6 résultat(s) recherche sur le mot-clé 'Home care services'    

 trié(s) par (Pertinence décroissant(e), Titre croissant(e)) 

A Randomized Controlled Trial to Determine the Effect of a Model of Restorative Home Care on Physical Function and Social Support Among Older People / John Geoffrey Morgan Parsons in Archives of Physical Medicine and Rehabilitation, 2013/6 (2013)  

[article]  inArchives of Physical Medicine and Rehabilitation > 2013/6 (2013) . - pp. 1015-1022 Titre : A Randomized Controlled Trial to Determine the Effect of a Model of Restorative Home Care on Physical Function and Social Support Among Older People Type de document : Article Auteurs : John Geoffrey Morgan Parsons ; Nicolette Sheridan ; Paul Rouse ; [et al.] Article en page(s) : pp. 1015-1022 Langues : Anglais (eng) Descripteurs : HE Vinci Kinésithérapie (spécialité) ; Rééducation et réadaptation ; Services de soins à domicile ; Soutien social ; Sujet âgé de 80 ans ou plus Mots-clés : Aged  80 and over  Home care services  Physical Therapy Specialty  Social Support Résumé : Objective To determine the impact of a restorative model of home care on social support and physical function among community-dwelling older people. Design Cluster-randomized controlled trial. Setting Home care in an urban area. Participants Participants (N=205) were randomly assigned to an intervention group (n=108; mean age, 79.1y; 71.3% women; 81.5% New Zealand European [NZE]; 50.8% residing in areas of the highest levels of social deprivation) or a usual care group (n=97; mean age, 76.9y; 60.8% women; 73.2% NZE; 53.5% in the highest levels of social deprivation). Intervention Participants randomly assigned to the intervention group completed a goal facilitation tool with a needs assessor to determine their needs and to establish the aims for the episode of care. Services were structured according to the principles of restorative home care (independence focused with individually tailored activity programs). Usual care participants received a standard needs assessment that informed the delivery of home care services. Main Outcome Measures Short Physical Performance Battery (SPPB), Dukes Social Support Index (DSSI). Results There was greater change over time in physical function (measured by SPPB: F=8.30, P=.003) but no associated increase in social support (as determined by DSSI: F=2.58, P=.09). Conclusions Significant improvements in physical function were observed after a period of restorative home care services. The absence of an associated change in social support may have been the result of a combination of factors, including the threshold of physical function required for community ambulation, the low rate of allied health service provision, and the time required to reestablish social ties. The findings contribute to a greater understanding of factors necessary to refocus home-based services to emphasize improvements in physical function and independence. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/journal/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=117500 [article]

Rehabilitation in Home Care Is Associated With Functional Improvement and Preferred Discharge / Richard Cook in Archives of Physical Medicine and Rehabilitation, 2013/6 (2013)  

[article]  inArchives of Physical Medicine and Rehabilitation > 2013/6 (2013) . - pp. 1038-1047 Titre : Rehabilitation in Home Care Is Associated With Functional Improvement and Preferred Discharge Type de document : Article Auteurs : Richard Cook ; Katherine Berg ; Ker-Ai Lee ; [et al.] Article en page(s) : pp. 1038-1047 Langues : Anglais (eng) Descripteurs : HE Vinci Activités de la vie quotidienne ; Ergothérapie ; Rééducation et réadaptation ; Services de soins à domicile Mots-clés : Activities of daily living  Home care services  Occupational therapy  Physical therapy modalities  Techniques de physiothérapie Résumé : Objective To investigate the impact of physiotherapy (PT) and occupational therapy (OT) services on long-stay home care patients with musculoskeletal disorders. Design Observational study. Setting Home care programs. Participants All long-stay home care patients between 2003 and 2008 (N=99,764) with musculoskeletal disorders who received a baseline Resident Assessment Instrument for Home Care assessment, 1 follow-up assessment, and had discharge or death records. Interventions PT and OT. Main Outcome Measures The effects of PT and OT services on transitions in functional state, discharge from home care with service plans complete, institutionalization, and death were assessed via multistate Markov models. Results Home care patients with deficiencies in instrumental activities of daily living and/or activities of daily living at baseline and who received home-based rehabilitation had significantly increased odds of showing functional improvements by their next assessment (for a state 3 to state 2 transition: odds ratio [OR]=1.17; 95% confidence interval [CI], 1.10–1.26; P<.0001 for a state to transition: or="1.36;" ci p=".0005)." receipt of pt also significantly reduced the odds mortality and institutionalization in this group.> Conclusions With increasing numbers of older adults with chronic conditions and limited funding for health care services, it is essential to provide the right services at the right time in a cost-effective manner. Long-stay home care patients who receive rehabilitation at home have improved outcomes and lower utilization of costly health services. Our findings suggest that investment in PT and OT services for relatively short periods may provide savings to the health care system over the longer term. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/journal/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=117503 [article]

Home Health Agency Characteristics and Quality Outcomes for Medicare Beneficiaries With Rehabilitation-Sensitive Conditions / Tracy M. Mroz in Archives of Physical Medicine and Rehabilitation, Vol. 99, n° 6 (2018)  

[article]  inArchives of Physical Medicine and Rehabilitation > Vol. 99, n° 6 (2018) . - p. 1090-1098 Titre : Home Health Agency Characteristics and Quality Outcomes for Medicare Beneficiaries With Rehabilitation-Sensitive Conditions Type de document : Article Auteurs : Tracy M. Mroz ; Ann Meadow ; Elizabeth Colantuoni Article en page(s) : p. 1090-1098 Langues : Anglais (eng) Descripteurs : HE Vinci Qualité des soins de santé ; Recherche sur les services de santé ; Rééducation et réadaptation ; Services de soins à domicile Mots-clés : Health services research  Home care services  Medicare  Quality of Health Care Résumé : Objective To examine associations between organizational characteristics of home health agencies (eg, profit status, rehabilitation therapy staffing model, size, and rurality) and quality outcomes in Medicare beneficiaries with rehabilitation-sensitive conditions, conditions for which occupational, physical, and/or speech therapy have the potential to improve functioning, prevent or slow substantial decline in functioning, or increase ability to remain at home safely. Design Retrospective analysis. Setting Home health agencies. Participants Fee-for-service beneficiaries (N=1,006,562) admitted to 9250 Medicare-certified home health agencies in 2009. Interventions Not applicable. Main Outcome Measures Institutional admission during home health care, community discharge, and institutional admission within 30 days of discharge. Results Nonprofit (vs for-profit) home health agencies were more likely to discharge beneficiaries to the community (odds ratio [OR], 1.23; 95% confidence interval [CI], 1.13–1.33) and less likely to have beneficiaries incur institutional admissions within 30 days of discharge (OR, .93; 95% CI, .88–.97). Agencies in rural (vs urban) counties were less likely to discharge patients to the community (OR, .83; 95% CI, .77–.90) and more likely to have beneficiaries incur institutional admissions during home health (OR, 1.24; 95% CI, 1.18–1.30) and within 30 days of discharge (OR, 1.15; 95% CI, 1.10–1.22). Agencies with contract (vs in-house) therapy staff were less likely to discharge beneficiaries to the community (OR, .79, 95% CI, .70–.91) and more likely to have beneficiaries incur institutional admissions during home health (OR, 1.09; 95% CI, 1.03–1.15) and within 30 days of discharge (OR, 1.17; 95% CI, 1.07–1.28). Conclusions As payers continue to test and implement reimbursement mechanisms that seek to reward value over volume of services, greater attention should be paid to organizational factors that facilitate better coordinated, higher quality home health care for beneficiaries who may benefit from rehabilitation. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/journal/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=118825 [article]

Differences in Waiting List Prioritization Preferences of Occupational Therapists, Elderly People, and Persons With Disabilities: A Discrete Choice Experiment / Marie-Hélène Raymond in Archives of Physical Medicine and Rehabilitation, Vol. 99, n° 1 (2018)  

[article]  inArchives of Physical Medicine and Rehabilitation > Vol. 99, n° 1 (2018) . - p. 35-42 Titre : Differences in Waiting List Prioritization Preferences of Occupational Therapists, Elderly People, and Persons With Disabilities: A Discrete Choice Experiment Type de document : Article Auteurs : Marie-Hélène Raymond ; Louise Demers ; Debbie Ehrmann Feldman Article en page(s) : p. 35-42 Langues : Anglais (eng) Descripteurs : HE Vinci Ergothérapie ; Prise de décision ; Rééducation et réadaptation ; Services de soins à domicile Mots-clés : Decision making  Home care services  Occupational therapy  Resource allocation  Allocation des ressources  Waiting lists  Listes d'attente Résumé : Objective To compare the preferences of occupational therapists, elderly people, and adults with disabilities regarding prioritization criteria for occupational therapy waiting lists in home care. Design Discrete choice experiment survey. Setting Survey mailed to occupational therapists working in home care and community-dwelling elderly or disabled persons. Participants A sample (N=714) of home-based occupational therapists (n=241), elderly persons from a bank of research participants (n=226), and adults with physical disabilities recruited through community organizations (n=247). Interventions Not applicable. Main Outcome Measures The dependent variable was whether the referral scenario was prioritized or not in each question. The results were analyzed through logistic regression using conditional logit models. Results Prioritization preferences differed between groups (P<.001 occupational therapists most strongly prioritized people who had a few falls ratio vs no whereas elderly and adults with disabilities were unable to enter exit the home difficulty entering exiting for persons disabilities.> Conclusions Our results highlight the gap between the priorities of home-based occupational therapists and their target clientele. Although further inquiry is needed to inform priority setting, the findings emphasize the importance of public or patient involvement in decisions on waiting list prioritization. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=118589 [article]

Patients With Brain Tumors : Who Receives Postacute Occupational Therapy Services? / Vincy Chan in American journal of occupational therapy, Vol. 69, n° 2 (March/April 2015)  

[article]  inAmerican journal of occupational therapy > Vol. 69, n° 2 (March/April 2015) . - p.1-6 Titre : Patients With Brain Tumors : Who Receives Postacute Occupational Therapy Services? Type de document : Article Auteurs : Vincy Chan, Auteur ; Chen Xiong, Auteur ; Angela Colantonio, Auteur Année de publication : 2015 Article en page(s) : p.1-6 Langues : Anglais (eng) Descripteurs : HE Vinci Canada ; Cerveau Mots-clés : Tumeur  Soins domicile  ErgothérapieBrain neoplasms  Health care surveys  Health services accessibility  Home care services  Occupational therapy  Ontario Résumé : Data on the utilization of occupational therapy among patients with brain tumors have been limited to those with malignant tumors and small samples of patients outside North America in specialized palliative care settings. We built on this research by examining the characteristics of patients with brain tumors who received postacute occupational therapy services in Ontario, Canada, using health care administrative data. Between fiscal years 2004–2005 and 2008–2009, 3,199 patients with brain tumors received occupational therapy services in the home care setting after hospital discharge; 12.4% had benign brain tumors, 78.2% had malignant brain tumors, and 9.4% had unspecified brain tumors. However, patients with benign brain tumors were older (mean age = 63.3 yr), and a higher percentage were female (65.2%). More than 90% of patients received in-home occupational therapy services. Additional research is needed to examine the significance of these differences and to identify factors that influence access to occupational therapy services in the home care setting. DOI : http://ezproxy.parnasse-isei.be:2062/10.5014/ajot.2015.014639 Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=http://search.ebscohost.com/login.aspx? [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=147463 [article]

Home-Based Overnight Transcutaneous Capnography/Pulse Oximetry for Diagnosing Nocturnal Hypoventilation Associated With Neuromuscular Disorders / Kristy A Bauman in Archives of Physical Medicine and Rehabilitation, 2013/1 (2013)  

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