Because of the continuously growing elderly population and annually declining birth rate, the population structure faces major changes, creating problems regarding medical care and healthcare. To address these problems, this study proposes a tele-homecare system that combines wireless sensors and transmission technologies to provide simple physiological data analysis and remote health managemen...

BACKGROUND Homecare is a growth enterprise. The nature of the care provided in the home is growing in complexity. This growth has necessitated both examination and generation of evidence around patient safety in homecare. The purpose of this paper is to examine the findings of a recent scoping review of the homecare literature 2004-2011 using the World Health Organization International Classifi...

Objectives: Objectives were to (a) describe transitions between care settings in older homecare recipients at the end of life, and (b) examine what personal (e.g., age, sex) and health system factors (e.g., hospital bed supply) predict care transitions. Methods: The study involved analysis of administrative health care data and was based on a complete cohort of homecare recipients aged 65 years...

Homecare, i.e., supportive care provided at the patients’ homes, is established as a prevalent alternative to unnecessary hospitalization or institutional care (e.g., in a rest home or a nursing home). These activities are provided either by healthcare professional or by nonmedical caregivers, depending on the patient’s needs (e.g., medical care or just instrumental activities of daily living)....

We present our contribution to a national project whose ambition is to use new cooperation tools, in the context of homecare, in order to facilitate the coordinated cooperative work of health actors. Homecare is expected to develop in the coming years, but it is still difficult to organize and such care coordination is complex. A study of homecare activity leads us to determine two specific sor...

PURPOSE/OBJECTIVES To demonstrate the effects of a program, directed at homecare nurses, of structured educational interventions on the management of pain and opioid-related side effects in homecare patients with cancer. DESIGN A longitudinal multilevel, randomized, controlled clinical trial. SETTING Midwestern region in the United States. SAMPLE 202 nurses caring for patients with cancer...

OBJECTIVES To explore the impact of structural integration on homecare quality. METHODS A case study in an organisation comprising a before-after comparison with baseline and four follow-up measurements during 1994-2009, using interviews with clients (n=66-84) and postal inquiries to relatives (n=73-78) and staff (n=68-136). RESULTS Despite the organisational reform involving extensive merg...