Caregivers; Quality indicator; Patient satisfaction; Home care; Patient profiles; Patient trajectories
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.
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.
DutoitLaure, PellegriniSonia (2020), Soins à domicile: de nouvelles données
, Schweizerisches Gesundheitsobservatorium (Obsan), Neuchâtel.
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.