Project

Back to overview

Swiss Home Care Data: patient profiles and quality measures for home care

English title Swiss Home Care Data: patient profiles and quality measures for home care
Applicant Dratva Julia
Number 167499
Funding scheme NRP 74 Smarter Health Care
Research institution Fachstelle Gesundheitswissenschaften Departement Gesundheit Zürcher Hochschule für Angew. Wissenschaften
Institution of higher education Zurich University of Applied Sciences - ZHAW
Main discipline Medical Statistics
Start/End 01.01.2017 - 30.09.2020
Approved amount 393'182.00
Show all

All Disciplines (2)

Discipline
Medical Statistics
Health

Keywords (6)

Caregivers; Quality indicator; Patient satisfaction; Home care; Patient profiles; Patient trajectories

Lay Summary (German)

Lead
In der Schweiz besteht wenig Wissen zu Angebot, Nachfrage und Qualität der Pflege zu Hause. Die Studie will diese Lücke füllen. Sie analysiert die noch wenig ausgewertete Datenbank des Spitex Verbandes Schweiz und entwickelt sie weiter.
Lay summary

Ziele: Ziel der Studie ist es, die Inanspruchnahme und Qualität von Pflegeleistungen anhand der Daten des Spitex Verbandes  Schweiz zu untersuchen. Zudem soll die Datenbank weiterentwickelt und Vorschläge zu deren künftigen Nutzung erarbeitet werden.

Projektbeschrieb: Nach einer Überprüfung der Datenqualität werden in einer ersten Projektphase die Daten des Spitex Verbandes mit anderen Gesundheitsstatistiken verknüpft. Anschliessend werden Profile der Patientinnen und Patienten erstellt, welche soziodemografische und klinische Merkmale, die Inanspruchnahme von Pflegeleistungen sowie Behandlungspfade enthalten. In der zweiten Projektphase wird die Spitex-Datenbank weiterentwickelt. Insbesondere wird die Zufriedenheit der Patienten und Angehörigen mit der Spitexpflege gemessen und die bestehenden Indikatoren der Pflegequalität aktualisiert. In der Schlussphase sollen gemeinsam mit Stakeholdern Empfehlungen für die zukünftige Nutzung der Datenbasis entwickelt werden.

Bedeutung: Die Weiterentwicklung der Spitex-Daten ermöglicht Antworten auf Fragen wie: Wer nutzt wann, wo, aufgrund welcher Gesundheitsprobleme die Spitex? Wie häufig wechseln Patienten zwischen stationären und ambulanten Angeboten der Langzeitpflege? Dies ermöglicht die optimalere Planung von Versorgungsleistungen. Weiter haben die in diesem Projekt für die öffentliche Spitex entwickelten Instrumente zur Qualitätsmessung das Potenzial für einen Transfer in die private Spitex. Dies kann einen Beitrag leisten zur Transparenz der Leistungen der Langzeitpflege zu Hause.

Direct link to Lay Summary Last update: 08.02.2017

Responsible applicant and co-applicants

Employees

Project partner

Publications

Publication
Home care quality indicators based on the Resident Assessment Instrument-Home Care (RAI-HC): a systematic review
Wagner Aylin, Schaffert René, Möckli Nathalie, Zúñiga Franziska, Dratva Julia (2020), Home care quality indicators based on the Resident Assessment Instrument-Home Care (RAI-HC): a systematic review, in BMC Health Services Research, 20(1), 366-366.
Verbesserung der Datenlage zur Spitex in der Schweiz : Potenziale für eine zukünftige Nutzung des Datenpools HomeCareData (HCD). Ergebnisbericht von Interviews mit Expertinnen und Experten im Rahmen d
WagnerAylin, SchaffertRené, DratvaJulia, HCD Research Group (2020), Verbesserung der Datenlage zur Spitex in der Schweiz : Potenziale für eine zukünftige Nutzung des Datenpools HomeCareData (HCD). Ergebnisbericht von Interviews mit Expertinnen und Experten im Rahmen d, ZHAW Zürcher Hochschule für Angewandte Wissenschaften, Winterthur.
Soins à domicile: de nouvelles données
DutoitLaure, PellegriniSonia (2020), Soins à domicile: de nouvelles données, Schweizerisches Gesundheitsobservatorium (Obsan), Neuchâtel.

Collaboration

Group / person Country
Types of collaboration
Swiss Federal Statistical Office (FOS) Switzerland (Europe)
- Industry/business/other use-inspired collaboration
Swiss Conference of Cantonal Health Directors (GDK) Switzerland (Europe)
- Industry/business/other use-inspired collaboration
Prof. Brant E. Fries, Ph.D; School of Public Health, University of Michigan/Ann Arbor United States of America (North America)
- in-depth/constructive exchanges on approaches, methods or results
Spitex Verband Schweiz (Swiss Association of Home Care Organizations) Switzerland (Europe)
- in-depth/constructive exchanges on approaches, methods or results
- Research Infrastructure
- Industry/business/other use-inspired collaboration
Swiss Federal Office of Public Health (FOPH) Switzerland (Europe)
- Industry/business/other use-inspired collaboration

Scientific events

Active participation

Title Type of contribution Title of article or contribution Date Place Persons involved
16th World Congress on Public Health 2020 Talk given at a conference Selecting home care quality indicators for Switzerland 13.10.2020 Rom, Italy Dratva Julia; Wagner Aylin; Schaffert René;
Swiss Public Health Conference 2020 Talk given at a conference Selecting home care quality indicators for Switzerland 02.09.2020 Luzern, Switzerland Wagner Aylin; Dratva Julia; Schaffert René;
Swiss Public Health Conference 2019 Talk given at a conference The Development and Validation of the Swiss CSI-HC: A Client Satisfaction Measure for Homecare Services in Switzerland 30.08.2019 Winterthur, Switzerland Liberatore Florian; Hollenstein Eva;
European Academy of Management (EURAM) Conference Talk given at a conference Rate Your Home Care Nurse – Methodological Challenges in Measuring Patient Satisfaction with Home Care Services 19.06.2018 Reykjavik, Iceland Hollenstein Eva; Liberatore Florian; Dratva Julia; Schaffert René;
Wennberg International Collaborative Spring Policy Meeting Talk given at a conference Ancient wisdom in organizational learning – Challenges in the development of a sensitive and informative patient satisfaction measure in elderly home care settings 12.04.2018 Zürich, Switzerland Hollenstein Eva; Liberatore Florian; Schaffert René; Dratva Julia;
Wennberg International Collaborative Spring Policy Meeting Talk given at a conference HomeCareData: a new database for long-term care planning 12.04.2018 Zürich, Switzerland Dutoit Laure; Pellegrini Sonia;
International Research Society for Public Management (IRSPM) Conference Talk given at a conference Patient-experience based organizational learning – Criteria for Patient satisfaction measure as effective indicator in home care settings 11.04.2018 Edinburgh, Great Britain and Northern Ireland Hollenstein Eva; Dratva Julia; Liberatore Florian; Schaffert René;
Public Health Wintertagung 2018 Poster «Love Is Blind» vs. «Love Becomes Hate». Wie sensitiv reagiert die Klientenzufriedenheit auf Critical Incidents in der häuslichen Pflege? 19.01.2018 Lochau, Austria Liberatore Florian; Hollenstein Eva;


Knowledge transfer events

Active participation

Title Type of contribution Date Place Persons involved
SBK-Kongress Workshop 02.04.2018 St. Gallen, Switzerland Hollenstein Eva; Liberatore Florian;


Communication with the public

Communication Title Media Place Year
New media (web, blogs, podcasts, news feeds etc.) Swiss Home Care Data: Bessere Daten zur Qualität der häuslichen Pflege (Spitex) Projektwebseite Italian-speaking Switzerland German-speaking Switzerland Rhaeto-Romanic Switzerland Western Switzerland 2020
New media (web, blogs, podcasts, news feeds etc.) When Love becomes Hate: Was Marketing mit den Erhebungszeitpunkten der Klientenzufriedenheit bei der ZHAW Blog German-speaking Switzerland 2018

Associated projects

Number Title Start Funding scheme
116449 Qualitätsindikatoren der professionellen ambulanten Pflege 01.05.2007 DORE project funding

Abstract

Research topic, objectivesHome care services have increased importance as providers of LTC. The planning and organisation as well as quality management of home care services is essential: health policy makers, service providers and consumers (patients, informal caregivers) need sound data on supply, demand and quality of LTC. Yet, in Switzerland, the availability of such information and the access to it is scarce. With respect to data on home care, the official statistics are poor, comprising only aggregated data. However, the Swiss Association of Home Care Organizations (Spitex Verband Schweiz) keeps its own, yet scientifically unexploited, database, the “HomeCareData pool (HCD)”: Non-profit local home care organizations (Spitex) collect data on patients’ health using a Swiss adaptation of the RAI-Homecare. The analysis of HCD would allow for expanding the limits of official statistics and providing more accurate information on the use of home care services. Therefore, the planned study intends to explore and expand the potential of HCD in relation to the provision and quality of health services. Three sub-studies will address the following specific topics:A) Analysis of Home Care Data and linkage with other health services statistics. The aim of this sub-study is to examine the data quality of the HCD, to link this database with other health services statistics and to explore its potential for research in the field of home care but also and long-term care. B) Further development and upgrading of the Home Care Data. The second sub-study aims to improve the HCD based on the results of the preceding study A as well as on literature research. In particular with regard (1) the integration of patient/caregiver needs in home care quality meas-urement and (2) the adaptation of the existing and development of additional Home Care Quality Indicators (HCQI) based on the RAI-HC in-strument.C) Framework for the future public use of Home Care Data. The final sub-study will prepare the future use of the HCD by designing of a conceptual framework and recommendations for possible applications, hosting and quality control of home care data.MethodsStudy A is based on the already existing HCD in Switzerland and analyses the following topics: (1) Plausibilisation and quality control of HCD; (2) data linkage of HCD with other health care statistics and (3) data analysis (patient profiles in terms of socio-economic characteristics, illness and dependency; patterns of care; patient trajectories through health care sectors).Study B will investigate the following topics: (1) The integration of patient/caregiver needs in quality measurement; (2) adaptations of actual quality indicators: It will be studied whether the quality indicators currently in use are still appropriate for measuring home care quality. Finally study C: Embedded in a systematic process stakeholders will develop a framework for the future public use of HCD.Scientific significanceFirst, the planned project will gain a deeper insight into patterns of home care utilization in Switzerland and thus complement the official SPITEX statistics. Second, the planned study aims at improving the already existing database on home care (HCD) and preparing the data for the need of selected user groups (in particular in relation to research and policy issues). Third, the foundation of a comprehensive quality indicator system for home care services will be established.Social and economic significanceThe final results and products of the planned study will offer opportunities for further development in two main areas:1) Health care planning and health services research: The study will establish a preliminary, but significantly improved database on service utilization in home care, and it will provide a framework for the future use and further development of these data. 2) Quality reporting and management in home care: The planned study will develop and evaluate, in a practical setting, an instrument for measuring patient/caregiver satisfaction. Furthermore, it will validate existing quality indicators currently in use at Swiss non-profit LHCO and design a framework for the internal use of these HCQI in relation to quality management in home care facilities.
-