The Perspective of Non-Institutional Caregivers Regarding Home Care in Andalussia. A Computer-Aided Qualitative Study

Authors

  • Mª Ángeles Prieto Rodríguez
  • Eugenia Gil García
  • Cristina Heierle Valero
  • Antonio Frías Osuna

Abstract

Background: This study is aimed at ascertaining how the family caregivers of terminal cancer patients, of the elderly suffering from dementia and of individuals having undergone major operations in outpatient surgery programs rate the quality of the home care provided. Methods: A phenomenological type qualitative study based on discussion groups (9), triangular groups (5) and in-depth interviews (22). This study was conducted in Andalusia throughout the 1999-2000 period. The subjects of the study were the main caregivers of patients provided with home care through the healthcare centers. The information must be analyzed by means of a Nudist-4 software-aided content analysis. The analysis variables were those of the Servqual model. Results: For the caregivers of cancer patients, the most important aspects of the quality of the home care provided were the Response Capacity and Accessibility. This analysis revealed that the patients suffered pain but the pain was not controlled. Negative aspects hindering accessibility were the lack of home care coverage outside of regular working hours, the difficulty of getting in touch by phone, the length of time it takes for someone to come and the visits solely on request. The caregivers of patients having undergone major outpatient surgery want Security and Reliability. They complain of the short length of time within which the patients are released from the hospital and of the home care provided by the health care center. The caregivers of the elderly with dementia place top priority on being provided with the materials they need to take care of these patients. Conclusions: Caregivers and patients expectations differ, depending on health problems, therefore, the type of home care provided should vary, according to the health problems involved.

Published

2008-04-08

Issue

Section

ORIGINALS