Home Care Program Reduces Hospital Readmissions in Patients With Congestive Heart Failure and Improves Other Associated Indicators of Health
被引:7
|
作者:
Maliakkal, Anto V.
论文数: 0引用数: 0
h-index: 0
机构:
Provident Hosp Cook Cty, Chicago, IL USAProvident Hosp Cook Cty, Chicago, IL USA
Maliakkal, Anto V.
[1
]
Sun, Amy Z.
论文数: 0引用数: 0
h-index: 0
机构:
St Louis Univ, Sch Med, St Louis, MO 63103 USAProvident Hosp Cook Cty, Chicago, IL USA
Sun, Amy Z.
[2
]
机构:
[1] Provident Hosp Cook Cty, Chicago, IL USA
[2] St Louis Univ, Sch Med, St Louis, MO 63103 USA
来源:
HOME HEALTH CARE MANAGEMENT AND PRACTICE
|
2014年
/
26卷
/
04期
关键词:
home health care;
congestive heart failure;
hospital admission reduction;
cost-effectiveness;
quality improvement;
compliance;
D O I:
10.1177/1084822314527763
中图分类号:
R47 [护理学];
学科分类号:
1011 ;
摘要:
The objective of this study is to analyze the impact of home care services on patients with congestive heart failure. After receiving home care services, the mean hospitalization rate for patients decreased as did symptoms such as paroxysmal nocturnal dyspnea, orthopnea, dyspnea upon exertion, and pedal edema. Home care resulted in a statistically significant increase in adherence for recommended medication regimen and diet/fluid restrictions and a significant improvement in functional capacity class. The data seem to suggest that a proper home care service can reduce the number of hospitalizations and increase the overall quality of life for patients with congestive heart failure. This will simultaneously reduce the ever-increasing health expenditures and appears to be a preferable cost-effective route to care for these patients.