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Development and evaluation of an innovative community-based PEG support service
1PEG Care and Support Service, Endoscopy Suite, Flinders Medical Centre, South Australia.
Summary
A new support service for percutaneous endoscopic gastrostomy (PEG) tube management improved patient and caregiver satisfaction. This integrated care model allows PEG management in the home, reducing hospital admissions.
Area of Science:
- Healthcare Management
- Patient Support Services
- Clinical Nutrition
Background:
- Percutaneous endoscopic gastrostomy (PEG) tubes are crucial for nutritional support in various patient populations.
- Managing PEG tubes requires specialized knowledge for both patients and caregivers.
- Existing healthcare models often lack seamless integration between acute care and community support for PEG management.
Purpose of the Study:
- To establish and evaluate a dedicated Percutaneous Endoscopic Gastrostomy Care and Support Service.
- To bridge the gap between hospital-based care and home-based management of PEG tubes.
- To enhance patient and caregiver satisfaction and reduce healthcare resource utilization.
Main Methods:
- Development of a joint project between Endoscopy Suite and Hospital at Home services.
- Employment of a dedicated PEG coordinator for service enhancement.
- Evaluation through integration of questionnaire data and a dedicated PEG database.
Main Results:
- Identified a significant need for specialized support for both PEG tube patients and their caregivers.
- Demonstrated the feasibility of providing PEG management within the patient's home environment.
- Data indicated a positive impact on patient and caregiver satisfaction.
Conclusions:
- Integrated care models are effective for managing patients with percutaneous endoscopic gastrostomy tubes.
- Home-based PEG management improves patient outcomes and satisfaction.
- This service model has the potential to reduce hospital readmissions and improve quality of life.