Health system restructuring combined with the preferences of palliative care recipients to be cared for at home has lead to a shift in the delivery of care from the hospital to the home setting. An analysis was conducted on five main home-based palliative care health service components: home-based nurse visits, home personal support worker visits, home-based physician visits, ambulatory physician visits, and other ambulatory and home-based visits. First, we assessed the proportion of total cost associated with the main services at different time points over the palliative care trajectory. Second we examined the socio-demographic and clinical factors that predict the propensity and intensity of service use, using a two-part model. The results suggest that the greatest contributor to the total cost of home-based palliative care was personal support worker visits, followed by nurse visits. The regression analysis revealed that patient age as well as functional status most often predicted health service use.

Health system restructuring combined with the preferences of palliative care recipients to be cared for at home has lead to a shift in the delivery of care from the hospital to the home setting. An analysis was conducted on five main home-based palliative care health service components: home-based nurse visits, home personal support worker visits, home-based physician visits, ambulatory physician visits, and other ambulatory and home-based visits. First, we assessed the proportion of total cost associated with the main services at different time points over the palliative care trajectory. Second we examined the socio-demographic and clinical factors that predict the propensity and intensity of service use, using a two-part model. The results suggest that the greatest contributor to the total cost of home-based palliative care was personal support worker visits, followed by nurse visits. The regression analysis revealed that patient age as well as functional status most often predicted health service use.

This study aims to formulate an understanding of the structuring of informal home-based work at the plane of interrelations between capitalism and patriarchy. It examines informal home-based work with an understanding based on two foci, which are market relations and traditional gender roles. It develops its own suggestions of conceptualisations, namely deliberate concealment and devalorisation by obscuring, building up these concepts abstractly in the theoretical sections and concretely the analyses.

隨著經濟、社會結構的轉變、產業結構之調整，雇主為了精簡組織、節省成本，將非企業之核心知識以外包的方式來節省成本；而科技的發展、網際網路的發達，越來越多的人選擇在家工作，使居家工作似乎成為一種時髦的工作型態。 居家工作之運用對雇主來說似乎為一項利多，但對於居家工作者而言，可能連帶引起許多問題，居家工作者通常居於薄弱的議價地位，他們的工作條件是否能及得上從事相同工作的一般勞工？將工作帶入家庭，工作與家庭生活是否能調和？本研究以使用資訊、科技等設備的居家工作者為研究對象，探討他們可能遭遇的工作條件與生活問題。 本研究之發現如下： 一、工作條件問題： 雇主對居家工作的看法（工作內容是否為主要業務）以及僱用關係均會對居家工作者的工作條件產生影響。僱用及非僱用關係的居家工作者均有需配合趕工（無加班費，且需在週末及夜晚趕工）、缺乏職業健康安全措施之保護等問題；另外非僱用關係居家工作者與委託者大部分以口頭約定工作，使得工作內容不明確，致工作來源、工作量、工作條件不穩定，且在社會安全制度適用上困難、教育訓練機會缺乏。 二、生活問題： 工作與家庭生活結合易產生時間與空間的競合，以及角色的重疊容易將工作情緒帶入家庭，進而影響生活品質。其中居家工作者認為「時間配置」的問題，最易影響生活品質。 在家工作之後會減少與人群接觸的機會，大部分是以網路溝通取代面對面溝通，多少會與社會產生疏離。長時間工作會壓縮跟家人相處的時間，且趕工的壓力亦會影響生活品質。但居家工作者多願意配合趕工，也就是說他們的「工作投入」優先於「家庭投入」。 三、因應策略： 非僱用關係居家工作者的工作條件必須以書面記載，並詳列委託條件、雙方權益義務等。契約的格式必須統一規範，而不是由委託者片面決定。加強居家工作者自我健康管理的認知，落實居家工作者及其雇主之登記制度。政府應儘速規劃一套規範制度，避免居家工作成為雇主逃避責任的工具。 工作與生活界線之管理，工作應儘量與一般日常的活動切割，例如以不同的活動作為分隔（送小孩去保姆家後開始工作）、訂定工作時間表。而居家工作者本身必須具有良好的適應力，可以因應將工作帶入家庭產生的壓力，以及自我約束、自我激勵，不因干擾而影響工作品質。

Thesis (Ph.D.)--University of Nebraska-Lincoln, 2008. / Title from title screen (site viewed Oct. 31, 2008). PDF text: viii, 249 p. ; 3 Mb. UMI publication number: AAT 3310708. Includes bibliographical references. Also available in microfilm and microfiche formats.

Thesis (M.App.Psy.)--University of Waikato, 2008. / Title from PDF cover (viewed February 25, 2009) Includes bibliographical references (p. 59-71)

Thesis (Ph. D.)--University of Washington, 2002. / Vita. Includes bibliographical references (leaves 170-184).

Zugl.: Kassel, Universiẗat, Diss., 2007.

<p>Att befinna sig i ett terminalt skede i livet kan innebära en känsla av oro och ångest inför sjukdomen och döden. Möjligheten att då få tillbringa sin sista tid i hemmiljö med nära och kära kring sig genererar för många en trygghet. Syftet med denna uppsats är att belysa vuxna människors erfarenheter av att i livets slutskede vårdas av anhöriga i hemmiljö. Metoden som använts är systematisk litteraturstudie där aktuell forskning inom området sammanställts. Databaser som använts för sökningen var PsycINFO, Medline, Cinahl, Elin@kalmar och SweMed+. Artiklar som syftade till problemformuleringen kvalitetsgranskades och resultatet bygger på tio vetenskapliga artiklar. Resultatet visade att sociala relationer och stöd från familjen genererar livskvalitet och trygghet hos människan som vårdas i livets slutskede. Delaktighet i sin vård och känsla av att inte förlora kontrollen över sina symtom gjorde att människan kände hopp och att de klarade av situationen. Slutsatserna var att möjligheten att få bo kvar hemma ansågs mycket betydelsefullt. Sociala relationer bidrog till att människor hemma kände en lägre grad av symtom. Den sjuke uppskattade stödet från familjen men ville inte bli en börda för anhöriga. Information om stöd och en realistisk planering samt insikt i situationens allvar bidrog till att hon kände delaktighet och bättre kunde hantera situationen.</p>

Thesis (MA)--University of Stellenbosch, 2006. / Bibliography.