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Community-Based Home Health Programs and Chronic Disease: Synthesis of the Literature
Tonya Vandiver1, Tracy Anderson, Brittani Boston
1Tonya 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.
Community-based home health programs effectively reduce hospital admissions for adults with chronic diseases. These programs improve quality of life and decrease healthcare utilization through support and coordinated care.
Area of Science:
- Health Services Research
- Gerontology
- Public Health
Background:
- Community-based home health programs are increasingly recognized for their role in managing chronic diseases.
- Effective management of chronic conditions in adults is crucial for reducing healthcare utilization and improving patient outcomes.
- Preventing hospital admissions is a key objective for healthcare systems managing adult populations with chronic illnesses.
Purpose of the Study:
- To review and evaluate the effectiveness of community-based home health programs in preventing hospital admissions among adult patients with chronic diseases.
- To determine if community-based home health programs decrease hospital admissions in adult patients with chronic disease.
Main Methods:
- A seven-step literature review methodology was employed.
- Searches were conducted in CINAHL Plus with Full Text, Medline, and PsycINFO databases for studies published between 2006 and 2016.
- Keywords included 'community-based health programs,' 'chronic disease,' and 'home,' focusing on older adults with chronic conditions.
Main Results:
- Three key themes emerged: encouragement and emotional support, home visits, and multidisciplinary care coordination.
- These themes positively influenced quality-of-life outcomes and healthcare utilization.
- Additional factors noted were depression management and educational reinforcement.
Conclusions:
- Community-based home health programs offer a cost-effective approach to healthcare for adults with chronic diseases.
- These programs demonstrate a positive impact on quality of life and reduced healthcare utilization, including hospital admissions.
- Home health programs are a viable solution for managing chronic conditions and improving patient outcomes.
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