Abstract
BackgroundTechnological advances in health care currently provide better care conditions and have increased survival rates of premature infants, along with increasing the life expectancy of chronically ill children. In this context, the home care service has emerged as an effective tool for the treatment of this group of children. Thus, this preliminary study aimed at evaluating the effectiveness of the Home Care Service (HCS) with regard to pediatric care.MethodsA cross-sectional study was performed through a medical record analysis of a tertiary hospital in Minas Gerais/Brazil. Two groups were compared: 36 patients from the HCS (home group) and 13 patients hospitalized with an indication for home care (hospital group). To analyze the effectiveness of HCS, we evaluated the number of readmissions, infection rate, number of procedures, and optimization of beds.ResultsThe hospital group presented 6.04 times more infections and was submitted to 6.43 times more procedures. The home group presented lower readmission rates; with 41.66% of children studied not being readmitted and 76.19% of those who needed readmissions did so after more than 30 days from hospital discharge. HCS optimized hospital beds and allowed, over five (5) years, the hospitalization of around 102 patients in the hospital studied.ConclusionIn this preliminary study, HCS reduced the number of procedures and infections compared to hospitalized patients. Moreover, HCS presented lower readmission rates and optimized hospital beds, which could be considered an indication of effectiveness.
Highlights
Technological advances in health care currently provide better care conditions and have increased survival rates of premature infants, along with increasing the life expectancy of chronically ill children
The Home Care type 1 (HC1) modality is composed of children who require minimal and less frequent multiprofessional interventions, who have health problems compensated by receiving care through their caregivers, and their health supervision is carried out by Basic Health Units (BHU) [15]
In order to evaluate the effectiveness of a Home Care Service, comparative and equivalent to that offered by in-hospital service, from four variables, those being the number of infections, the number of readmissions, the optimization of hospital beds and the number of hospitalizations procedures
Summary
Technological advances in health care currently provide better care conditions and have increased survival rates of premature infants, along with increasing the life expectancy of chronically ill children. In this context, the home care service has emerged as an effective tool for the treatment of this group of children. Several countries have tried to adapt to this new demand for offered care, due in particular to issues of economic viability [4] This has strengthened the emergence of new strategies and mechanisms for health care, such as Home Care Services (HCS), which combines technological and scientific resources present in the hospital with the family environment [5]. This study had as its objective to evaluate the effectiveness of a Home Care Service, regarding pediatrics care [7, 14]
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