Description of a home care service for cancer patients through quantitative indexes of evaluation
| Autor: | Marco Maltoni, Antonio Rinaldi, Dino Amadori, Stefania Derni, M.P. Innocenti |
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| Rok vydání: | 1991 |
| Předmět: |
Adult
Male Cancer Research Average duration medicine.medical_specialty Adolescent 03 medical and health sciences Nursing care 0302 clinical medicine 030502 gerontology Neoplasms medicine Humans Aged Aged 80 and over Descriptive statistics business.industry Home care service Cancer Private institution General Medicine Continuity of Patient Care Middle Aged medicine.disease Advanced cancer Home Care Services Hospitalization House Calls Oncology Italy 030220 oncology & carcinogenesis Family medicine Continuity of care Female 0305 other medical science business Program Evaluation |
| Zdroj: | Tumori. 77(6) |
| ISSN: | 0300-8916 |
| Popis: | Home care (HC) was created and developed in Romagna, as in other parts of Italy, thanks to the endeavor of a private Institution, the « Istituto Oncologico Romagnolo ». The care Is gratis to advanced cancer patients and is based on the palliative philosophy of treatment of the symptoms and the person within the framework of continuity of care permitted by the oncologic approach. To evaluate the intensiveness of the operation in terms of medical and nursing care by means of quantitative indexes, we examined several variables which emerged from a retrospective analysis of our case study. The average duration of care of the 484 patients in the program as of 31 December 1990 was 84.1 days. Four hundred and twenty-three patients of the 484 (87.1 % of the total) have died and 61 were still in the HC program at the time of this analysis. The 61 living patients were thus excluded from the descriptive analysis to give greater homogeneity to the study group. The average duration of care for the 423 decreased patients was 68.1 days. Out of a total of 28,759 days of HC for the entire group, the patients actually spent 23,534 days (81.8 %) at home. The average duration of hospitalization was 13.5 days, and in 33.2% of the cases it was motivated by psychologic and family causes. The place of death was the home in 44.3 % of the cases. A medical or nursing visit was made at the home every 1.4 days, and the average number of visits per patient was 39.0. Although none of the indexes alone can give overall indications of the intensiveness of a HC service, they may constitute a working proposal for the definition of the most objective criteria possible for the quantitative evaluation of such experiences. |
| Databáze: | OpenAIRE |
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