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Challenges of home care: a qualitative study
Mohsen Shahriari1, Donya Hafezi Nia2, Fatemeh Kalij3
1Nursing and Midwifery Care Research Center, Department of Adult Health Nursing, School of Nursing and midwifery, Isfahan University of Medical Sciences, Isfahan, Iran.
BMC Nursing
|March 29, 2024
Summary
Home care services face significant infrastructural and procedural challenges, impacting quality and accessibility. Addressing these requires policy reform, resource empowerment, and technological integration for improved patient outcomes.
Area of Science:
- Healthcare Management
- Quality Improvement
- Health Services Research
Background:
- Home care offers numerous benefits but faces uncertainties in service variety and quality.
- This study investigates the multifaceted challenges within home care service provision.
Purpose of the Study:
- To explore and identify the key challenges encountered in home care settings.
- To provide insights for enhancing the quality and accessibility of home care services.
Main Methods:
- A qualitative content analysis approach was employed.
- Semi-structured interviews were conducted with 17 participants (nurses, managers, patients).
- Data analysis followed Granheim's qualitative content analysis method.
Main Results:
- Two primary categories of challenges emerged: infrastructural and process-related.
- Infrastructural challenges include acculturation, economic factors, human resources, and policy/regulation.
- Process challenges involve quality improvement and service provision facilities.
Conclusions:
- Improving home care necessitates insurance coverage, policy revision, and human resource empowerment.
- Enhanced monitoring and adoption of modern technology are crucial for quality advancement.
- Addressing these challenges can lead to better home care service delivery.
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