1 TÜRK TORAKS DERNEĞİ 11. YILLIK KONGRESİ, Nisan 2008 KRONİK SOLUNUM HASTALIKLARINDA EVDE BAKIM PANELİ Mehmet Onarcan - Evde Bakım Derneği Turkish Thoracic Society 11th Annual Congress April 2008 Home Care for Patienst with Chronic Respiratory Diseases Definition, Reasons and Home Care Models Mehmet Onarcan Turkish Home Care Association

2 TÜRK TORAKS DERNEĞİ 11. YILLIK KONGRESİ, Nisan 2008 KRONİK SOLUNUM HASTALIKLARINDA EVDE BAKIM PANELİ Mehmet Onarcan - Evde Bakım Derneği Home Care Home Health Care Hospice Palliative Care Domiciliary Care Supported Discharge Hospital at Home Day Care Extra Care SOME HOME CARE NOTIONS

3 TÜRK TORAKS DERNEĞİ 11. YILLIK KONGRESİ, Nisan 2008 KRONİK SOLUNUM HASTALIKLARINDA EVDE BAKIM PANELİ Mehmet Onarcan - Evde Bakım Derneği Home Care; is the provision of services and equipment in the place of individuals and families who have needs resulting from acute illness, long-term health conditions, permanent disability or terminal illness. DEFINITION OF HOME CARE * ATS, Statement on Home Care for Patients with Respiratory Disorders, AJCCM, Vol. 171, 2005

4 TÜRK TORAKS DERNEĞİ 11. YILLIK KONGRESİ, Nisan 2008 KRONİK SOLUNUM HASTALIKLARINDA EVDE BAKIM PANELİ Mehmet Onarcan - Evde Bakım Derneği By the referral of physicians; the provision of health, care and follow up services including physical and psychological therapy, rehabilitation services, to patients in the family setting. * T.C. Ministry of Health Care Home Care Services Regulation, 10 March 2005 DEFINITION OF HOME CARE

5 TÜRK TORAKS DERNEĞİ 11. YILLIK KONGRESİ, Nisan 2008 KRONİK SOLUNUM HASTALIKLARINDA EVDE BAKIM PANELİ Mehmet Onarcan - Evde Bakım Derneği Preventive, supportive, treatment and rehabilitative care services, provided to individuals and families who need physical, spiritual and social support, Providing the continuity of care through standartized and multi- disiplinary professional service organization (starting from discharge planning) (taburculuğun planlanmasından başlayarak) verilmesi gereken hizmetleri kapsar * 1st National Home Care Conference, Istanbul, 1998 DEFINITION OF HOME CARE

6 TÜRK TORAKS DERNEĞİ 11. YILLIK KONGRESİ, Nisan 2008 KRONİK SOLUNUM HASTALIKLARINDA EVDE BAKIM PANELİ Mehmet Onarcan - Evde Bakım Derneği HOME CARE CATEGORIES (For Respiratory Related Conditions) * ATS, Statement on Home Care for Patients with Respiratory Disorders, AJCCM, Vol. 171, 2005 Oxygen Ventilators CPAP Nebulizers Monitors Home Infusion Assessment Treatment (IV, other) Patient education Symptom management Counseling Referral Rehabilitation Assessment Monitoring Personal care Chore services Symptom management Personal Care Counseling Spiritual care Caregiver support Respite care Chore services Home Medical Equipment Services Episodic Home Health Care Hospice Home CareChronic Home Care Services

7 TÜRK TORAKS DERNEĞİ 11. YILLIK KONGRESİ, Nisan 2008 KRONİK SOLUNUM HASTALIKLARINDA EVDE BAKIM PANELİ Mehmet Onarcan - Evde Bakım Derneği

8 TÜRK TORAKS DERNEĞİ 11. YILLIK KONGRESİ, Nisan 2008 KRONİK SOLUNUM HASTALIKLARINDA EVDE BAKIM PANELİ Mehmet Onarcan - Evde Bakım Derneği

9 TÜRK TORAKS DERNEĞİ 11. YILLIK KONGRESİ, Nisan 2008 KRONİK SOLUNUM HASTALIKLARINDA EVDE BAKIM PANELİ Mehmet Onarcan - Evde Bakım Derneği -Home Physician Visits -Nursing Services -Physical Therapy -Respiratory Therapy -Oxygen Therapy -Occupational Therapy -Speech Therapy -Home Infusion -Pain Management -Feeding, Nutrition -Home medication services -Home dental services -Psychotherapy -Home Medical Equipment Services -Tele Home Care HOME HEALTH CARE SERVICES

10 TÜRK TORAKS DERNEĞİ 11. YILLIK KONGRESİ, Nisan 2008 KRONİK SOLUNUM HASTALIKLARINDA EVDE BAKIM PANELİ Mehmet Onarcan - Evde Bakım Derneği - Social Day Care Services -Personal Daily Care / Home Maker Services -House Keeping Services -Home Health Aide Services -Home Delivered Meals -Expressive Therapy -Home and Bath Safety -Emergency Response Systems / Phone Monitoring -Transfer Services HOME SOCIAL CARE and SUPPORTIVE SERVICES

11 TÜRK TORAKS DERNEĞİ 11. YILLIK KONGRESİ, Nisan 2008 KRONİK SOLUNUM HASTALIKLARINDA EVDE BAKIM PANELİ Mehmet Onarcan - Evde Bakım Derneği -Disease Management -Home and Bath Safety -Health and Care Education -Healthy life coaching -Tele Care / Home Monitoring PREVENTIVE HOME CARE SERVICES

12 TÜRK TORAKS DERNEĞİ 11. YILLIK KONGRESİ, Nisan 2008 KRONİK SOLUNUM HASTALIKLARINDA EVDE BAKIM PANELİ Mehmet Onarcan - Evde Bakım Derneği WELLNESS PROGRAM – U.S.A. A program aiming to keep people healthy before they get sick. A method developed to maintain a healthy society. Includes educating people through different channels to protect their well being. In the realisation of this program home care companies and their personnel were the most efficient way of reaching people. PREVENTIVE HEALTH and HOME CARE

13 TÜRK TORAKS DERNEĞİ 11. YILLIK KONGRESİ, Nisan 2008 KRONİK SOLUNUM HASTALIKLARINDA EVDE BAKIM PANELİ Mehmet Onarcan - Evde Bakım Derneği -Physician -Case Manager -Home Care Nurse -Physical Therapist -Respiratory Therapist -Occupational Therapist -Speech Therapist -Mental Therapist -Nutritionist -Social career -Socil worker -Home Health Aide -Delivery Technician -Others HOME CARE = MULTI DISCIPLINARY SERVICE

14 TÜRK TORAKS DERNEĞİ 11. YILLIK KONGRESİ, Nisan 2008 KRONİK SOLUNUM HASTALIKLARINDA EVDE BAKIM PANELİ Mehmet Onarcan - Evde Bakım Derneği 60% of World Health expenditure is spent for Chronic Diseases* There 20 million chronically ill patienst in Turkey** In 2020 chronic disorders will be 75 % of all causes for death References: *WHO **MHO, Turkey WHY HOME CARE ?

15 TÜRK TORAKS DERNEĞİ 11. YILLIK KONGRESİ, Nisan 2008 KRONİK SOLUNUM HASTALIKLARINDA EVDE BAKIM PANELİ Mehmet Onarcan - Evde Bakım Derneği 11.1 % of the 7,6 million patients receiving home health care in 1998 had respiratory system disease The most common diagnosis of patients with respiratory disorders referred for home health care is COPD. WHY HOME CARE ?

16 TÜRK TORAKS DERNEĞİ 11. YILLIK KONGRESİ, Nisan 2008 KRONİK SOLUNUM HASTALIKLARINDA EVDE BAKIM PANELİ Mehmet Onarcan - Evde Bakım Derneği TURKEY’S DEMOGRAPHIC REALITY

17 TÜRK TORAKS DERNEĞİ 11. YILLIK KONGRESİ, Nisan 2008 KRONİK SOLUNUM HASTALIKLARINDA EVDE BAKIM PANELİ Mehmet Onarcan - Evde Bakım Derneği Population who will need daily care in Turkey in the year ,6 million Germany4,1 million UK3,2 million Italy2,6 million Israel0,68 million * WHO

18 TÜRK TORAKS DERNEĞİ 11. YILLIK KONGRESİ, Nisan 2008 KRONİK SOLUNUM HASTALIKLARINDA EVDE BAKIM PANELİ Mehmet Onarcan - Evde Bakım Derneği Case Hospital cost/month Home Care cost/month Savings 1.- Ventilator dependent patient 21,570 $ 7,050 $ 14,520 $ 2.- Oxygen dependent pediatric patient 12,090 $ 5,250 $ 6,840 $ REFERENCES:1-Bach JR.,Intinola P., Alba AS, Holland IE.(1992) The ventilator assisted individual: Cost analysis of institutionalization vs rehabilitation and in-home management. Pediatrics, 92(1); Field AI., Rosenblott A., Pollock MM. Kaufman J. (1991) Home care cost- effectiveness for respratory technology dependent children. American Journal of Disabled Children. 145,;

19 TÜRK TORAKS DERNEĞİ 11. YILLIK KONGRESİ, Nisan 2008 KRONİK SOLUNUM HASTALIKLARINDA EVDE BAKIM PANELİ Mehmet Onarcan - Evde Bakım Derneği Turkish Thoracic Society 11th Annual Congress April 2008 Home Care for Patienst with Chronic Respiratory Diseases Definition, Reasons and Home Care Models Mehmet Onarcan Turkish Home Care Association