Home health care for the elderly: associated factors and characteristics of access and health care.
Summary of "Home health care for the elderly: associated factors and characteristics of access and health care."
OBJECTIVE:
To assess factors associated with home health care for the elderly and its characteristics based on different care models, the Family Health Strategy and traditional primary care.
METHODS:
A population-based cross-sectional study was conducted in a representative sample of 1,593 individuals aged >60 years living in the urban area of the city of Bagé, Southern Brazil, in 2008. A multistage sampling was carried out. Data was collected during individual interviews about access to services, providers' involvement, users' satisfaction and health status after care. Poisson regression model was used for estimating crude and adjusted prevalence ratios, their related 95% confidence intervals and p-values (Wald test).
RESULTS:
Home health care was statistically associated with prior history of stroke, signs of dementia and disability in activities of daily living. The family was requested 75% of home care visits. Medical doctors provided most of the care in traditional primary care settings while nursing staff provided most care within the Family Health Strategy. Approximately 78% of the elderly received care within 24 hours after the request and 95% of them positively evaluated the care received. Two thirds of the elderly reported improved health status.
CONCLUSIONS:
The variables associated with home health care were consistent with fragility indicators included in the Brazilian National Health Policy for the Elderly, reinforcing the role of this strategy for promoting equitable health care to elderly population. Users' satisfaction and the positive impact on their health status confirm home as a setting for providing care.
Affiliation
Departamento de Enfermagem, Faculdade de Enfermagem, Universidade Federal de Pelotas, Pelotas, RS, Brasil.
Journal Details
This article was published in the following journal.
Name: Revista de saude publica
ISSN: 1518-8787
Pages:
Links
- PubMed Source: http://www.ncbi.nlm.nih.gov/pubmed/20835494
- DOI: http://dx.doi.org/
Medical and Biotech [MESH] Definitions
Home Health Aides
Persons who assist ill, elderly, or disabled persons in the home, carrying out personal care and housekeeping tasks. (From Slee & Slee, Health Care Terms. 2d ed, p202)
Home Nursing
Nursing care given to an individual in the home. The care may be provided by a family member or a friend. Home nursing as care by a non-professional is differentiated from HOME CARE SERVICES provided by professionals: visiting nurse, home health agencies, hospital, or other organized community group.
Homebound Persons
Those unable to leave home without exceptional effort and support; patients (in this condition) who are provided with or are eligible for home health services, including medical treatment and personal care. Persons are considered homebound even if they may be infrequently and briefly absent from home if these absences do not indicate an ability to receive health care in a professional's office or health care facility. (From Facts on File Dictionary of Health Care Management, 1988, p309)
Home Care Services
Community health and NURSING SERVICES providing coordinated multiple services to the patient at the patient's homes. These home-care services are provided by a visiting nurse, home health agencies, HOSPITALS, or organized community groups using professional staff for care delivery. It differs from HOME NURSING which is provided by non-professionals.
Health Care Quality, Access, And Evaluation
The concept concerned with all aspects of the quality, accessibility, and appraisal of health care and health care delivery.
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