Evaluation of Quality Indicators in Home Health Services Delivery
Background: We aimed to evaluate the quality indicators monitored within the scope of quality standards health.
Methods: In this descriptive study, patients who visited the home health services unit in 2021, were included. Patient age and diagnostic data were obtained from the Basic Health Statistics Module. Other information such as the number of patient visits and nutritional status were obtained from the indicator data collection form followed by the quality management unit of our hospital and from the home health services unit. We included the data of Antalya Training and Research Hospital. Microsoft Excel and SPSS 25.0 program were used in the analysis of the data, and the data obtained were shown as numbers and ratios (%).
Results: When the quality indicators of home health services delivery were examined, the timely response rate of the application was 100%, the nutritional status of all patients was evaluated using the Nutritional Risk Score (NRS-2002) evaluation form at the first patient visit; the patients receiving health care from the home health unit of our hospital visited an average of three times in a year, and the health service from the home health unit was determined: the annual average rate of medical appointments kept with patients who receive medical care at the scheduled time is 83%.
Conclusion: Quality indicators are being met well, and good-quality care services are being delivered in the home health service of the training and research hospitals.
2. Kucuk YS, Sahin B (2022). Comparison of Home Health Care Services Provided by Primary Health Care Organizations and Hospitals: A Cross-Sectional Study. J Health Sci,7(2):508–15.
3. Arantas AB, Koroglu (2019). FT. Evaluation of Services Provided by Home Health Care Unit in a Training and Research Hospital: 2018 Statistics. Ankara Med J,19(1):170–7.
4. Turkish Statistical Instıtute. TUIK News Bul-letin, Elders with Statistics, 2021.[cited 2022 May 14]. Available from: https://data.tuik.gov.tr/Bulten
5. Wagner A, Schaffert R, Möckli N, Zúñiga F., Dratva J (2020). Home care quality indica-tors based on the Resident Assessment Instrument-Home Care ( RAI-HC ): a systematic review. BMC Health Serv Res, 20:366.
6. Tang X, Chen X, Pang, Y, Zhou L (2018). The development of quality indicators for home care in China. Int J Qual Health Care, 30(3):208–18.
7. Dogusan AR (2019). Legislation and Devel-opment of Home Health Services in Tur-key. Ankara Med J,19(3).
8. Foebel AD, Hout HP Van, Roest HG Van Der, et al (2015). Quality of care in Euro-pean home care programs using the sec-ond generation interRAI Home Care Quality Indicators (HCQIs). BMC Geriatr, 15:148.
9. Yagar F (2022). Examination of Patient Ex-pectations Regarding Home Care Services In Turkey By Document Analysis Meth-od. Pamukkale Univ J Soc Sci Inst, 2;48.
10. Doren S van, Hermans K, Declerq A (2022). Conceptualising relevant social context indicators for people receiving home care : A multi- method approach in Flanders, Belgium. Health Soc Care Commu-nity, 30:e1244–e1254.
11. Statute (2010). Directive on Implementation Procedures and Principles of Home Health Services Provided by the Ministry of Health Number:3895. 2010.
12. The Ministry of Health (2015). HQS Home Health Kit. Ministry of Health, Ankara. https://shgmkalitedb.saglik.gov.tr/
13. Statute. Directive on Implementation Proce-dures and Principles of Home Health Services Provided by the Ministry of Health Date 24.02.2011 ve 7818 No 2011/8 2011.
14. The Ministry of Health. Quality Standards in Health (QSH)-Hospital-Version 6 [Inter-net]. 2020. https://shgmkalitedb.saglik.gov.tr/TR,12679/saglikta-kalite-standartlari-sks.html
15. The Ministry of Health. Health Quality Standards Indicator Management Guide. Ankara: 1175; 2020.
16. The Ministry of Health. Quality Standards in Health Indicator Management Guide (Version 2.2). No: 1175; 2021.
17. Mainz J (2003). Defining and classifying clinical indicators for quality improve-ment. Int J Qual Health Care, 15(6):523–30.
18. Burla L, Schaffert R, Mylaeus M, Rüesch P (2010). Developing and testing quality in-dicators of home care in Switzerland. Ge-sundheitswesen, 72(2):106-13.
19. The Ministry of Health. Contract Manager Performance Evaluation Criteria. Availa-ble from: https://yhgm.saglik.gov.tr/TR,50846/sozlesmeli-yonetici-performans-degerlendirme-kriterleri-gosterge-kartlari.html..(Accessed:05.04.2022)
20. Karahuseyinoglu EK (2021). Health Services in the Perspective of Quality Manage-ment. J Acad Values Stud,7(3):394–402.
21. Guduk, O, Guduk, O, Sertbas Y (2020). Characteristics of Patients Benefiting from Home Health Care Services and Examination of Service Demand. Manisa Celal Bayar Univ J Instıtute Heal Sci, 8(1):78–83.
22. Ozkan S, Sevim E (2022).Proposal of A Set Of Indicators for Planning and Manag-ing Elderly Care Services In Turkey : A Delphi ‑ Based Consensus Study. The Turkish Journal of Geriatrics, 25(1):183-193.
23. Kurt ME, Çemberlitas I, Sen MA (2019). In-vestigation of The Services Provided by The Home Healthcare Services Unit In Terms of Social State. Dicle Univ J Econ Adm Sci, 9(18):307–19.
24. TUSEB. Home Health Services Report. Turkish Public Health and Chronic Dis-eases Institute.TUHKE Certificate No: 48569; 2021.
25. Igarashi A, Eltaybani S, Takaoka M, et al (2020). Quality Assurance in Long-Term Care and Development of Quality Indica-tors in Japan. Gerontology and Geriatric Medi-cine, 6:233372142097532.
26. Yurdakul K, Alakaş HM, Eren T (2021). Planning home health care services: Vehi-cle routing and crew scheduling. J Turkish Oper Manag, 5(2):703–20.
27. Szwamel K, Kurpas D (2020). Indicators of an Integrated Home Care Model Shaped by the Needs of Patients Discharged from the Emergency. Int J Integr Care, 20(4):16.
28. Ozkan S, Aca Z (2021). Examination Of Home Care Services In Japan And Rec-ommendations For Turkey. Tıbbi Sos Hizmet Dergisi (TSHD),18:157–78.
29. Bos JT, Frijters DHM, Wagner C, et al (2007). Variations in quality of Home Care between sites across Europe, as measured by Home Care Quality Indica-tors. Aging Clin Exp Res, 19(4):323–9.
30. Fjørtoft Ann-k, Oksholm T, Førland O, et al (2020). Balancing contradictory re-quirements in homecare nursing — A discourse analysis. Nurs Open, 7:1011–1019.
31. Basic Health Statistics Module (BHSM- TSİM). https://tsim.saglik.gov.tr/. (Ac-cessed: 04.03.2022)
32. Hirdes JP, Fries BE, Morris JN, et al (2004). Home Care Quality Indicators (HCQIs) Based on the MDS-HC. Gerontologist, 44(5):665–79.
33. The Ministry of Health. 2020 Annual Re-port. 2020. https://sgb.saglik.gov.tr/TR-78823/tc-saglik-bakanligi-2020-yili-faaliyet-raporu-yayinlanmistir.html (Ac-cessed: 04.04.2022).
|Issue||Vol 52 No 9 (2023)|
|Aging Home health care Indicators|
|Rights and permissions|
|This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.|