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Open Access 01-12-2020 | Care | Study protocol

HOme-based Longitudinal Investigation of the multidiSciplinary Team Integrated Care (HOLISTIC): protocol of a prospective nationwide cohort study

Authors: Jung-Yu Liao, Ping-Jen Chen, Yu-Lin Wu, Ching-Hsia Cheng, Sang-Ju Yu, Chi-Hsien Huang, Chia-Ming Li, Ying-Wei Wang, Kai-Ping Zhang, I-Te Liu, Hiroyuki Umegaki, Jun Hamano, Masanori Mori, Irene Petersen, Elizabeth L. Sampson, Chao A. Hsiung

Published in: BMC Geriatrics | Issue 1/2020

Abstract

Background

The use of home health care (HHC) is increasing worldwide. This may have an impact not only on patients and their caregivers’ health but on care resource utilization and costs. We lack information on the impact of HHC on the broader dimensions of health status and care resource utilization. More understanding of the longitudinal HHC impact on HHC patients and caregivers is also needed. Moreover, we know little about the synergy between HHC and social care. Therefore, the present study aims to observe longitudinal changes in health, care resource utilization and costs and caregiving burden among HHC recipients and their caregivers in Taiwan.

Methods

A prospective cohort study “Home-based Longitudinal Investigation of the Multidisciplinary Team Integrated Care (HOLISTIC)” will be conducted and 600 eligible patient-caregiver dyads will be recruited and followed with comprehensive quantitative assessments during six home investigations over two years. The measurements include physical function, psychological health, cognitive function, wellbeing, shared decision making and advance care planning, palliative care and quality of dying, caregiving burden, continuity and coordination of care, care resource utilization, and costs.

Discussion

The HOLISTIC study offers the opportunity to comprehensively understand longitudinal changes in health conditions, care resource utilization and costs and caregiving burden among HHC patients and caregivers. It will provide new insights for clinical practitioners and policymakers.

Trial registration

ClinicalTrials.gov Identifier is NCT04250103 which has been registered on 31st January 2020.

Available only for authorised users

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Title: HOme-based Longitudinal Investigation of the multidiSciplinary Team Integrated Care (HOLISTIC): protocol of a prospective nationwide cohort study
Authors: Jung-Yu Liao
Ping-Jen Chen
Yu-Lin Wu
Ching-Hsia Cheng
Sang-Ju Yu
Chi-Hsien Huang
Chia-Ming Li
Ying-Wei Wang
Kai-Ping Zhang
I-Te Liu
Hiroyuki Umegaki
Jun Hamano
Masanori Mori
Irene Petersen
Elizabeth L. Sampson
Chao A. Hsiung
Publication date: 01-12-2020
Publisher: BioMed Central
Keyword: Care
Published in: BMC Geriatrics / Issue 1/2020
Electronic ISSN: 1471-2318
DOI: https://doi.org/10.1186/s12877-020-01920-1

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HOme-based Longitudinal Investigation of the multidiSciplinary Team Integrated Care (HOLISTIC): protocol of a prospective nationwide cohort study

Abstract

Background

Methods

Discussion

Trial registration

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Abstract

Background

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Discussion

Trial registration

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