ABSTRACT
Health care assessment is a very relevant process in health services organization. Despite home care appears to be a very important tool in health care delivery system, its impact has been only rarely evaluated in this country. The observational study we performed in the ASL Città di Milano on patients affected by ictus cerebri was aimed at addressing some questions in order to assess whether services can be delivered more cost effectively. We chose to look mainly at the effectiveness and cost of services for the people in need and their caregivers selected in two years time. The results are showed according to different patients' profiles and precocity of recruitment. Their analysis shows that further improvements can still be made in order to achieve a better tailored profile of delivery. Moreover it can be seen how the burden of costs still falls largely on families and caregivers. The study can be seen as premises for further analyses as well as a follow up intervention.
Subject(s)
Caregivers , Cerebral Hemorrhage/rehabilitation , Health Services for the Aged , Home Care Services/economics , Quality Assurance, Health Care , Aged , Aged, 80 and over , Caregivers/economics , Female , Health Care Costs , Health Services for the Aged/economics , Humans , Italy , Male , Middle Aged , Retrospective Studies , Urban Population/statistics & numerical dataABSTRACT
Home care for tracheotomised patients appears to be a relevant problem in health care management. In order to allow patients to be cured at home high care standard have to be assured, and a multidisciplinary level of assistance implemented for preventing complications like respiratory infections. This study was conducted in order to assess patients and/or care givers level of satisfaction through a telephone survey. It was aimed at allowing those responsible for the given services to assess whether improvements can be achieved particularly in so far as the actual clinical and managerial pathway is concerned.
