Stručni rad
Patient Satisfaction and Quality in Home Health Care of Elderly Islanders
Vesna Nadarević-Štefanec
Đulija Malatestinić
Andrea Mataija-Redžović
Tin Nadarević
Sažetak
Patient satisfaction has been a widely investigated subject in health care research. Quality of care from the patient
perspective, especially in home health care, however has been investigated only very recently. Home health care is a system
of care provided by skilled practitioners to patients in their homes under the direction of a physician. Multidisciplinary
nature of home health care services present challenges to quality measurement that differ from those found in a
more traditional hospital settings. The aim of the study was to investigate the satisfaction of elderly patients living on islands
with home health care. Participants receiving skilled nursing care in their homes, for any diagnosis, who met selection
criteria, were surveyed about their perception of the quality of health care. The research was conducted during the
year 2010 among the residents of Kvarnerian islands (Krk, Cres and Mali Lo{inj) under the authority of Croatian Institute
for Health Insurance that approved the protocols employed in the investigation. Most older patients (96.2%) reported
high levels of satisfaction with health services delivery. Common leading diagnosis among home health care patient include
diseases of circulatory system (28.9% of patients), nutritional and metabolic disease(14.5%), malignant diseases
(13.2%), musculoskeletal and connective tissue disease (11.8%), diseases of the nervous system (9.2%), followed by injury
and poisoning (7.9%). Provision of home health care was well received by elderly patients. Home health care providers
seek to provide high quality, safe care in ways that honour patient autonomy and accommodate the individual characteristics
of each patients home and family. The demographics of an aging society will sustain the trend towards home-based
care. Therefore, research on effective practices, conducted in home health care settings, is necessary to support excellent
and evidence-based care.
Ključne riječi
patient satisfaction; home health care; Croatia
Hrčak ID:
72271
URI
Datum izdavanja:
25.9.2011.
Posjeta: 1.092 *