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KMID : 0439019930020010045
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Korean Journal of Nursing Query
1993 Volume.2 No. 1 p.45 ~ p.56
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Home Health Care
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Storfjell, Judith Lloyd
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Abstract
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Home health care programs are dynamic, constantly evolving to meet changing consumer needs. Two basic types of home health care patients are emerging in the U. S. ; younger, acutely ill clients requiring high technology nursing care skills, and elderly clients(often 75 years and older) who are ill with chronic disease and are poorer than their contemporaries, with fewer resources available to them(Keating & Kelman, 1988).
Because care is delivered in a distributed environment, provision of services and products is often more complicated thatn when care is provided in one setting. At the same time, resources available in a single setting are not nearly as accessible in individual homes. In spite of these problems, home care is rapidly growing to meet expanding needs caused by earlier hospital discharges, efforts to reduce cost and improve quality, and patients´ desire to be in control of their lives and receive their care in a familiar enviroment in which they have control.
As a result, there continue to be tremendous opportunities for innovative and well-organized home care programs in this country, especially as they become affiliated with networks or systems of care that focus on continuity across health care settings. Success depends on an organizations´ ability to control cost, delivery quality, and improve patient access.
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