The transition from hospital to home based hospital cares and its consequences for the understanding of caregiving
Résumé
The transition from hospital to home based hospital cares and its consequences
The increasing pressure to reduce patient stays in European hospitals as well as the increase in chronic diseases has had numerous consequences, among which, the development of homecare. While its use for the care of elderlies and chronic diseases is well known, States are now pushing for its diversification toward patients suffering from more acute diseases and undergoing complex treatments. The development of home based hospital cares which are aimed at coordinating care happening at the patient home is a direct consequence of this trend, thus blurring the meaning behind being discharged for a number of patients.
This paper will focus on how the transition from hospital to home-based hospital care impacts the relationships between home care professionals, patients and their families. First, it will describe what happens behind the scene when the patient is released from hospital, and into the hand of home based hospital care professionals. Second, it will rely on the understanding of these events to give an interpretation of their impact on the relationships between patient, carers and health professionals.
Our research is based on two qualitative studies of French home based hospital care organizations which were funded respectively by the French health ministry (PREPS program) and the French League Against Cancer and in collaboration respectively with members of TASDA and the Hygée centre. They includes interviews with patients, family members and healthcare professionals involved both in the coordination of care and caregiving.
Domaines
Sociologie
Loading...