TY - JOUR
T1 - Development of a novel benchmark method to identify and characterize best practices in home care across six European countries: Design, baseline, and rationale of the IBenC project
AU - IBenC project
AU - van der Roest, Henriëtte G.
AU - van Eenoo, Liza
AU - van Lier, Lisanne I.
AU - Onder, Graziano
AU - Garms-Homolová, Vjenka
AU - Smit, Johannes H.
AU - Finne-Soveri, Harriet
AU - Jónsson, P. lmi V.
AU - Draisma, Stasja
AU - Declercq, Anja
AU - Bosmans, Judith E.
AU - van Hout, Hein P. J.
AU - Frijters, Dinnus H.
AU - Joling, Karlijn J.
AU - Bernabei, Roberto
AU - Vetrano, Davide L.
AU - Carfí, Angelo
AU - Schoen, Jacqueline
AU - Lau, Ho Ming
AU - Wisselink, Ho-Young
AU - Bremner, Jenny
AU - Calabro, Michele
AU - Dix, Olivia
AU - Khan, Usman
AU - Vezzosi, Matteo
AU - Jokinen, Sari
AU - Magnúsdóttir, Berglind
AU - Valgerur Kristinsdóttir, Inga
AU - Sakki, Joonas
AU - Noro, Anja
PY - 2019/5/15
Y1 - 2019/5/15
N2 - Background: Europe's ageing society leads to an increased demand for long-term care, thereby putting a strain on the sustainability of health care systems. The 'Identifying best practices for care-dependent elderly by Benchmarking Costs and outcomes of Community Care' (IBenC) project aims to develop a new benchmark methodology based on quality of care and cost of care utilization to identify best practices in home care. The study's baseline data, methodology, and rationale are reported. Methods: Home care organizations in Belgium, Finland, Germany, Iceland, Italy, and the Netherlands, home care clients of 65 years and over receiving home care, and professionals working in these organizations were included. Client data were collected according to a prospective longitudinal design with the interRAI Home Care instrument. Assessments were performed at baseline, after six and 12 months by trained (research) nurses. Characteristics of home care organizations and professionals were collected cross-sectionally with online surveys. Results: Thirty-eight home care organizations, 2884 home care clients, and 1067 professionals were enrolled. Home care clients were mainly female (66.9%), on average 82.9 years (± 7.3). Extensive support in activities of daily living was needed for 41.6% of the sample, and 17.6% suffered cognitive decline. Care professionals were mainly female (93.4%), and over 45 years (52.8%). Considerable country differences were found. Conclusion: A unique, international, comprehensive database is established, containing in-depth information on home care organizations, their clients and staff members. The variety of data enables the development of a novel cost-quality benchmark method, based on interRAI-HC data. This benchmark can be used to explore relevant links between organizational efficiency and organizational and staff characteristics.
AB - Background: Europe's ageing society leads to an increased demand for long-term care, thereby putting a strain on the sustainability of health care systems. The 'Identifying best practices for care-dependent elderly by Benchmarking Costs and outcomes of Community Care' (IBenC) project aims to develop a new benchmark methodology based on quality of care and cost of care utilization to identify best practices in home care. The study's baseline data, methodology, and rationale are reported. Methods: Home care organizations in Belgium, Finland, Germany, Iceland, Italy, and the Netherlands, home care clients of 65 years and over receiving home care, and professionals working in these organizations were included. Client data were collected according to a prospective longitudinal design with the interRAI Home Care instrument. Assessments were performed at baseline, after six and 12 months by trained (research) nurses. Characteristics of home care organizations and professionals were collected cross-sectionally with online surveys. Results: Thirty-eight home care organizations, 2884 home care clients, and 1067 professionals were enrolled. Home care clients were mainly female (66.9%), on average 82.9 years (± 7.3). Extensive support in activities of daily living was needed for 41.6% of the sample, and 17.6% suffered cognitive decline. Care professionals were mainly female (93.4%), and over 45 years (52.8%). Considerable country differences were found. Conclusion: A unique, international, comprehensive database is established, containing in-depth information on home care organizations, their clients and staff members. The variety of data enables the development of a novel cost-quality benchmark method, based on interRAI-HC data. This benchmark can be used to explore relevant links between organizational efficiency and organizational and staff characteristics.
UR - https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=85066041073&origin=inward
UR - https://www.ncbi.nlm.nih.gov/pubmed/31092244
U2 - https://doi.org/10.1186/s12913-019-4109-y
DO - https://doi.org/10.1186/s12913-019-4109-y
M3 - Article
C2 - 31092244
SN - 1472-6963
VL - 19
JO - BMC Health Services Research
JF - BMC Health Services Research
IS - 1
M1 - 310
ER -