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Home health care services: Necessity and cost effectiveness
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8th Congress of the EUGMS / European Geriatric Medicine 3S (2012) S33–S143
part of the BELFAST study. DNA typing for mitochondrial haplotypes was carried out together with blood and serum samples for immunoglobulins and cytokine analysis. IgG1 was significantly higher in J compared to the non-J haplotypes and also between the sexes. Conversely IgG2, IgG3 and IgG4 were lower in J haplotype carriers compared to non-carriers. The pro-inflammatory cytokines TNFa and Il-12 are higher in J haplotypes as was the anti-inflammatory cytokine IL-10. IL-6 and soluble IL-6 receptor are not significantly different between the J and non-J mitochondrial haplotypes. Conclusion.– IgG1 subclass of antibody, involved in complement and oponisation effector responses to viral and bacterial infection was raised in J mitochondrial haplotype carriers, compared to non J haplotype carriers, with associated changes in TNFa, IL12 and the anti-inflammatory cytokine 1L-10, suggesting that enhanced capacity to respond to “immunostress” may be important in the ‘successful ageing’ phenotype. Disclosure.– No significant relationships. http://dx.doi.org/10.1016/j.eurger.2012.07.110 P110
Department of acute geriatric and remobilisation under the direction of a specialist in physical medicine and rehabilitation
C. Angleitner ∗ , P. Heise , S. Traussnigg , P. Golmayer , I. Reiter , W. Nimeth Department Of Geriatrics And Remobilisation, Hospital of the Sisters of Charity Ried, Ried, Austria Purpose.– Is it possible to reach for all patients no matter from witch department they come from the same therapeutic progress in outcome? Methods.– The retrospective study includes all the patients from 2010 witch we took over from the neurologic, traumotologic, orthopedic and internal departments. The development was measured with the functional independence measure (FIM). The FIM was taken inside 72 hours after take over and was controlled 48 hours before discharge. Results.– The study includes 349 patients. One hundred and twelve neurological patients with an average age of 75.23 years, an average stay of 23.16 days and an average fim development from 74 to 90 points, 100 traumatologic patients with an average age of 82.34 years, an average stay of 17.8 days and an average fim development from 83 to 103 points, 90 orthopaedic patients with an average age of 73.39 years, an average stay of 15.7 days and an average fim development from 100 to 115 points and 37 internistic patients with an average age of 80.57 years, an average stay of 17.8 days and an average fim development from 83 to 97 points. The development of all the patients was 1.25 (±0.22) per therapeutic day. Conclusions.– It is possible to do the same progress for all patients on the department for acute geriatric and remobilisation under the direction of a specialist for physical medicine and rehabilitation independently from witch department they were overtaken from. Disclosure.– No significant relationships. http://dx.doi.org/10.1016/j.eurger.2012.07.111 P111
Home health care services: Necessity and cost effectiveness S.A. Dhahi Preventive Medicine, Home Health Care Services, North West Armed Forces Hospital Administration, Tabuk, Saudi Arabia Introduction.– Geriatric population is escalating in our community; Home Health Care Services (HHCS) is a relative new health care strategy in Saudi Arabia handled by multi-disciplinary medical team delivering medical services to patients at home.
Objectives.– – To compare the cost of patient between HHCS and hospital patients. – To compare the frequency of visits to Emergency Room and Specialty Clinics as well as patient/client satisfaction. Study.– A study of 955 patients treated by Home Health Care Team since 2008 until 2011 (retrospective study). Results.– The cost analysis proved that HHCS provides 65% cost minimization in comparison with secondary care, and 59% with long-stay care management. The patient satisfaction survey proved that 90% of the HHCS clients were satisfied with the services offered. Also, the patient visits to Emergency Room were decreased by 73% and 68% to Specialty Clinic for HHCS patients. HHCS minimizes the length of stay by 50%, as well as lessens the Emergency Room and Specialty Clinics visits. Conclusions.– HHCS minimizes the cost by reducing the length of stay of patients in the hospital, and decreasing the Emergency Room and Specialty Clinic visits, yet improves patient satisfaction. Within our community, there is an obvious need for HHCS that provides high in quality and low in costs yet provides the same strategy, efficacy and outcome as hospital care and long-stay care management. Recommendations.– It is recommended that HHCS shall be considered as health care strategy in patients needing long-term care and accepted as an ideal service to geriatric patients. Disclosure.– No significant relationships. http://dx.doi.org/10.1016/j.eurger.2012.07.112 P112
Prevalence of burnout among home health care staff members in Saudi Arabia, 2010 S.A. Dhahi Preventive Medicine, Home Health Care Services, North West Armed Forces Hospital Administration, Tabuk, Saudi Arabia Background.– The Home Health Care Services (HHCS) in Saudi Arabia provides quality care to its patients of which 87% are geriatrics. Due to the nature of work however, its staff members are prone to burnout. Burnout, as a type of prolonged response to chronic job-related stressors, has potentially very serious consequence for workers, their client, and the larger institutions in which they interact (MBI Manual 1996). Objectives and methods.– A cross-sectional study to determine the prevalence of burnout among HHCS staff at secondary and tertiary care hospitals in Riyadh, Jeddah, Dammam, Medina and Tabuk, using a self-administered questionnaire namely: sociodemographic with job characteristics and Maslach Burnout Inventory Human Services Survey. Results.– About 87% of the 160 questionnaires were validly completed and the analysis showed the prevalence of burnout among HHCS staff was very low. However, emotional exhaustion level was high among non-Saudi (P = 0.018) while the depersonalization level was high among Saudi staff (P = 0.044). Personal accomplishment was high among staff that practice recreational activities (P = 0.027). Conclusion.– The overall prevalence of burnout among HHCS staff was very low. Surprisingly, the personal accomplishment level was very high. Recommendation: Having incentives and stress management workshops will reduce stress and burnout among HHCS staff. Disclosure.– No significant relationships. http://dx.doi.org/10.1016/j.eurger.2012.07.113
8th Congress of the EUGMS / European Geriatric Medicine 3S (2012) S33–S143
part of the BELFAST study. DNA typing for mitochondrial haplotypes was carried out together with blood and serum samples for immunoglobulins and cytokine analysis. IgG1 was significantly higher in J compared to the non-J haplotypes and also between the sexes. Conversely IgG2, IgG3 and IgG4 were lower in J haplotype carriers compared to non-carriers. The pro-inflammatory cytokines TNFa and Il-12 are higher in J haplotypes as was the anti-inflammatory cytokine IL-10. IL-6 and soluble IL-6 receptor are not significantly different between the J and non-J mitochondrial haplotypes. Conclusion.– IgG1 subclass of antibody, involved in complement and oponisation effector responses to viral and bacterial infection was raised in J mitochondrial haplotype carriers, compared to non J haplotype carriers, with associated changes in TNFa, IL12 and the anti-inflammatory cytokine 1L-10, suggesting that enhanced capacity to respond to “immunostress” may be important in the ‘successful ageing’ phenotype. Disclosure.– No significant relationships. http://dx.doi.org/10.1016/j.eurger.2012.07.110 P110
Department of acute geriatric and remobilisation under the direction of a specialist in physical medicine and rehabilitation
C. Angleitner ∗ , P. Heise , S. Traussnigg , P. Golmayer , I. Reiter , W. Nimeth Department Of Geriatrics And Remobilisation, Hospital of the Sisters of Charity Ried, Ried, Austria Purpose.– Is it possible to reach for all patients no matter from witch department they come from the same therapeutic progress in outcome? Methods.– The retrospective study includes all the patients from 2010 witch we took over from the neurologic, traumotologic, orthopedic and internal departments. The development was measured with the functional independence measure (FIM). The FIM was taken inside 72 hours after take over and was controlled 48 hours before discharge. Results.– The study includes 349 patients. One hundred and twelve neurological patients with an average age of 75.23 years, an average stay of 23.16 days and an average fim development from 74 to 90 points, 100 traumatologic patients with an average age of 82.34 years, an average stay of 17.8 days and an average fim development from 83 to 103 points, 90 orthopaedic patients with an average age of 73.39 years, an average stay of 15.7 days and an average fim development from 100 to 115 points and 37 internistic patients with an average age of 80.57 years, an average stay of 17.8 days and an average fim development from 83 to 97 points. The development of all the patients was 1.25 (±0.22) per therapeutic day. Conclusions.– It is possible to do the same progress for all patients on the department for acute geriatric and remobilisation under the direction of a specialist for physical medicine and rehabilitation independently from witch department they were overtaken from. Disclosure.– No significant relationships. http://dx.doi.org/10.1016/j.eurger.2012.07.111 P111
Home health care services: Necessity and cost effectiveness S.A. Dhahi Preventive Medicine, Home Health Care Services, North West Armed Forces Hospital Administration, Tabuk, Saudi Arabia Introduction.– Geriatric population is escalating in our community; Home Health Care Services (HHCS) is a relative new health care strategy in Saudi Arabia handled by multi-disciplinary medical team delivering medical services to patients at home.
Objectives.– – To compare the cost of patient between HHCS and hospital patients. – To compare the frequency of visits to Emergency Room and Specialty Clinics as well as patient/client satisfaction. Study.– A study of 955 patients treated by Home Health Care Team since 2008 until 2011 (retrospective study). Results.– The cost analysis proved that HHCS provides 65% cost minimization in comparison with secondary care, and 59% with long-stay care management. The patient satisfaction survey proved that 90% of the HHCS clients were satisfied with the services offered. Also, the patient visits to Emergency Room were decreased by 73% and 68% to Specialty Clinic for HHCS patients. HHCS minimizes the length of stay by 50%, as well as lessens the Emergency Room and Specialty Clinics visits. Conclusions.– HHCS minimizes the cost by reducing the length of stay of patients in the hospital, and decreasing the Emergency Room and Specialty Clinic visits, yet improves patient satisfaction. Within our community, there is an obvious need for HHCS that provides high in quality and low in costs yet provides the same strategy, efficacy and outcome as hospital care and long-stay care management. Recommendations.– It is recommended that HHCS shall be considered as health care strategy in patients needing long-term care and accepted as an ideal service to geriatric patients. Disclosure.– No significant relationships. http://dx.doi.org/10.1016/j.eurger.2012.07.112 P112
Prevalence of burnout among home health care staff members in Saudi Arabia, 2010 S.A. Dhahi Preventive Medicine, Home Health Care Services, North West Armed Forces Hospital Administration, Tabuk, Saudi Arabia Background.– The Home Health Care Services (HHCS) in Saudi Arabia provides quality care to its patients of which 87% are geriatrics. Due to the nature of work however, its staff members are prone to burnout. Burnout, as a type of prolonged response to chronic job-related stressors, has potentially very serious consequence for workers, their client, and the larger institutions in which they interact (MBI Manual 1996). Objectives and methods.– A cross-sectional study to determine the prevalence of burnout among HHCS staff at secondary and tertiary care hospitals in Riyadh, Jeddah, Dammam, Medina and Tabuk, using a self-administered questionnaire namely: sociodemographic with job characteristics and Maslach Burnout Inventory Human Services Survey. Results.– About 87% of the 160 questionnaires were validly completed and the analysis showed the prevalence of burnout among HHCS staff was very low. However, emotional exhaustion level was high among non-Saudi (P = 0.018) while the depersonalization level was high among Saudi staff (P = 0.044). Personal accomplishment was high among staff that practice recreational activities (P = 0.027). Conclusion.– The overall prevalence of burnout among HHCS staff was very low. Surprisingly, the personal accomplishment level was very high. Recommendation: Having incentives and stress management workshops will reduce stress and burnout among HHCS staff. Disclosure.– No significant relationships. http://dx.doi.org/10.1016/j.eurger.2012.07.113