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Analyses of the effectiveness of a Brazilian pediatric home care service: a preliminary study
Antônio José Lana de Carvalho1, Hyster Martins Ferreira1, Eliza Fernanda Borges1
1Graduate Program in Health Science, Faculty of Medicine, Federal University of Uberlândia, 1720 - Pará Ave., Umuarama, Uberlândia, 38405-320, Brazil.
Insights
Home Care Service (HCS) for pediatric patients significantly reduces infections and procedures compared to hospitalization. This approach also lowers readmission rates and optimizes hospital bed usage, indicating its effectiveness.
Area of Science:
- Pediatric Healthcare
- Health Services Research
- Chronic Illness Management
Background:
- Advancements in healthcare improve survival for premature infants and chronically ill children.
- Home Care Service (HCS) is an emerging effective strategy for pediatric patient management.
- This study evaluates the effectiveness of HCS in pediatric care.
Purpose of the Study:
- To assess the effectiveness of Home Care Service (HCS) in pediatric care.
- To compare HCS outcomes with traditional hospitalization for children requiring home care.
- To analyze key performance indicators of HCS.
Main Methods:
- Cross-sectional study analyzing medical records from a tertiary hospital in Minas Gerais, Brazil.
- Comparison of two groups: 36 patients in HCS (home group) and 13 hospitalized patients (hospital group).
- Evaluation metrics included readmission rates, infection rates, number of procedures, and hospital bed optimization.
Main Results:
- The hospital group experienced significantly higher infection rates (6.04 times) and procedures (6.43 times) compared to the home group.
- The home group showed lower readmission rates, with 41.66% not readmitted and 76.19% of readmissions occurring after 30 days.
- HCS optimized hospital bed utilization, facilitating approximately 102 additional patient hospitalizations over five years.
Conclusions:
- Home Care Service (HCS) demonstrates effectiveness by reducing procedures and infections in pediatric patients.
- HCS is associated with lower readmission rates and improved hospital bed optimization.
- The findings suggest HCS is a viable and effective model for pediatric care.
Background:
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. Thus, this preliminary study aimed at evaluating the effectiveness of the Home Care Service (HCS) with regard to pediatric care.
Methods:
A 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.
Results:
The 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.
Conclusion:
In 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.
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