Development of a novel benchmark method to identify and characterize best practices in home care across six European countries: Design, baseline, and rationale of the IBenC project

IBenC project

Research output: Contribution to journalArticleAcademicpeer-review

Abstract

Background: Europe's ageing society leads to an increased demand for long-term care, thereby putting a strain on the sustainability of health care systems. The 'Identifying best practices for care-dependent elderly by Benchmarking Costs and outcomes of Community Care' (IBenC) project aims to develop a new benchmark methodology based on quality of care and cost of care utilization to identify best practices in home care. The study's baseline data, methodology, and rationale are reported. Methods: Home care organizations in Belgium, Finland, Germany, Iceland, Italy, and the Netherlands, home care clients of 65 years and over receiving home care, and professionals working in these organizations were included. Client data were collected according to a prospective longitudinal design with the interRAI Home Care instrument. Assessments were performed at baseline, after six and 12 months by trained (research) nurses. Characteristics of home care organizations and professionals were collected cross-sectionally with online surveys. Results: Thirty-eight home care organizations, 2884 home care clients, and 1067 professionals were enrolled. Home care clients were mainly female (66.9%), on average 82.9 years (± 7.3). Extensive support in activities of daily living was needed for 41.6% of the sample, and 17.6% suffered cognitive decline. Care professionals were mainly female (93.4%), and over 45 years (52.8%). Considerable country differences were found. Conclusion: A unique, international, comprehensive database is established, containing in-depth information on home care organizations, their clients and staff members. The variety of data enables the development of a novel cost-quality benchmark method, based on interRAI-HC data. This benchmark can be used to explore relevant links between organizational efficiency and organizational and staff characteristics.
Original languageEnglish
Article number310
JournalBMC Health Services Research
Volume19
Issue number1
DOIs
Publication statusPublished - 2019

Cite this

@article{dd369d64cf4446588ff2f633eba584a1,
title = "Development of a novel benchmark method to identify and characterize best practices in home care across six European countries: Design, baseline, and rationale of the IBenC project",
abstract = "Background: Europe's ageing society leads to an increased demand for long-term care, thereby putting a strain on the sustainability of health care systems. The 'Identifying best practices for care-dependent elderly by Benchmarking Costs and outcomes of Community Care' (IBenC) project aims to develop a new benchmark methodology based on quality of care and cost of care utilization to identify best practices in home care. The study's baseline data, methodology, and rationale are reported. Methods: Home care organizations in Belgium, Finland, Germany, Iceland, Italy, and the Netherlands, home care clients of 65 years and over receiving home care, and professionals working in these organizations were included. Client data were collected according to a prospective longitudinal design with the interRAI Home Care instrument. Assessments were performed at baseline, after six and 12 months by trained (research) nurses. Characteristics of home care organizations and professionals were collected cross-sectionally with online surveys. Results: Thirty-eight home care organizations, 2884 home care clients, and 1067 professionals were enrolled. Home care clients were mainly female (66.9{\%}), on average 82.9 years (± 7.3). Extensive support in activities of daily living was needed for 41.6{\%} of the sample, and 17.6{\%} suffered cognitive decline. Care professionals were mainly female (93.4{\%}), and over 45 years (52.8{\%}). Considerable country differences were found. Conclusion: A unique, international, comprehensive database is established, containing in-depth information on home care organizations, their clients and staff members. The variety of data enables the development of a novel cost-quality benchmark method, based on interRAI-HC data. This benchmark can be used to explore relevant links between organizational efficiency and organizational and staff characteristics.",
author = "{IBenC project} and {van der Roest}, {Henri{\"e}tte G.} and {van Eenoo}, Liza and {van Lier}, {Lisanne I.} and Graziano Onder and Vjenka Garms-Homolov{\'a} and Smit, {Johannes H.} and Harriet Finne-Soveri and J{\'o}nsson, {P. lmi V.} and Stasja Draisma and Anja Declercq and Bosmans, {Judith E.} and {van Hout}, {Hein P. J.} and Frijters, {Dinnus H.} and Joling, {Karlijn J.} and Roberto Bernabei and Vetrano, {Davide L.} and Angelo Carf{\'i} and Jacqueline Schoen and Lau, {Ho Ming} and Ho-Young Wisselink and Jenny Bremner and Michele Calabro and Olivia Dix and Usman Khan and Matteo Vezzosi and Sari Jokinen and Berglind Magn{\'u}sd{\'o}ttir and {Valgerur Kristinsd{\'o}ttir}, Inga and Joonas Sakki and Anja Noro",
year = "2019",
doi = "10.1186/s12913-019-4109-y",
language = "English",
volume = "19",
journal = "BMC Health Services Research",
issn = "1472-6963",
publisher = "BioMed Central",
number = "1",

}

TY - JOUR

T1 - Development of a novel benchmark method to identify and characterize best practices in home care across six European countries: Design, baseline, and rationale of the IBenC project

AU - IBenC project

AU - van der Roest, Henriëtte G.

AU - van Eenoo, Liza

AU - van Lier, Lisanne I.

AU - Onder, Graziano

AU - Garms-Homolová, Vjenka

AU - Smit, Johannes H.

AU - Finne-Soveri, Harriet

AU - Jónsson, P. lmi V.

AU - Draisma, Stasja

AU - Declercq, Anja

AU - Bosmans, Judith E.

AU - van Hout, Hein P. J.

AU - Frijters, Dinnus H.

AU - Joling, Karlijn J.

AU - Bernabei, Roberto

AU - Vetrano, Davide L.

AU - Carfí, Angelo

AU - Schoen, Jacqueline

AU - Lau, Ho Ming

AU - Wisselink, Ho-Young

AU - Bremner, Jenny

AU - Calabro, Michele

AU - Dix, Olivia

AU - Khan, Usman

AU - Vezzosi, Matteo

AU - Jokinen, Sari

AU - Magnúsdóttir, Berglind

AU - Valgerur Kristinsdóttir, Inga

AU - Sakki, Joonas

AU - Noro, Anja

PY - 2019

Y1 - 2019

N2 - Background: Europe's ageing society leads to an increased demand for long-term care, thereby putting a strain on the sustainability of health care systems. The 'Identifying best practices for care-dependent elderly by Benchmarking Costs and outcomes of Community Care' (IBenC) project aims to develop a new benchmark methodology based on quality of care and cost of care utilization to identify best practices in home care. The study's baseline data, methodology, and rationale are reported. Methods: Home care organizations in Belgium, Finland, Germany, Iceland, Italy, and the Netherlands, home care clients of 65 years and over receiving home care, and professionals working in these organizations were included. Client data were collected according to a prospective longitudinal design with the interRAI Home Care instrument. Assessments were performed at baseline, after six and 12 months by trained (research) nurses. Characteristics of home care organizations and professionals were collected cross-sectionally with online surveys. Results: Thirty-eight home care organizations, 2884 home care clients, and 1067 professionals were enrolled. Home care clients were mainly female (66.9%), on average 82.9 years (± 7.3). Extensive support in activities of daily living was needed for 41.6% of the sample, and 17.6% suffered cognitive decline. Care professionals were mainly female (93.4%), and over 45 years (52.8%). Considerable country differences were found. Conclusion: A unique, international, comprehensive database is established, containing in-depth information on home care organizations, their clients and staff members. The variety of data enables the development of a novel cost-quality benchmark method, based on interRAI-HC data. This benchmark can be used to explore relevant links between organizational efficiency and organizational and staff characteristics.

AB - Background: Europe's ageing society leads to an increased demand for long-term care, thereby putting a strain on the sustainability of health care systems. The 'Identifying best practices for care-dependent elderly by Benchmarking Costs and outcomes of Community Care' (IBenC) project aims to develop a new benchmark methodology based on quality of care and cost of care utilization to identify best practices in home care. The study's baseline data, methodology, and rationale are reported. Methods: Home care organizations in Belgium, Finland, Germany, Iceland, Italy, and the Netherlands, home care clients of 65 years and over receiving home care, and professionals working in these organizations were included. Client data were collected according to a prospective longitudinal design with the interRAI Home Care instrument. Assessments were performed at baseline, after six and 12 months by trained (research) nurses. Characteristics of home care organizations and professionals were collected cross-sectionally with online surveys. Results: Thirty-eight home care organizations, 2884 home care clients, and 1067 professionals were enrolled. Home care clients were mainly female (66.9%), on average 82.9 years (± 7.3). Extensive support in activities of daily living was needed for 41.6% of the sample, and 17.6% suffered cognitive decline. Care professionals were mainly female (93.4%), and over 45 years (52.8%). Considerable country differences were found. Conclusion: A unique, international, comprehensive database is established, containing in-depth information on home care organizations, their clients and staff members. The variety of data enables the development of a novel cost-quality benchmark method, based on interRAI-HC data. This benchmark can be used to explore relevant links between organizational efficiency and organizational and staff characteristics.

UR - https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=85066041073&origin=inward

UR - https://www.ncbi.nlm.nih.gov/pubmed/31092244

U2 - 10.1186/s12913-019-4109-y

DO - 10.1186/s12913-019-4109-y

M3 - Article

VL - 19

JO - BMC Health Services Research

JF - BMC Health Services Research

SN - 1472-6963

IS - 1

M1 - 310

ER -