DETERMINING THE FACTORS AFFECTING THE FREQUENCY OF VISITS OF HOME HEALTHCARE PATIENTS

Yıl 2021, Cilt: 6 Sayı: 1, 363 - 377, 20.03.2021

Özlem Güdük Özden Güdük Hasan Giray Ankara Yaşar Sertbaş

Öz

Aim: This study aims to determine the factors affecting the frequency of visits for patients benefiting from home healthcare services.
Methods: The sample of the study consisted of 1,454 patients received home healthcare service uninterruptedly for 12 months in 2019. Linear and log-linear regression methods were used to identify the factors affecting the number of visits in a year, and the statistical significance was evaluated at p<0.05 level.
Findings: The majority of the patients were 80 years and older (60.3%), female (68.4%), and fully dependent (55.1%). Cardiovascular and neuropsychiatric diseases were very common among patients (82.9% and 76.3%, respectively). We identified that the need for INR test, having decubitis ulcer, using urinary catheter, demand for oxygen therapy or enteral nutrition, and having a neuropsychiatric disease significantly increase the number of visits by 62%, 51%, 37%, 25%, 17%, and 17%, respectively.
Conclusion: Several clinical features affect the number of services received during the year. The findings of this study are of great importance in terms of modeling studies aimed at improving home healthcare services and predicting future needs.

Anahtar Kelimeler

home healthcare, home care, patient visits, care needs

Kaynakça

• Akdemir, N., Bostanoğlu, H., Yurtsever, S., Kutlutürkan, S., Kapucu, S., and Canlı Özer, Z. (2011). Yatağa bağımlı hastaların evde yaşadıkları sağlık sorunlarına yönelik evde bakım hizmet gereksinimleri, Dicle Medical Journal/Dicle Tip Dergisi, 38(1), 57-65.
• Artantaş, A.B. and Köroğlu, F. T. (2019). Bir Hastane Bünyesindeki Evde Sağlık Birimi Tarafından Verilen Hizmetlerin Değerlendirilmesi: 2018 Yılı İstatistikleri, Ankara Medical Journal, 19(1), 170-177.
• ASPE. (2003). The Future Supply of Long-Term Care Workers in relation to The Aging Baby Boom Generation: Report to Congress. Retrieved 20 October 2020, https://aspe.hhs.gov/system/files/pdf/72961/ltcwork.pdf.
• Avalere Health. (2019). Home Health Chartbook 2019: Prepared for the Alliance for Home Health Quality and Innovation. Retrieved 11 August 2020, http://ahhqi.org/images/uploads/AHHQI_2019_Home_Health_Chartbook_Final_Updated_10.3.2019.pdf.
• Bercovitz, A., Moss, A.J., Sengupta, M., Park-Lee, E., Jones, A., Harris-Kojetin, L.D., and Squillace, M.R. (2011). An Overview of home health aides; United States, 2007, National Health Statistics Reports, 34, 1-31.
• Bruce, M.L., McAvay, G.J., Raue, P.J., Brown, E.L., Meyers, B.S., Keohane, D.J., and Weber, C. (2002). Major depression in elderly home health care patients, American Journal of Psychiatry, 159(8), 1367-1374.
• Caffrey, C., Harris-Kojetin, L. D., Moss, A. J., Sengupta, M., and Valverde, R. (2011). Home health care and discharged hospice care patients; United States, 2000 and 2007, National Health Statistics Reports, 38, 1-27.
• Chang, H.T., Lai, H.Y., Hwang, I. H., Ho, M.M., and Hwang, S.J. (2010). Home healthcare services in Taiwan: a nationwide study among the older population, BMC Health Services Research, 10(1), 274.
• Çatak, B., Kilinç, A.S., Badillioglu, O., Sütlü, S., Sofuoglu, A.E., and Aslan, D. (2012). Burdur'da Evde Saglik Hizmeti Alan Yasli Hastalarin Profili ve Evde Verilen Saglik Hizmetleri, Turkish Journal of Public Health, 10(1), 13.
• Çayır, Y. (2013). Evde sağlık hizmetleri alan hastaların özellikleri ve bakım verenlerin beklentileri, Konuralp Tıp Dergisi, 5(3), 9-12.
• Çubuklu, M. and Yazıcıoğlu, B. (2016). Samsun Eğitim ve Araştırma Hastanesi evde sağlık hizmetleri birimine kayıtlı hastaların değerlendirilmesi, Ankara Tıp Dergisi, 16(4), 325-31.
• Dale, B.A. and Wright, D.H. (2011). Say goodbye to wet-to-dry wound care dressings: changing the culture of wound care management within your agency, Home Healthcare Now, 29(7), 429-440.
• Decker, F.H. and Park-Lee, E. (2010). Comparison of home health and hospice care agencies by organizational characteristics and services provided: United States, 2007, National Health Statistics Reports, 30, 1-23.
• Ellenbecker, C.H., Samia, L., Cushman, M.J. and Alster, K. (2008). Patient safety and quality in home health care, Patient safety and quality: An evidence-based handbook for nurses, Agency for Healthcare Research and Quality, Rockville, United States.
• Ellenbecker, C.H. (2004). A theoretical model of job retention for home health care nurses, Journal of Advanced Nursing, 47(3), 303-310. Gjevjon, E.R., Eika, K.H., Romøren, T.I., and Landmark, B.F. (2014). Measuring interpersonal continuity in high‐frequency home healthcare services, Journal of Advanced Nursing, 70(3), 553-563.
• Gümüş, R. and Sarıbaş, S. (2017). Diyarbakır İli Ve İlçelerinde 2015 Yılında Sağlık Bakanlığı’na Bağlı Hastanelerin Sunduğu Evde Bakım Hizmetlerinin Değerlendirilmesi, Uluslararası Sağlık Yönetimi ve Stratejileri Araştırma Dergisi, 3(1), 17-27.
• Han, S.J., Kim, H.K., Storfjell, J., and Kim, M.J. (2013). Clinical outcomes and quality of life of home health care patients, Asian Nursing Research, 7(2), 53-60.
• Hisar, K.M. and Erdoğdu, H. (2014). Evde sağlık hizmeti alanlarda yaşam kalitesi durumu ve etkileyen faktörlerin belirlenmesi, Genel Tıp Dergisi, 24, 138-142.
• Işık O., Kandemir A., Erişen M.A., and Fidan, C. (2016). Evde sağlık hizmeti alan hastaların profili ve sunulan hizmetin değerlendirilmesi, Hacettepe Sağlık İdaresi Dergisi, 19(2), 171-186.
• Karaman, D., Kara, D., and Yalçın Atar, N. (2015). Evde sağlık hizmeti verilen bireylerin hastalık durumlarının ve bakım ihtiyaçlarının değerlendirilmesi: Zonguldak örneği, Gümüşhane Üniversitesi Sağlık Bilimleri Dergisi, 4(3), 347-359.
• Korkmaz, P., Naz, H., Naz, C., and Toka, O. (2016). Evde Sağlık Hizmeti Birimi Tarafından Takip Edilen Hastalarda Gelişen İnfeksiyonlar, Presented at the Convention on 30th Anniversary of the Foundation of the Turkish Society of Clinical Microbiology and Infectious Diseases, 9, 12.
• Limnili, G. and Özçakar, N. (2013). Evde sağlık hizmetlerine başvuru özellikleri ve beklentiler, Türkiye Aile Hekimliği Dergisi, 17(1), 13-17.
• NAHC-National Association for Home Care & Hospice. (2010). Basic statistics about home care, Washington, DC: National Association for Home Care & Hospice, 1-14.
• National Research Council. (2010). The role of human factors in home health care: Workshop summary, National Academies Press, Washington DC.
• National Research Council (2011). Health Care Comes Home: The Human Factors, The National Academies Press, Washington DC.
• Rest, K.D., Trautsamwieser, A., and Hirsch, P. (2012). Trends and risks in home health care, Journal of Humanitarian Logistics and Supply Chain Management, 2(1), 34-53.
• Sağlık Bakanlığı. (2016). Sağlık Bakanlığınca Sunulan Evde Sağlık Hizmetlerinin Uygulama Usul ve Esasları Hakkında Yönerge. Retrieved 20 October 2020, https://www.saglik.gov.tr/TR,11271/saglik-bakanliginca-sunulan-evde-saglik-hizmetlerinin-uygulama-usul-ve-esaslari-hakkinda-yonerge.html
• Sağlık Bakanlığı. (2019). 2019 Faaliyet Raporu. Retrieved 20 October 2020, https://dosyamerkez.saglik.gov.tr/Eklenti/36626,tc-saglik-bakanligi-faaliyet-raporu-2019pdf.pdf?0.
• Schwien, T., Gilbert, J., and Lang, C. (2005). Pressure ulcer prevalence and the role of negative pressure wound therapy in home health quality outcomes, Ostomy/wound Management, 51(9), 47.
• Téot, L., Geri, C., Lano, J., Cabrol, M., Linet, C., and Mercier, G. (2020). Complex wound healing outcomes for outpatients receiving care via telemedicine, home health, or wound clinic: a randomized controlled trial, The International Journal of Lower Extremity Wounds, 19(2), 197-204.
• Terry, M., Halstead, L.S., O'Hare, P., Gaskill, C., Ho, P.S., Obecny, J., and Lauderdale, M.E. (2009). Feasibility study of home care wound management using telemedicine, Advances in Skin & Wound Care, 22(8), 358-364.
• Tobin, J. (1958). Estimation of relationships for limited dependent variables. Econometrica: journal of the Econometric Society, 26(1), 24-36.
• Uzan, M.M., Eğici, M.T., and Toprak, D. (2017). Evde Sağlık Hizmeti Kapsamındaki Hastaların Sosyodemografik Özellikleri ve Tıbbi Durumları, Journal of Academic Research in Medicine, 7(3), 117-121.
• Welch, H.G., Wennberg, D.E., and Welch, W.P. (1996). The use of Medicare home health care services, New England Journal of Medicine, 335(5), 324-329.
• Westra, B.L., Bliss, D.Z., Savik, K., Hou, Y., and Borchert, A. (2013). Effectiveness of wound, ostomy, and continence nurses on agency-level wound and incontinence outcomes in home care, Journal of Wound Ostomy & Continence Nursing, 40(1), 25-53.