Analyses of the effectiveness of a Brazilian pediatric home care service: a preliminary study
Abstract Background Technological advances in health care currently provide better care conditions and have increased survival rates of premature infants, along with increasing the life expectancy of chronically ill children. In this context, the home care service has emerged as an effective tool fo...
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| Format: | Article |
| Language: | English |
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BMC
2019-05-01
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| Series: | BMC Health Services Research |
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| Online Access: | http://link.springer.com/article/10.1186/s12913-019-4148-4 |
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| author | Antônio José Lana de Carvalho Hyster Martins Ferreira Eliza Fernanda Borges Laerte Honorato Borges Junior Ana Laura Teodoro de Paula Wallisen Tadashi Hattori e Vivian Mara Gonçalves de Oliveira Azevedo |
| author_facet | Antônio José Lana de Carvalho Hyster Martins Ferreira Eliza Fernanda Borges Laerte Honorato Borges Junior Ana Laura Teodoro de Paula Wallisen Tadashi Hattori e Vivian Mara Gonçalves de Oliveira Azevedo |
| author_sort | Antônio José Lana de Carvalho |
| collection | DOAJ |
| description | Abstract Background Technological advances in health care currently provide better care conditions and have increased survival rates of premature infants, along with increasing the life expectancy of chronically ill children. In this context, the home care service has emerged as an effective tool for the treatment of this group of children. Thus, this preliminary study aimed at evaluating the effectiveness of the Home Care Service (HCS) with regard to pediatric care. Methods A cross-sectional study was performed through a medical record analysis of a tertiary hospital in Minas Gerais/Brazil. Two groups were compared: 36 patients from the HCS (home group) and 13 patients hospitalized with an indication for home care (hospital group). To analyze the effectiveness of HCS, we evaluated the number of readmissions, infection rate, number of procedures, and optimization of beds. Results The hospital group presented 6.04 times more infections and was submitted to 6.43 times more procedures. The home group presented lower readmission rates; with 41.66% of children studied not being readmitted and 76.19% of those who needed readmissions did so after more than 30 days from hospital discharge. HCS optimized hospital beds and allowed, over five (5) years, the hospitalization of around 102 patients in the hospital studied. Conclusion In this preliminary study, HCS reduced the number of procedures and infections compared to hospitalized patients. Moreover, HCS presented lower readmission rates and optimized hospital beds, which could be considered an indication of effectiveness. |
| first_indexed | 2024-12-20T05:02:34Z |
| format | Article |
| id | doaj.art-e83d5da8560f4126aca8636a248af5ec |
| institution | Directory Open Access Journal |
| issn | 1472-6963 |
| language | English |
| last_indexed | 2024-12-20T05:02:34Z |
| publishDate | 2019-05-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Health Services Research |
| spelling | doaj.art-e83d5da8560f4126aca8636a248af5ec2022-12-21T19:52:30ZengBMCBMC Health Services Research1472-69632019-05-011911710.1186/s12913-019-4148-4Analyses of the effectiveness of a Brazilian pediatric home care service: a preliminary studyAntônio José Lana de Carvalho0Hyster Martins Ferreira1Eliza Fernanda Borges2Laerte Honorato Borges Junior3Ana Laura Teodoro de Paula4Wallisen Tadashi Hattori5e Vivian Mara Gonçalves de Oliveira Azevedo6Graduate Program in Health Science, Faculty of Medicine, Federal University of UberlândiaGraduate Program in Health Science, Faculty of Medicine, Federal University of UberlândiaGraduate Program in Health Science, Faculty of Medicine, Federal University of UberlândiaHome Care Service, Hospital of Clinics of Uberlândia, Federal University of UberlândiaInstitutional Program for Voluntary Scientific Initiation, Medical School, Federal University of UberlândiaDepartment of Public Health, Faculty of Medicine, Federal University of UberlândiaFaculty of Physical Education and Physical Therapy, Federal University of UberlândiaAbstract Background Technological advances in health care currently provide better care conditions and have increased survival rates of premature infants, along with increasing the life expectancy of chronically ill children. In this context, the home care service has emerged as an effective tool for the treatment of this group of children. Thus, this preliminary study aimed at evaluating the effectiveness of the Home Care Service (HCS) with regard to pediatric care. Methods A cross-sectional study was performed through a medical record analysis of a tertiary hospital in Minas Gerais/Brazil. Two groups were compared: 36 patients from the HCS (home group) and 13 patients hospitalized with an indication for home care (hospital group). To analyze the effectiveness of HCS, we evaluated the number of readmissions, infection rate, number of procedures, and optimization of beds. Results The hospital group presented 6.04 times more infections and was submitted to 6.43 times more procedures. The home group presented lower readmission rates; with 41.66% of children studied not being readmitted and 76.19% of those who needed readmissions did so after more than 30 days from hospital discharge. HCS optimized hospital beds and allowed, over five (5) years, the hospitalization of around 102 patients in the hospital studied. Conclusion In this preliminary study, HCS reduced the number of procedures and infections compared to hospitalized patients. Moreover, HCS presented lower readmission rates and optimized hospital beds, which could be considered an indication of effectiveness.http://link.springer.com/article/10.1186/s12913-019-4148-4Home careHealth service effectivenessChronic disease |
| spellingShingle | Antônio José Lana de Carvalho Hyster Martins Ferreira Eliza Fernanda Borges Laerte Honorato Borges Junior Ana Laura Teodoro de Paula Wallisen Tadashi Hattori e Vivian Mara Gonçalves de Oliveira Azevedo Analyses of the effectiveness of a Brazilian pediatric home care service: a preliminary study BMC Health Services Research Home care Health service effectiveness Chronic disease |
| title | Analyses of the effectiveness of a Brazilian pediatric home care service: a preliminary study |
| title_full | Analyses of the effectiveness of a Brazilian pediatric home care service: a preliminary study |
| title_fullStr | Analyses of the effectiveness of a Brazilian pediatric home care service: a preliminary study |
| title_full_unstemmed | Analyses of the effectiveness of a Brazilian pediatric home care service: a preliminary study |
| title_short | Analyses of the effectiveness of a Brazilian pediatric home care service: a preliminary study |
| title_sort | analyses of the effectiveness of a brazilian pediatric home care service a preliminary study |
| topic | Home care Health service effectiveness Chronic disease |
| url | http://link.springer.com/article/10.1186/s12913-019-4148-4 |
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