Repository logo
 
Publication

Effectiveness of long-term health care in home context versus institutional care for the elderly dependent

2019Conference object Open access
Simple item page
dc.contributor.authorFonseca-Teixeira, Susana
dc.contributor.authorParreira, Pedro
dc.contributor.authorFreitas, Maria João
dc.contributor.authorMónico, Lisete
dc.contributor.authorMariano, Lorenzo
dc.contributor.authorAlonso, Jose García
dc.contributor.authorAmado, João
dc.date.accessioned2020-11-13T16:26:08Z
dc.date.available2020-11-13T16:26:08Z
dc.date.issued2019
dc.description.abstractIntroduction: Demographic aging and changes in the epidemiological pattern have led to an increase in health expenditures, particularly long-term care. In this way, home support is pointed out as an important strategy with added benefits. Objective: This review aims to identify and synthesize scientific evidence on the health gains of long-term care in a home context versus institutional care for dependent elderly people. Method: A review of the literature published in the last 10 years in the EBSCOhost database was carried out in three languages (Portuguese, English and Spanish). The descriptors of Medical Subject Headings used were: “Nursing care”, “Health Services Accessibility”, “Long-term care”, “Home care services”, “At-home”, “Nursing home”, “Cost benefit analysis” and “Efficiency”. Results: The results indicate that home-based care may be a lower cost alternative than institutional long-term care. The focus on home-based care is also linked to improved quality of care, lower access inequalities, more equitable and accessible care, reflecting not only the health outcomes of the population but also a reduction in the total cost of health care, resulting in affordable and sustainable health outcomes. Evidence has shown that interventions by multidisciplinary teams are more efficient and home-based care users have improved health status, lower admission rates to the emergency department, faster recovery and less likely to be hospitalized for adverse events, cutaneous infections and pressure ulcers. The empowerment of patients and caregivers in the care transition has also been shown to be an effective response in reducing rehospitalization rates, reflecting lower hospital costs. On the other hand, studies indicate that the cost-effectiveness of home-based care is more effective only for less dependent elderly people and that they have access to informal caregivers. Conclusion: Cost containment of institutional care and investment in home-based care are major challenges in increasing the efficiency of long-term and continuing care expenditures as well as greater partnership with social services, allow citizens to access the care they need more quickly.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationTeixeira S.F., Parreira P., Freitas M.J., Mónico L., Mariano L., Alonso J.G., Amado J. (2019) Effectiveness of long-term health care in home context versus institutional care for the elderly dependent. CISBETI 2019 - International Congress of Health, Well-Being, Technology and Innovation, BMC Health Services Research 2019, 19(Suppl 1):A56 . Doi.org/10.1186/s12913-019-4213-zpt_PT
dc.identifier.doi10.1186/s12913-019-4213-zpt_PT
dc.identifier.urihttp://hdl.handle.net/10400.14/31347
dc.language.isoengpt_PT
dc.peerreviewednopt_PT
dc.publisherBMCpt_PT
dc.subjectNursing carept_PT
dc.subjectLong-term carept_PT
dc.subjectCost benefit analysispt_PT
dc.subjectEfficiencypt_PT
dc.titleEffectiveness of long-term health care in home context versus institutional care for the elderly dependentpt_PT
dc.typeconference object
dspace.entity.typePublication
person.familyNameFonseca Teixeira
person.familyNameda Costa Amado
person.givenNameSusana Alexandra
person.givenNameJoão Manuel
person.identifier.ciencia-id4C11-8CF6-B43F
person.identifier.ciencia-idC614-0634-AE49
person.identifier.orcid0000-0003-3513-7392
person.identifier.orcid0000-0003-0358-7970
rcaap.rightsopenAccesspt_PT
rcaap.typeconferenceObjectpt_PT
relation.isAuthorOfPublicationccb42bdb-239a-476d-8667-b52176c78d8e
relation.isAuthorOfPublicationb0f631c7-fe51-480d-969c-f5e319e6d99d
relation.isAuthorOfPublication.latestForDiscoveryb0f631c7-fe51-480d-969c-f5e319e6d99d

Files

Original bundle
Now showing 1 - 1 of 1
No Thumbnail Available
Name:
2019056.pdf
Size:
674.64 KB
Format:
Adobe Portable Document Format
Download

Collections

FCSE - Documentos de Conferências / Conference Objects