TY - JOUR
T1 - Organizational home care models across Europe
T2 - A cross sectional study
AU - Van Eenoo, Liza
AU - van der Roest, Henriëtte
AU - Onder, Graziano
AU - Finne-Soveri, Harriet
AU - Garms-Homolova, Vjenka
AU - Jonsson, Palmi V.
AU - Draisma, Stasja
AU - van Hout, Hein
AU - Declercq, Anja
PY - 2018/1/1
Y1 - 2018/1/1
N2 - Background Decision makers are searching for models to redesign home care and to organize health care in a more sustainable way. Objectives The aim of this study is to identify and characterize home care models within and across European countries by means of structural characteristics and care processes at the policy and the organization level. Data sources At the policy level, variables that reflected variation in health care policy were included based on a literature review on the home care policy for older persons in six European countries: Belgium, Finland, Germany, Iceland, Italy, and the Netherlands. At the organizational level, data on the structural characteristics and the care processes were collected from 36 home care organizations by means of a survey. Data were collected between 2013 and 2015 during the IBenC project. Study design An observational, cross sectional, quantitative design was used. The analyses consisted of a principal component analysis followed by a hierarchical cluster analysis. Results Fifteen variables at the organizational level, spread across three components, explained 75.4% of the total variance. The three components made it possible to distribute home care organizations into six care models that differ on the level of patient-centered care delivery, the availability of specialized care professionals, and the level of monitoring care performance. Policy level variables did not contribute to distinguishing between home care models. Conclusions Six home care models were identified and characterized. These models can be used to describe best practices.
AB - Background Decision makers are searching for models to redesign home care and to organize health care in a more sustainable way. Objectives The aim of this study is to identify and characterize home care models within and across European countries by means of structural characteristics and care processes at the policy and the organization level. Data sources At the policy level, variables that reflected variation in health care policy were included based on a literature review on the home care policy for older persons in six European countries: Belgium, Finland, Germany, Iceland, Italy, and the Netherlands. At the organizational level, data on the structural characteristics and the care processes were collected from 36 home care organizations by means of a survey. Data were collected between 2013 and 2015 during the IBenC project. Study design An observational, cross sectional, quantitative design was used. The analyses consisted of a principal component analysis followed by a hierarchical cluster analysis. Results Fifteen variables at the organizational level, spread across three components, explained 75.4% of the total variance. The three components made it possible to distribute home care organizations into six care models that differ on the level of patient-centered care delivery, the availability of specialized care professionals, and the level of monitoring care performance. Policy level variables did not contribute to distinguishing between home care models. Conclusions Six home care models were identified and characterized. These models can be used to describe best practices.
KW - Delivery of health care
KW - Europe
KW - Home care services
KW - Organizational care models
UR - http://www.scopus.com/inward/record.url?scp=85031746939&partnerID=8YFLogxK
U2 - https://doi.org/10.1016/j.ijnurstu.2017.09.013
DO - https://doi.org/10.1016/j.ijnurstu.2017.09.013
M3 - Article
C2 - 29032349
SN - 0020-7489
VL - 77
SP - 39
EP - 45
JO - International journal of nursing studies
JF - International journal of nursing studies
ER -