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Prof Case Manag. 2018 Jan/Feb;23(1):25-31. doi: 10.1097/NCM.0000000000000242.

Community-Based Home Health Programs and Chronic Disease: Synthesis of the Literature.

Author information

1
Tonya Vandiver, MSN, is a Registered Nurse at Indiana University Health. She has worked in a variety of areas, including critical care, interventional radiology, and ambulatory/post anesthesia care. She is a member of American Society of Perianesthesia Nurses and Sigma Theta Tau International Honor Society of Nursing. She recently completed 360 practicum hours in case management for completion of her MSN degree. Tracy Anderson, MSN, is a Case Manager at Indiana University Hospital. She has over 20 years of health care experience and has worked in a variety of positions including bedside nursing, cardiologist rounding nurse, utilization review management, and case management. Her passion for case management inspired her research in community-based home health programs. She is a member of Sigma Theta Tau International Honor Society of Nursing. Brittani Boston, MSN, is a Pediatric Registered Nurse at Indiana University Hospital. She currently works in the Neonatal Intensive Care Unit, and has over 6 years of experience working with newborns and children in a critical care setting. Recently, she has worked on projects within her hospital that have focused on employee engagement and retention. Her interest in community health has inspired her research in community-based health programs and case management. Cynthia Bowers, DNP, RN, CNE, is an Assistant Professor of Nursing at University of Indianapolis, Indiana. She has over 26 years' health care experience including acute care nursing, new hospital development, operational management, and nursing education. Her research in health care and various published articles has provided experiences to prepare for writing this article. Norma Hall, DNP, RN-BC, CNE, is an Assistant Professor and Dean at the University of Indianapolis in Indianapolis, Indiana. She has over 25 years of experience as a nurse administrator, nurse educator, and consultant. She has published numerous articles on various aspects of nurse management and leadership; presented widely on a variety of subjects, including clinical, leadership, and education topics; and has held offices in professional nursing organizations.

Abstract

PURPOSE OF STUDY:

This article reviewed and evaluated literature on the various community-based home health programs and their effectiveness at preventing hospital admissions in adults. The research question addressed is as follows: Do community-based home health programs decrease hospital admissions in adult patients with chronic disease?

PRIMARY PRACTICE SETTING:

The primary practice setting evaluated in this review of the literature was community-based home health programs.

METHODOLOGY AND SAMPLE:

In this literature review, a seven-step review method was utilized to assess the evidence. Three electronic databases were used to conduct the initial search inquiry: CINAHL (Cumulative Index to Nursing and Allied Health Literature) Plus with Full Text, Medline, and PsycINFO. The search parameters include research from 2006 through 2016, English-language studies, and research published in peer-reviewed journals. The following search terms were used in multiple combinations: community-based health programs, chronic disease, and home. The primary sample population assessed was older adults with chronic disease.

RESULTS:

The research identified three common themes that influenced quality-of-life outcomes and health care utilization in participants of a community-based home health program. These themes were encouragement and emotional support, home visits, and multidisciplinary coordination of care. Additional concepts of depression and educational reinforcement were also noted.

IMPLICATIONS FOR CASE MANAGEMENT PRACTICE:

This literature review indicates that community-based home health programs are a viable solution to providing cost-effective health care to the adult population with chronic diseases. Community-based home health programs have been shown to have a positive impact on the quality of life and a decrease in health care utilization, including emergency department and primary care practitioner visits and hospital admissions, for adults with chronic disease.

PMID:
29176341
DOI:
10.1097/NCM.0000000000000242
[Indexed for MEDLINE]

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