Review Article

Providing Healthcare Services at Home-A Necessity in Iran: A Narrative Review Article

Abstract

Background: Increasing hospital costs and its social and cultural problems has led to the idea of providing healthcare services at home. Because of infrastructural and implementation problems, providing healthcare at home in Iran has not been initiated yet. Therefore, this study set out to elaborate the need for a comprehensive system in order to provide this service in Iran.

Methods: All articles published in indexing sites with the defined keywords in English or Farsi were gathered. The indexing websites included Iran Medex, PubMed Central, Elsevier journals, WHO publications and Google scholar from 1985 to 2014 were surveyed. Other documents included the related books and regulations.

Results: Despite of having dominant religious values and constitution laws related to stability of family relations and establishment of clinical services and health care at home in Iran, providing health care services faces some harsh challenges including ignoring entrepreneurship and lack of required infrastructures such as lack of required insurance regulations, the inappropriate and indifferent performance of some activists home services and absence of registration and identification system in this domain.

Conclusion: Because of the increasing number of elderly people in Iran and healthcare costs becoming more and more expensive, establishing a system for providing healthcare at home is inevitable.

 

 

Forbes A, While A (2009). The nursing contribution to chronic disease management: a discussion paper. Int J Nurs Stud, 46:119-30.

Grundy E, Holt G (2001). The socioeconomic status of older adults: How should we measure it in studies of health inequalities? J Epidemiol Community Health, 55:895-904.

Tung YC, Chang GM, Cheng SH (2015). Long-Term Effect of Fee-For-Service-Based Reimbursement Cuts on Processes and Outcomes of Care for Stroke: Interrupted Time-Series Study From Taiwan. Circ Cardiovasc Qual Outcomes, 8(1), 30-37.

Ferlie EB, Shortell SM (2001). Improving the quality of health care in the United Kingdom and the United States: a framework for change. Milbank Q, 79:281-315.

Genet N, Boerma WG, Kringos DS, Bouman A, Francke AL, Fagerstrom C, Melchiorre MG, Greco C, Deville W (2011). Home care in Europe: a systematic literature review. BMC Health Serv Res, 11:207.

Carpenter I, Gambassi G, Topinkova E, Schroll M, Finne-Soveri H, Henrard JC, Garms-Homolova V, Jonsson P, Frijters D, Ljunggren G, Sorbye LW, Wagner C, Onder G, Pedone C, Bernabei R (2004). Community care in Europe. The Aged in Home Care project (AdHOC). Aging Clin Exp Res, 16:259-69.

Stall N, Nowaczynski M, Sinha SK (2014). Systematic Review of Outcomes from Home-Based Primary Care Programs for Homebound Older Adults. J Am Geriatr Soc, 62(12), 2243-2251.

Mobaraki H, Hassani A, Kashkalani T, Khalilnejad R, Chimeh EE (2013). Equality in Distribution of Human Resources: the Case of Iran’s Ministry of Health and Medical Education. Iran J Public Health, 42:161.

Rad AM (2005). A survey of total quality management in Iran. Int J Health Care Qual Assur Inc Leadersh Health Serv, 18:xii-xxxiv.

Alikhani S, Delavari A, Alaedini F, Kelishadi R, Rohbani S, Safaei A (2009). A province-based surveillance system for the risk factors of non-communicable diseases: A prototype for integration of risk factor surveillance into primary healthcare systems of developing countries. Public Health, 123:358-364.

Wagner EH (1998). Chronic disease management: what will it take to improve care for chronic illness? Eff Clin Pract, 1:2-4.

Cimino NM, Lockman K, Grant M, McPherson ML (2014). Knowledge, Skills, and Attitudes in Caring for Older Adults With Advanced Illness Among Staff Members of Long-Term Care and Assisted Living Facilities: An Educational Needs Assessment. Am J Hosp Palliat Care, 33(4), 327-334.

Jerant AF, Azari R, Nesbitt TS (2001). Reducing the cost of frequent hospital admissions for congestive heart failure: a randomized trial of a home telecare intervention. Med Care, 39:1234-45.

Dias A, Dewey ME, D'Souza J, Dhume R, Motghare DD, Shaji K, Menon R, Prince M, Patel V (2008). The effectiveness of a home care program for supporting caregivers of persons with dementia in developing countries: a randomised controlled trial from Goa, India. PLoS One, 3:e2333.

Shoaei F NV (2008). Aged care services in the United States of America a glimpse of Iran. Elderly, 68-77.

Dyeson TB (2005). The home health care team: What can we learn from the hospice experience? Home Health Care Management & Practice, 17:125-127.

Higginson IJ, Finlay IG, Goodwin DM, Hood K, Edwards AG, Cook A, Douglas H-R, Normand CE (2003). Is there evidence that palliative care teams alter end-of-life experiences of patients and their caregivers? J Pain Symptom Manage, 25:150-168.

Devivo MJ (2012). Epidemiology of traumatic spinal cord injury: trends and future implications. Spinal Cord, 50:365-72.

Haddad FD (2001). At the end of the continuum--"going home". Health care needs to focus on providing hospice services to the communities they serve. AHP J, :26-9.

Anonymous(2007) Comparison of aged care facilities in Iran and the world. Available from: http://www.pezeshk.us

Ward K, Rahman F, Islam AS, Akhter R, Kamal N (2004). The effects of global economic restructuring on urban women's work and income-generating strategies in Dhaka, Bangladesh. Critical Sociol, 30:63-102.

Regulations the Ministry of Health (2013). laws of stablishment to provide clinical services and health care at home medcare. Available from: http://darman.umsu.ac.ir/uploads/manzel.pdf

Regulations the Ministry of Health (2013). laws of stablishment for providing counseling, nursing services. Available from: http://darman.umsu.ac.ir/uploads/parastari.pdf

Bartarinha internet magazine (2014) Unemployment Physicians. Available from: http://www.bartarinha.ir/fa/news/30812/

Nasrabadi AN, Lipson JG, Emami A (2004). Professional nursing in Iran: an overview of its historical and sociocultural framework. J Prof Nurs, 20:396-402.

Nikbakht Nasrabadi A, Emami A, Parsa Yekta Z (2003). Nursing experience in Iran. Int J Nurs Pract, 9:78-85.

Mohamadi F DF, Nikravesh M (2008). Factors that facilitate and hinder the process of care for vulnerable elderly in the family: A qualitative research. Iran Nursing J, 21:55-65.

Nikbakht Nasrabadi A, Emami A (2006). Perceptions of nursing practice in Iran. Nursing Outlook, 54:320-327.

Salamat News (2014) Giving lisenc for home care. Available from: http://www.sala-matnews.com/news/80244

Keyhan News (2014). Home care and home nursing care. Available from: http://kayhan.ir/fa/news/3350

Lotfy WM, Ezz AM, Hassan AA (2013). Bioaccumulation of Some Heavy Metals in the Liver Flukes Fasciola hepatica and F. gigantica. Iran J Parasitol, 8:552-8.

Chi NC, Demiris G (2014). A systematic review of telehealth tools and interventions to support family caregivers. J Telemed Telecare, 21(1):37-44.

Ahmann E, Dokken D (2012). Strategies for encouraging patient/family member partnerships with the health care team. Pediatr Nurs, 38:232-5.

Kwong EW, Kwan AY (2007). Participation in health-promoting behaviour: influences on community-dwelling older Chinese people. J Adv Nurs, 57:522-34.

Brent NJ (1989). The Home Health Care Nurse as Entrepreneur: Exploring the Possibility of Establishing One's Own Home Care Agency. Home Healthc Nurse, 7: 4-43.

Barati A, Janati A, Tourani S, Khalesi N, Gholizadeh M (2010). Iranian professional’s perception about advantages of developing home health care system in iran. Hakim, 13(2): 71- 79.

Kubo M (2014). Long-term care insurance and market for aged care in Japan: focusing on the status of care service providers by locality and organisational nature based on survey results. Australas J Ageing, 33:153-7.

Van de Ven WP, Beck K, Buchner F, Chernichovsky D, Gardiol L, Holly A, Lamers LM, Schokkaert E, Shmueli A, Spycher S (2003). Risk adjustment and risk selection on the sickness fund insurance market in five European countries. Health Policy, 65:75-98.

van der Aa MJ, Evers SM, Klosse S, Maarse JA (2014). [Reform of long-term care in the Netherlands: solidarity maintained?]. Ned Tijdschr Geneeskd, 158:A8253.

Oura A WM, Wada Ji, Arai Y, Mori M (2006). Factors related to institutionalization among the frail elderly with home-visiting nursing service in Japan. Gerontology, 52:66-8.

Shahshahani MS, Salehi S, Rastegari M, Rezayi A (2010). The study of optimal nursing position in health care delivery system in Iran. Iran J Nurs Midwifery Res, 15:150.

Storey C, Ford J, Cheater F, Hurst K, Leese B (2007). Nurses working in primary and community care settings in England: problems and challenges in identifying numbers. J Nurs Manag, 15:847-52.

Penning MJ (2002). Hydra Revisited Substituting Formal for Self-and Informal In-Home Care Among Older Adults With Disabilities. The Gerontologist, 42:4-16.

Emanuel EJ, Fairclough DL, Slutsman J, Alpert H, Baldwin D, Emanuel LL (1999). Assistance from family members, friends, paid care givers, and volunteers in the care of terminally ill patients. N Engl J Med, 341:956-63.

Lemieux-Charles L, McGuire WL (2006). What do we know about health care team effectiveness? A review of the literature. Med Care Res Rev, 63:263-300.

Pastor DK (2006). Home sweet home: a concept analysis of home visiting. Home Healthc Nurse, 24:389-94.

Geron SM, Smith K, Tennstedt S, Jette A, Chassler D, Kasten L (2000). The home care satisfaction measure: a client-centered approach to assessing the satisfaction of frail older adults with home care services. J Gerontol B Psychol Sci Soc Sci, 55:S259-70.

Pohjonen T (2001). Perceived work ability of home care workers in relation to individual and work-related factors in different age groups. Occup Med (Lond), 51:209-17.

Kemp CE (2003). Community health nursing education: Where we are going and how to get there. Nurs Educ Perspect, 24:144-150.

Putsch RW, Pololi L (2004). Distributive justice in American healthcare: institutions, power, and the equitable care of patients. Am J Manag Care, 10 Spec No:Sp45-53.

Harrington C, O'Meara J, Kitchener M, Simon LP, Schnelle JF (2003). Designing a report card for nursing facilities: what information is needed and why. Gerontologist, 43 Spec No 2:47-57.

.

Files
IssueVol 45 No 7 (2016) QRcode
SectionReview Article(s)
Keywords
Healthcare at home Healthcare systems Nursing Iran

Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
How to Cite
1.
NIKBAKHT-NASRABADI A, SHABANY-HAMEDAN M. Providing Healthcare Services at Home-A Necessity in Iran: A Narrative Review Article. Iran J Public Health. 2016;45(7):867-874.