استعرض مصدر Home care in Europe: a systematic literature review


Home care in Europe: a systematic literature review

Genet et al. BMC Health Services Research 2011, 11:207
http://www.biomedcentral.com/1472-6963/11/207

Nadine Genet1*, Wienke GW Boerma1
, Dionne S Kringos1
, Ans Bouman2
, Anneke L Francke1,3, Cecilia Fagerström4
,
Maria Gabriella Melchiorre5
, Cosetta Greco5 and Walter Devillé1,6

Abstract

Background: Health and social services provided at home are becoming increasingly important. Hence, there is a
need for information on home care in Europe. The objective of this literature review was to respond to this need
by systematically describing what has been reported on home care in Europe in the scientific literature over the
past decade.

Methods: A systematic literature search was performed for papers on home care published in English, using the
following data bases: Cinahl, the Cochrane Library, Embase, Medline, PsycINFO, Sociological Abstracts, Social
Services Abstracts, and Social Care Online. Studies were only included if they complied with the definition of home
care, were published between January 1998 and October 2009, and dealt with at least one of the 31 specified
countries. Clinical interventions, instrument developments, local projects and reviews were excluded. The data
extracted included: the characteristics of the study and aspects of home care ‘policy & regulation’, ‘financing’,
‘organisation & service delivery’, and ‘clients & informal carers’.

Results: Seventy-four out of 5,133 potentially relevant studies met the inclusion criteria, providing information on
18 countries. Many focused on the characteristics of home care recipients and on the organisation of home care.
Geographical inequalities, market forces, quality and integration of services were also among the issues frequently
discussed.

Conclusions: Home care systems appeared to differ both between and within countries. The papers included,
however, provided only a limited picture of home care. Many studies only focused on one aspect of the home
care system and international comparative studies were rare. Furthermore, little information emerged on home
care financing and on home care in general in Eastern Europe. This review clearly shows the need for more
scientific publications on home care, especially studies comparing countries. A comprehensive and more complete
insight into the state of home care in Europe requires the gathering of information using a uniform framework
and methodology.

Keywords: home care, European Union, care systems, international comparison

==طالع أيضا==
*[[Home Care across Europe]]
*[[Home care in Europe: a systematic literature review]]
*[[Home Care across Europe-Case studies]]
*[[HOME CARE IN EUROPE- THE SOLID FACTS]]

==رابط==

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3170599/pdf/1472-6963-11-207.pdf

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