BACKGROUND: The Family Health Care Program (FHCP) of the Department of the Family and Community Medicine (DFCM) provides medical and psychosocial support to patients requiring continued medical attention and support once discharged from the hospital. From 1997 to August 2003, Majority of the referrals (22 percent) came from our Department. There were patients requiring home care but were not included due to the set criteria and limitations. We envision a home care program which will complement the existing FHCP of the DFCM. As a prerequisite, we want to determine the profile of patients requiring home care.
OBJECTIVE: 1) To determine the profile of patients requiring home care based on: age, sex, diagnosis, indication for home care, primary caregiver and financial supporter, and willingness of the patient or relative to participate in a home care program, 2) To determine the proportion of patients requiring home care, and 3) To determine the patients requiring home care with good family support.
GENERAL STUDY DESIGN: Descriptive Study
PARTICIPANTS: Patients discharged from the Medical Wards from March to May 2003
OUTCOME MEASURE: A validated questionnaire determined the profile of patients requiring home care.
ANALYSIS: Descriptive Statistical Analysis was used.
RESULT: Five percent of the patients discharged (38/813) required home care; mean age of 52 +/- 19 years. Twenty five patients were male. Median length of stay was 11 days. Top five indications for home care were: presence of decubitus ulcers, debilitation from CVD, presence of indwelling catheter, cor pulmonale, and presence of NGT. Top five diseases were: diabetes mellitus, pneumonia, congestive heart failure, hypertension and chronic lung disease. The children were the most common primary caregiver (19/38) and financial supporter (15/38). Ninety five percent had good family support and were willing to participate in a home care program.
DISCUSSION: These data on atherosclerosis-related diseases and risk factors from the NNHeS provide clinicians and policy-makers a birds eye view of the Philippine situation with respect to vascular disease and its risk factors. These data may be used for policy formulation and program prioritization. In addition, the information may serve as baseline measures to evaluate the success or failure of atherosclerosis control programs in the country. A 2nd NNHeS is planned in the year 2008.
CONCLUSION: Out of the 813 patients discharged, thirty eight required home care; mean age of 52 +/- 19 years old and median length of stay of 11 days. Twenty five were male. Diabetes mellitus, pneumonia, congestive heart failure, and hypertension were the most common diseases. The most common indications for home care were presence of decubitus ulcers, debilitation from CVD, presence of indwelling catheter, and cor pulmonale. The children were the most common caregivers and financial supporters. Thirty six patients had good family support. The relatives of thirty four patients were willing to support a home care program.