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Martina Hasseler

Publications and source records attributed to Martina Hasseler.

9 recordsLinked to original sources
PubMed2006

A possible way out of poor healthcare resulting from demographic problems: need-orientated home-based-nursing-care and nursing-home-care.

AIM: The aim of is this paper is to present a study in which a system to classify different levels of home-based-nursing and nursing-home care for groups with differing care need is developed. BACKGROUND: Changes in demography, social conditions and medical development are leading to the fact that in the future more people will need specialized nursing care which today's services of home-based-care and nursing-homes cannot provide. METHOD: On the basis of a literature research, the service-structure and the care need of defined groups of patients were analysed and categorized. The resulting grid was used in an Internet-based standardized survey among 144 experts. RESULTS: The results of this study encompass the experts' views and the prognoses on developments in the design of care and service structures for each of the defined groups of patients in North-Rhine-Westphalia, Germany. CONCLUSION: The study reveals the areas and the patient groups with the most significant future needs. Thus, demands and recommendations concerning the prospective design and structure of care and nursing services for home-based nursing and care in nursing-homes can be formulated.

Aged↗
PubMed2003

[Effects of health policy mandates on ambulatory care in Germany].

For the last few years health politicians in Germany have passed a number of health care reform plans which have the aim to increase efficiency, effectiveness, transparency and quality in the area of health care services in order to reduce the costs of health care supply. A strategy is a shift from hospital to home. Recently passed health care measures follow this paradigm. In politics and sciences the consequences of these measures are mainly discussed for the doctors. On the basis of an analysis of Anglo-Saxon literature this article discusses the effects of health political measures on home care and asks which are the chances and possible developments for home care. The results show that home care can benefit from the developments in health care. Home care can take a central function and part in the process of change in the German health care system. Home care can take on tasks in the area of coordination of home health care and cooperation of multidisciplinary teams. Home health care must develop into a modern service profession, which takes an active part in the process of reorganisation of the German health care system.

Cost Control↗
PubMed2002

[Inpatient postpartum nursing: evaluation of "holistic" and "traditional" nursing processes in the post partum period].

During the last years one could observe a change in the organisation of postpartum care at hospitals in Germany. Maternity hospitals implement new models of care which they call "holistic", "integrated" or "family centered" care. The reasons for the implementation are various. The desire for an optimal care has surely to be mentioned in the first place, but social changes and changes in health politics like the shortening of the lengths of hospital stay after a normal birth and the demand for quality assurance are also very important. But what does the "new model of care" mean for mothers, their children and their families and for the staff? What effects have the new models of care in comparison with the traditional ones? Will the goals be achieved? A formative programme evaluation was chosen in order to investigate these questions. To do justice to the research plan, to the complexity of the field of research and to produce valid results, three qualitative methods were applied: (keywords: triangulation: time triangulation, within-method-triangulation): participant observation, problem-oriented interview according to Witzel and document analysis. The evaluation of the data followed the method of qualitative content analysis developed by Mayring. As a whole, the results suggest that the new model of care has not produced the changes and not left the impression and effects on the mothers and the staff the hospital and the supporters had hoped for.

Adult↗