Home Health Care

Home health care is to provide of examination, treatment and rehabilitation services for patients who have become dependent on others in performing their daily living activities due to chronic or malignant diseases by a professional medical team in their home environment. Home health care is offered in a wide range, from baseline to addictive conditions due to neurological deficits, from chronic lung pathologies to terminal stage cancer patients, neonatal jaundice to advanced muscle diseases. The aim of home health services is to protect and improve the health of patients, to enable them to use their functional capacity at maximum level and to improve the quality of life of patients and caregivers. Family physicians who provide primary health care are responsible for identifying people who need home health care within their registered population and regularly visiting in their home. In this review, the definition, history and scope of home health services will be discussed. Evde saglik hizmetleri, kronik ya da malign hastaliklar nedeniyle gunluk yasam aktivitelerini gerceklestirmede baskalarina bagimli hale gelmis hastalara muayene, tetkik, tedavi ve rehabilitasyon hizmetlerinin kendi ev ortamlarinda profesyonel bir saglik ekibi tarafindan verilmesidir. Evde saglik hizmetleri, basta norolojik defisitler nedeniyle olusan yataga bagimlilik durumlari olmak uzere, kronik akciger patolojilerinden, terminal donem kanser hastalarina, yenidogan sariligindan, ileri donem kas hastaliklarina kadar genis bir yelpazede sunulmaktadir. Evde saglik hizmetlerinde amac, hastalarin sagligini korumak, gelistirmek, fonksiyonel kapasitelerini maksimum duzeyde kullanmalarini saglamak ile hastalarin ve bakim verenlerin yasam kalitesini artirmaktir. Birinci basamakta saglik hizmeti veren aile hekimleri kendilerine kayitli nufuslari icinde evde saglik hizmetine ihtiyac duyacak kisileri belirlemekle ve duzenli araliklarla ev ziyareti yapmakla sorumludur. Bu derlemede, evde saglik hizmetlerinin tanimi, tarihcesi ve kapsami uzerinde durulacaktir.