sigrid. "Measuring quality of care in nursing home - what matters?" Doctoral thesis, Norges teknisk-naturvitenskapelige universitet, Institutt for samfunnsmedisin, 2011. http://urn.kb.se/resolve?urn=urn:nbn:no:ntnu:diva-14729.

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Residential care in nursing homes continues to be necessary for those individuals who are no longer able to live safely and comfortably at home. The demographic change with increasing number of persons over 65 years in the next 20 years also means that the percentage of those who will require care in a nursing home some time before the end of their lives will increase. Therefore, anticipating this pressure to expand nursing home availability, it is critical that these services are developed from a profound understanding of what creates the best value. Nursing homes in developed countries have evolved over the past half-century from being places of mainly custodial care to facilities responsible for the management of an ever increasing range of complex nursing and medical conditions. Nursing home residents are frail older adults with complex needs, dependent on advanced nursing care.  Determining what aspect of nursing homes should and can be measured is the current work of many national health care systems. However, uncovering what the nursing home residents perceive as the most important aspects of quality and how they experience living in a nursing home is necessary to develop effective person-centred care.  The overall aim of the present thesis was to contribute to a deeper understanding of quality of care in nursing homes, integrating the professionals’, residents’ and family’s perspectives. The research design is a qualitative approach to explore the concept quality of care and its domains. The thesis comprises a review of internationally used nursing sensitive quality indicators for nursing homes. The indicators are evaluated for their validity as described in the literature. The thesis further describes the residents’ experiences with the interpersonal factors of nursing care quality, as well as the residents’ experiences of living in a nursing home. The thesis also explores the understanding and belief about nursing home quality held by family members of residents. The thesis is based on in-depth interviews of residents in four different nursing homes, and focus group interviews of family members of residents in two different nursing homes. The findings are that quality of care in long-term care in nursing homes encompasses at least four domains: quality of the living conditions, quality of the nursing staff, quality of direct nursing care, and quality of the social environment. Moreover, care quality is influenced by a range of external factors such as the national policy, laws and regulations, management of the organization and the physical building. The local community provides a context in which the nursing home is more or less integrated into. The review of internationally used quality indicators indicate that some factors of care processes and health outcomes for nursing home residents could be measured and give valid and reliable evaluation of the nursing home care quality. In the explorative qualitative study, residents and family placed more emphasis on physical and psychological well-being, interpersonal relationships and the social environment if quality of care is to result. Objective indicators of essential areas of resident-experienced quality need to be developed. This should be done in collaboration with the residents and their next-of-kin, in addition to professional expertise. Methodological and practical implications of the results are discussed.
Sykehjem er en helsetjeneste som vil være nødvendig for eldre som ikke føler seg trygge eller kan få tilstrekkelig behandling, pleie og omsorg i eget hjem. Antall eldre over 65 år er økende i Norge, noe som innebærer et økt press på sykehjem i framtiden. Det er derfor av stor betydning at sykehjemstjenesten utvikles med tanke på å skape best mulig nytteverdi ut fra behov. Sykehjemmene har utviklet seg de siste 50 årene fra hovedsakelig et botilbud til helseinstitusjoner som gir avansert helsehjelp. Sykehjemsbeboere er skrøpelige eldre med komplekse problemstillinger, avhengig av avansert sykepleie. Kvalitetsindikatorer er kvantitative mål som reflekterer en profesjonell standard for pleie og omsorg, og slike mål benyttes i økende grad for å vurdere kvalitet i sykehjem. Imidlertid er det nødvendig å inkludere det som har størst betydning for sykehjemsbeboere i slike mål for å kunne gi god pasientsentrert sykepleie.   Hovedmålsettingen med studien var å bidra til en dypere forståelse av sykehjemskvalitet, ut fra helsepersonellets, beboernes og pårørendes ståsted. Avhandlingen omfatter en oversikt over kvalitetsindikatorer som er i bruk internasjonalt. Videre beskriver avhandlingen beboernes erfaringer med mellommenneskelige faktorer ved sykehjemskvalitet, samt hvordan de erfarer å bo i et sykehjem og opplever kvaliteten på “hjemmet” sitt. I avhandlingen blir også pårørendes forståelse av og meninger om sykehjemskvalitet utforsket. Avhandlingen er basert på dybdeintervju av beboere ved fire ulike sykehjem, og fokusgruppeintervjuer med pårørende ved to av sykehjemmene.   Funnene viser at kvalitet på pleie og omsorg i sykehjem omfatter minst fire hovedområder: Bokvalitet, personellkvalitet, helsetjenestekvalitet og sosial kvalitet. Videre er pleie- og omsorgskvaliteten påvirket av en rekke eksterne faktorer som nasjonale føringer, lovverk, ledelsesstruktur, bygningskonstruksjon og lokale forhold. Den internasjonale oversikten over kvalitetsindikatorer gir indikasjoner på at noen av dem kan brukes som pålitelige og gyldige evalueringer av kvaliteten på pleie og omsorg, samt helserelaterte resultater for beboerne. I den kvalitative intervjuundersøkelsen med beboere og pårørende, ble fysisk og psykisk velvære, mellommenneskelige forhold og det sosiale miljøet tillagt større betydning for kvaliteten. Objektive indikatorer for disse beboererfarte områdene for kvalitet må utvikles. For å sikre at disse er pasientsentrerte, bør utviklingen av kvalitetsindikatorer gjøres i tett samarbeid med sykehjemsbeboerne og pårørende, i tillegg til helsepersonell.
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Bell, Mary Ann 1953. "Perceptions of quality of care in the nursing home." Thesis, The University of Arizona, 1992. http://hdl.handle.net/10150/291785.

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The purpose of this study was to determine the perceptions of residents, family members, and nursing staff regarding quality of care and the physical environment in the nursing home. Relationships among quality of care, the physical environment, and selected organizational characteristics were then described. The Quality of Care Scale (QoCS) and the Environment Description Scale (EDS) were given to a convenience sample of 100 subjects. A significant difference in perceptions of quality of care was found between the nurse assistants and residents. Significant relationships were obtained between perceptions of quality of care and the physical environment for Registered Nurses, Licensed Practical Nurses, and families. Defining quality of care and determining the significance of the physical environment from the consumer perspective may contribute to both quality of life and quality of care in the nursing home.
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Hart, Rebecca Marie. "Hart's Home Away From Home: An Integrative Approach to Dementia Care." Miami University / OhioLINK, 2011. http://rave.ohiolink.edu/etdc/view?acc_num=miami1311203360.

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Books on the topic "Home care quality"

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Quality assurance for home health care. Rockville, Md: Aspen Publishers, 1989.

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Total quality management for home care. Gaithersburg, Md: Aspen Publishers, Inc., 1994.

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Tellis-Nayak, V. Exemplars of quality: The paths to excellence in quality nursing homes. Springfield, Ill: Illinois Dept. of Public Aid, 1986.

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Nursing home administrators: Their influence on quality of care. New York: Garland Pub., 1997.

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Fisher, James Norman. Nursing home options: Getting quality care for the elderly. Santa Barbara, Calif: Collective Creations by Fisher Publishers, 1991.

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Washington (State). Legislature. Joint Legislative Audit and Review Committee. Quality assurance of in-home care services. Olympia, WA (506 - 16th Ave S.E., Olympia, 98501-2323): State of Washington, Joint Legislative Audit and Review Committee, 1999.

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Washington (State). Legislature. Joint Legislative Audit and Review Committee. Quality assurance of in-home care services. Olympia, WA (506 16th Ave., S.E., Olympia 98501-2323): State of Washington, Joint Legislative Audit and Review Committee, 1999.

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Washington (State). Legislature. Joint Legislative Audit and Review Committee. Quality assurance of in-home care services. Olympia, WA (506 - 16th Ave S.E., Olympia, 98501-2323): The Committee, 1999.

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Institute of Medicine (U.S.). Committee on Nursing Home Regulation. Improving the quality of care in nursing homes. Washington, D.C: National Academy Press, 1986.

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Cason, Ann. Circles of care: How to set up quality home care for our elders. Boston: Shambhala, 2001.

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Book chapters on the topic "Home care quality"

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Blagg, Christopher R. "Quality of care in home dialysis." In Quality Assurance in Dialysis, 63–83. Dordrecht: Springer Netherlands, 1994. http://dx.doi.org/10.1007/978-94-015-8297-1_5.

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Kwong, Maggie H. Y., and Carman K. M. Leung. "Enhanced Community-Based Programmes for Elderly—Holistic Home Care." In Quality of Life in Asia, 217–25. Singapore: Springer Nature Singapore, 2022. http://dx.doi.org/10.1007/978-981-19-3061-4_15.

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Penz, Kelly, and Lisa Tipper. "“Who Cares for the Caregiver?”: Professional Quality of Life in Palliative Care." In Hospice Palliative Home Care and Bereavement Support, 1–16. Cham: Springer International Publishing, 2019. http://dx.doi.org/10.1007/978-3-030-19535-9_1.

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Takagi, Yasuo. "Achieving Quality in Institutional and Home-Based Long-Term Care." In Long-Term Care for Frail Older People, 207–10. Tokyo: Springer Japan, 1999. http://dx.doi.org/10.1007/978-4-431-68503-6_34.

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Wise, Sarah. "Is Quality Good Enough for Out-of-Home Care Children? Early Childhood Education and Care Experiences of Australian Children in Out-of-Home Care at Age 3 to 5 Years." In Education in Out-of-Home Care, 91–104. Cham: Springer International Publishing, 2019. http://dx.doi.org/10.1007/978-3-030-26372-0_7.

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Abou Amsha, Khuloud, and Myriam Lewkowicz. "Observing the Work Practices of an Inter-professional Home Care Team: Supporting a Dynamic Approach for Quality Home Care Delivery." In COOP 2014 - Proceedings of the 11th International Conference on the Design of Cooperative Systems, 27-30 May 2014, Nice (France), 243–58. Cham: Springer International Publishing, 2014. http://dx.doi.org/10.1007/978-3-319-06498-7_15.

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Wrobel, J., K. Horoba, J. Jezewski, T. Kupka, M. Jezewski, and T. Przybyla. "Quality Based Adaptation of Signal Analysis Software in Pregnancy Home Care System." In IFMBE Proceedings, 559–62. Cham: Springer International Publishing, 2014. http://dx.doi.org/10.1007/978-3-319-00846-2_138.

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Haugan, Gørill. "Nurse-Patient Interaction: A Vital Salutogenic Resource in Nursing Home Care." In Health Promotion in Health Care – Vital Theories and Research, 117–36. Cham: Springer International Publishing, 2021. http://dx.doi.org/10.1007/978-3-030-63135-2_10.

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AbstractWe are now witnessing a major change in the world’s population. Many people globally grow very old: 80, 90, and 100 years. Increased age is followed by an increased incidence of functional and chronic comorbidities and diverse disabilities, which for many leads to the need for long-term care in a nursing home. Quality of life and health promotive initiatives for older persons living in nursing homes will become ever more important in the years to come. Therefore, this chapter focuses on health promotion among older adults living in nursing homes. First, this chapter clarifies the concepts of health, salutogenesis, and pathogenesis, followed by knowledge about health promotion. Then insight and knowledge about the nursing home population is provided; what promotes health and well-being in nursing home residents?Health promotion in the health services should be based on integrated knowledge of salutogenesis and pathogenesis. The salutogenic understanding of health is holistic and considers man as a wholeness including physical, mental, social, and spiritual/existential dimensions. Research indicates that various health-promoting interventions, specifically the nurse–patient interaction, influence on older adults in nursing homes as a wholeness of body–soul–spirit, affecting the whole being. Hence, dimensions such as pain, fatigue, dyspnea, nausea, loneliness, anxiety, and depressive symptoms will be influenced through health-promoting approaches. Therefore, two separate studies on the health-promoting influences of nurse–patient interaction in nursing home residents were conducted. In total, nine hypotheses of directional influence of the nurse–patient interaction were tested, all of which finding support.Along with competence in pain and symptom management, health-promoting nurse–patient interaction based on awareness and attentional skills is essential in nursing home care. Thus, health care workers should be given the opportunity to further develop their knowledge and relational skills, in order to “refine” their way of being present together with residents in nursing homes. Health professionals’ competence involves the “being in the doing”; that is, both the doing and the way of being are essential in health and nursing care.
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Chen, Chao, Daqing Zhang, Lin Sun, Mossaab Hariz, and Bruno Jean-Bart. "AQUEDUC: Improving Quality and Efficiency of Care for Elders in Real Homes." In Inclusive Society: Health and Wellbeing in the Community, and Care at Home, 205–10. Berlin, Heidelberg: Springer Berlin Heidelberg, 2013. http://dx.doi.org/10.1007/978-3-642-39470-6_25.

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Cabin, William. "Who Rules Home Care? The Impacts of Privatization on Profitability, Cost, and Quality." In Critical Gerontology Comes of Age, 79–89. First Edition. | New York : Routledge, 2018.: Routledge, 2018. http://dx.doi.org/10.4324/9781315209371-6.

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Conference papers on the topic "Home care quality"

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Ejdys, Joanna. "PROSPECTIVE QUALITY ATTRIBUTES OF NURSING HOME CARE SERVICES." In Business and Management 2016. VGTU Technika, 2016. http://dx.doi.org/10.3846/bm.2016.59.

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One of the forms of care for the elderly are the nursing homes, long-term care homes. Still, in many countries the low level of quality of such services is still the main criterion for the perception of objects as a final option, in the absence of alternative forms of care for an older person. The aim of the article is to seek answers to the questions about the expected quality of the services offered by nursing homes. The article presents the results of research on the expectations of the society in terms of quality of services, carried out on a sample of 602 Polish citizens. The study allowed to identify the key characteristics that determine the quality of services from the perspective of the future decisions related to the choice of the resort.
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Hauser, Carina, Elisabeth Haslinger-Baumann, Elisabeth Kupka-Klepsch, and Franz Werner. "Digital tools for improving quality in 24-hour home care." In Abstracts from the 15th EAI International Conference on Pervasive Computing Technologies for Healthcare, PervasiveHealth 2021, 6 December 2021, Tel Aviv, Izrael. EAI, 2022. http://dx.doi.org/10.4108/eai.6-12-2021.2314351.

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FRANCI, A., and M. CORSI. "QUALITY IN HOME CARE: A METHODOLOGICAL PROPOSAL TO MEASURE PATIENT SATISFACTION." In Proceedings of the 24th Meeting of the European Working Group on Operational Research Applied to Health Services. WORLD SCIENTIFIC, 1999. http://dx.doi.org/10.1142/9789812817839_0009.

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Li, Xiaoqin, and Jing Wang. "Fuzzy Comprehensive Evaluation of Aged Community Home-Care Service Quality Based on AHP." In 2016 International Conference on Advances in Management, Arts and Humanities Science (AMAHS 2016). Paris, France: Atlantis Press, 2016. http://dx.doi.org/10.2991/amahs-16.2016.24.

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Weixia, Liu. "Research On Quality Of Life Of The Aged Population In Home-Care Centres." In 13th Asian Academy of Management International Conference 2019. European Publisher, 2020. http://dx.doi.org/10.15405/epsbs.2020.10.93.

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Cho, Eun Seo, and Yeong Hun Yeo. "The Quality of Life among the Senior Veterans’ Family Home Care Service Recipients." In 10th International Workshop Series Convergence Works. Global Vision School Publication, 2016. http://dx.doi.org/10.21742/asehl.2016.9.36.

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Dittus, Patricia. "S04.2 Point of care and home testing opportunities: implications for quality public health practice." In Abstracts for the STI & HIV World Congress (Joint Meeting of the 23rd ISSTDR and 20th IUSTI), July 14–17, 2019, Vancouver, Canada. BMJ Publishing Group Ltd, 2019. http://dx.doi.org/10.1136/sextrans-2019-sti.29.

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Dempsey, Debbie, and Monica McCahery. "P-157 ‘Hospice in your care home’ – a dedicated service aiming to promote high quality palliative and end of life care in the nursing home setting." In People, Partnerships and Potential, 16 – 18 November 2016, Liverpool. British Medical Journal Publishing Group, 2016. http://dx.doi.org/10.1136/bmjspcare-2016-001245.180.

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Khosla, Rajiv, Mei-Tai Chu, and Khanh Nguyen. "Affective Robot Enabled Capacity and Quality Improvement of Nursing Home Aged Care Services in Australia." In 2013 IEEE 37th International Computer Software and Applications Conference Workshops (COMPSACW). IEEE, 2013. http://dx.doi.org/10.1109/compsacw.2013.89.

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Assunção, Silvaleide Ataides, Ianca Leandra Santos, and Rosemar Macedo Sousa Rahal. "PALLIATIVE CARE IN BREAST CANCER: CHALLENGES IN MEDICAL PRACTICE AND PROMOTING QUALITY OF LIFE." In Abstracts from the Brazilian Breast Cancer Symposium - BBCS 2021. Mastology, 2021. http://dx.doi.org/10.29289/259453942021v31s2070.

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Objectives: Breast cancer is the main neoplasm affecting women, and in many cases, curative treatment is not feasible. In this context, it is important to work with other forms of assistance that provide symptom relief and better quality of care for these patients. Therefore, the objective of this work is to portray the importance of attention and care to patients with breast cancer, whose cure is not possible, since it generates better acceptance of the situation and a more humanized end, with less suffering, pain, and anguish. Methodology: This is a descriptive research carried out based on a review of the medical literature available through a survey of publications from the past 12 years in the PubMed, Lilacs, and MedLine databases. The following descriptors were used: palliative care, home care, and breast cancer. Results: From the analysis performed, it can be seen that approximately 30% of patients diagnosed with breast cancer have some depressive disorder. This fact occurs due to the shock of the news of having an extremely serious disease, due to the disorders arising from the treatment or the progression of the disease itself. When assessing patients with breast cancer, who have palliative care at home, this percentage drops to approximately 9%, meaning an abrupt improvement in the quality of life of these people, resulting from multiprofessional home treatment. Conclusion: Given this situation, it is observed that home care, though insufficiently explored, has a good response for terminally ill patients. Therefore, it appears that palliative care should be better explored by both the public and private health systems, as this tool is capable of mitigating the adversities caused by cancer and improving the quality of life of patients and their families in this difficult stage.
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Reports on the topic "Home care quality"

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Helena Temkin-Greener, Helena Temkin-Greener, Dana Mukamel, Susan Ladwig, Thomas ,. Caprio, Sally Norton, Timothy Quill, Tobie Olsan, and Xueya Cai. Do Palliative Care Teams in Nursing Homes Improve the Quality of End-of-Life Care for Nursing Home Residents? Patient-Centered Outcomes Research Institute® (PCORI), July 2019. http://dx.doi.org/10.25302/7.2019.cer.641.

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Hackmann, Martin. Incentivizing Better Quality of Care: The Role of Medicaid and Competition in the Nursing Home Industry. Cambridge, MA: National Bureau of Economic Research, December 2017. http://dx.doi.org/10.3386/w24133.

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Ciapponi, Agustín, and Sebastián García Martí. Does home-based care reduce morbidity and mortality in people living with HIV-AIDS? SUPPORT, 2016. http://dx.doi.org/10.30846/160416.

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Ciapponi, Agustín, and Sebastián García Martí. Does home-based care reduce morbidity and mortality in people living with HIV-AIDS? SUPPORT, 2017. http://dx.doi.org/10.30846/170410.

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Kiefe, Catarina, Milena Anatchkova, Heena Santry, David McManus, and Rebecca Gigliello. Developing a Survey with Patient and Caregiver Input that Measures the Quality of Care Transitions from Hospital to Home. Patient-Centered Outcomes Research Institute, June 2020. http://dx.doi.org/10.25302/06.2020.me.131007682.

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Enlow, Michelle Bosquet, Richard J. Chung, Melissa A. Parisi, Sharon K. Sagiv, Margaret A. Sheridan, Annemarie Stroustrup, Rosalind J. Wright, et al. Standard Measurement Protocols for Pediatric Development Research in the PhenX Toolkit. RTI Press, September 2022. http://dx.doi.org/10.3768/rtipress.2022.mr.0049.2209.

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A challenge in conducting pediatric research is selecting reliable, valid measurement protocols, across a range of domains, that are appropriate for the developmental level of the study population. The purpose of this report is to introduce the research community to the Pediatric Development Research Domain of the National Institutes of Health (NIH)–supported PhenX Toolkit (consensus measures for Phenotypes and eXposures). The PhenX Toolkit provides a catalog of recommended measurement protocols to address a wide range of research topics that are suitable for inclusion in a variety of study designs. In 2018, the Pediatric Development Working Group of experts identified 18 well-established protocols of pediatric development for inclusion in the Toolkit to complement existing protocols. Collectively, the protocols assess parenting, child care attendance and quality, peer relationships, home environment, neonatal abstinence, emotional and behavioral functioning, and other factors that influence child development. The Toolkit provides detailed data collection protocols, data dictionaries, and worksheets to help investigators incorporate these protocols into their study designs. Using standard protocols in studies with pediatric participants will support consistent data collection, improve data quality, and facilitate cross-study analyses to ultimately improve child health.
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Berkman, Nancy D., Eva Chang, Julie Seibert, Rania Ali, Deborah Porterfield, Linda Jiang, Roberta Wines, Caroline Rains, and Meera Viswanathan. Management of High-Need, High-Cost Patients: A “Best Fit” Framework Synthesis, Realist Review, and Systematic Review. Agency for Healthcare Research and Quality (AHRQ), October 2021. http://dx.doi.org/10.23970/ahrqepccer246.

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Background. In the United States, patients referred to as high-need, high-cost (HNHC) constitute a very small percentage of the patient population but account for a disproportionally high level of healthcare use and cost. Payers, health systems, and providers would like to improve the quality of care and health outcomes for HNHC patients and reduce their costly use of potentially preventable or modifiable healthcare services, including emergency department (ED) and hospital visits. Methods. We assessed evidence of criteria that identify HNHC patients (best fit framework synthesis); developed program theories on the relationship among contexts, mechanisms, and outcomes of interventions intended to change HNHC patient behaviors (realist review); and assessed the effectiveness of interventions (systematic review). We searched databases, gray literature, and other sources for evidence available from January 1, 2000, to March 4, 2021. We included quantitative and qualitative studies of HNHC patients (high healthcare use or cost) age 18 and over who received intervention services in a variety of settings. Results. We included 110 studies (117 articles). Consistent with our best fit framework, characteristics associated with HNHC include patient chronic clinical conditions, behavioral health factors including depression and substance use disorder, and social risk factors including homelessness and poverty. We also identified prior healthcare use and race as important predictors. We found limited evidence of approaches for distinguishing potentially preventable or modifiable high use from all high use. To understand how and why interventions work, we developed three program theories in our realist review that explain (1) targeting HNHC patients, (2) engaging HNHC patients, and (3) engaging care providers in these interventions. Theories identify the need for individualizing and tailoring services for HNHC patients and the importance of building trusting relationships. For our systematic review, we categorized evidence based on primary setting. We found that ED-, primary care–, and home-based care models result in reduced use of healthcare services (moderate to low strength of evidence [SOE]); ED, ambulatory intensive caring unit, and primary care-based models result in reduced costs (low SOE); and system-level transformation and telephonic/mail models do not result in changes in use or costs (low SOE). Conclusions. Patient characteristics can be used to identify patients who are potentially HNHC. Evidence focusing specifically on potentially preventable or modifiable high use was limited. Based on our program theories, we conclude that individualized and tailored patient engagement and resources to support care providers are critical to the success of interventions. Although we found evidence of intervention effectiveness in relation to cost and use, the studies identified in this review reported little information for determining why individual programs work, for whom, and when.
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Akosa Antwi, Yaa, and John R. Bowblis. The Impact of Nurse Turnover on Quality of Care and Mortality in Nursing Homes: Evidence from the Great Recession. W.E. Upjohn Institute, January 2016. http://dx.doi.org/10.17848/wp15-249.

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Antwi, Yaa Akosa, and John R. Bowblis. The Impact of Nurse Turnover on Quality of Care and Mortality in Nursing Homes: Evidence from the Great Recession. W.E. Upjohn Institute, January 2016. http://dx.doi.org/10.17848/wp16-249.

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MacFarlane, Andrew. 2021 medical student essay prize winner - A case of grief. Society for Academic Primary Care, July 2021. http://dx.doi.org/10.37361/medstudessay.2021.1.1.

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As a student undertaking a Longitudinal Integrated Clerkship (LIC)1 based in a GP practice in a rural community in the North of Scotland, I have been lucky to be given responsibility and my own clinic lists. Every day I conduct consultations that change my practice: the challenge of clinically applying the theory I have studied, controlling a consultation and efficiently exploring a patient's problems, empathising with and empowering them to play a part in their own care2 – and most difficult I feel – dealing with the vast amount of uncertainty that medicine, and particularly primary care, presents to both clinician and patient. I initially consulted with a lady in her 60s who attended with her husband, complaining of severe lower back pain who was very difficult to assess due to her pain level. Her husband was understandably concerned about the degree of pain she was in. After assessment and discussion with one of the GPs, we agreed some pain relief and a physio assessment in the next few days would be a practical plan. The patient had one red flag, some leg weakness and numbness, which was her ‘normal’ on account of her multiple sclerosis. At the physio assessment a few days later, the physio felt things were worse and some urgent bloods were ordered, unfortunately finding raised cancer and inflammatory markers. A CT scan of the lung found widespread cancer, a later CT of the head after some developing some acute confusion found brain metastases, and a week and a half after presenting to me, the patient sadly died in hospital. While that was all impactful enough on me, it was the follow-up appointment with the husband who attended on the last triage slot of the evening two weeks later that I found completely altered my understanding of grief and the mourning of a loved one. The husband had asked to speak to a Andrew MacFarlane Year 3 ScotGEM Medical Student 2 doctor just to talk about what had happened to his wife. The GP decided that it would be better if he came into the practice - strictly he probably should have been consulted with over the phone due to coronavirus restrictions - but he was asked what he would prefer and he opted to come in. I sat in on the consultation, I had been helping with any examinations the triage doctor needed and I recognised that this was the husband of the lady I had seen a few weeks earlier. He came in and sat down, head lowered, hands fiddling with the zip on his jacket, trying to find what to say. The GP sat, turned so that they were opposite each other with no desk between them - I was seated off to the side, an onlooker, but acknowledged by the patient with a kind nod when he entered the room. The GP asked gently, “How are you doing?” and roughly 30 seconds passed (a long time in a conversation) before the patient spoke. “I just really miss her…” he whispered with great effort, “I don’t understand how this all happened.” Over the next 45 minutes, he spoke about his wife, how much pain she had been in, the rapid deterioration he witnessed, the cancer being found, and cruelly how she had passed away after he had gone home to get some rest after being by her bedside all day in the hospital. He talked about how they had met, how much he missed her, how empty the house felt without her, and asking himself and us how he was meant to move forward with his life. He had a lot of questions for us, and for himself. Had we missed anything – had he missed anything? The GP really just listened for almost the whole consultation, speaking to him gently, reassuring him that this wasn’t his or anyone’s fault. She stated that this was an awful time for him and that what he was feeling was entirely normal and something we will all universally go through. She emphasised that while it wasn’t helpful at the moment, that things would get better over time.3 He was really glad I was there – having shared a consultation with his wife and I – he thanked me emphatically even though I felt like I hadn’t really helped at all. After some tears, frequent moments of silence and a lot of questions, he left having gotten a lot off his chest. “You just have to listen to people, be there for them as they go through things, and answer their questions as best you can” urged my GP as we discussed the case when the patient left. Almost all family caregivers contact their GP with regards to grief and this consultation really made me realise how important an aspect of my practice it will be in the future.4 It has also made me reflect on the emphasis on undergraduate teaching around ‘breaking bad news’ to patients, but nothing taught about when patients are in the process of grieving further down the line.5 The skill Andrew MacFarlane Year 3 ScotGEM Medical Student 3 required to manage a grieving patient is not one limited to general practice. Patients may grieve the loss of function from acute trauma through to chronic illness in all specialties of medicine - in addition to ‘traditional’ grief from loss of family or friends.6 There wasn’t anything ‘medical’ in the consultation, but I came away from it with a real sense of purpose as to why this career is such a privilege. We look after patients so they can spend as much quality time as they are given with their loved ones, and their loved ones are the ones we care for after they are gone. We as doctors are the constant, and we have to meet patients with compassion at their most difficult times – because it is as much a part of the job as the knowledge and the science – and it is the part of us that patients will remember long after they leave our clinic room. Word Count: 993 words References 1. ScotGEM MBChB - Subjects - University of St Andrews [Internet]. [cited 2021 Mar 27]. Available from: https://www.st-andrews.ac.uk/subjects/medicine/scotgem-mbchb/ 2. Shared decision making in realistic medicine: what works - gov.scot [Internet]. [cited 2021 Mar 27]. Available from: https://www.gov.scot/publications/works-support-promote-shared-decisionmaking-synthesis-recent-evidence/pages/1/ 3. Ghesquiere AR, Patel SR, Kaplan DB, Bruce ML. Primary care providers’ bereavement care practices: Recommendations for research directions. Int J Geriatr Psychiatry. 2014 Dec;29(12):1221–9. 4. Nielsen MK, Christensen K, Neergaard MA, Bidstrup PE, Guldin M-B. Grief symptoms and primary care use: a prospective study of family caregivers. BJGP Open [Internet]. 2020 Aug 1 [cited 2021 Mar 27];4(3). Available from: https://bjgpopen.org/content/4/3/bjgpopen20X101063 5. O’Connor M, Breen LJ. General Practitioners’ experiences of bereavement care and their educational support needs: a qualitative study. BMC Medical Education. 2014 Mar 27;14(1):59. 6. Sikstrom L, Saikaly R, Ferguson G, Mosher PJ, Bonato S, Soklaridis S. Being there: A scoping review of grief support training in medical education. PLOS ONE. 2019 Nov 27;14(11):e0224325.
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