Characteristics of Medicare‐Eligible Home Care Clients

Pasquale, Debra K.

doi:10.1111/j.1525-1446.1988.tb00713.x

Cited by 15 publications

(17 citation statements)

References 6 publications

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“…Most patients who use home health care services are elderly, white, unmarried women who are referred to care after hospital discharge (Ballard & McNamara, 1983;Harris et al, 1987;Pasquale, 1987Pasquale, , 1988Williams et al, 1990). Although sociodemographic factors may not directly influence use of home care, they are risk factors for disease develop-nursing visits and agency reimbursement under Medicare conditions of participation.…”

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confidence: 99%

“…They include the primary medical diagnosis, comorbidities and complications arising from the illness or medical care, and whether or not the patient had a surgical procedure before home care admission. The majority of patients who use these services have more than one medical diagnosis and chronic health problems, and are treated for cardiac, respiratory, or musculoskeletal conditions (Harris et al, 1987;Pasquale, 1987Pasquale, , 1988Ruther & Helbing, 1988). Patients with cancer required more home care nursing visits than those with cardiac disease, and number of diagnoses was a significant predictor of nursing visits per day for the former (Ballard & McNamara, 1983).…”

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confidence: 99%

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Use of Home Care Nursing Resources by the Elderly

Helberg

1994

Public Health Nursing

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We explored the influence of nursing dependency over and above sociodemographic factors and medical conditions on the use of home care nursing resources by patients 65 years of age and older. Use measures were number of visits made by home care nurses, and length of nursing stay. Nurses' reports, direct observation of nursing care provided, patient interviews, and record abstraction were used to obtain data on 236 patients who were admitted to and discharged from a certified public home health agency. Nursing dependency explained a significant amount of variance over and above sociodemographic factors and medical conditions in number of visits made by nurses and length of nursing stay. Measures of nursing dependency should be incorporated into future studies that examine factors related to use of home care nursing resources.

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confidence: 99%

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Use of Home Care Nursing Resources by the Elderly

Helberg

1994

Public Health Nursing

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“…The 50% representation of women in this home health care sample is greater than the 26% representation of women in the general cardiac surgery population, which probably reflects the higher proportion of women requiring home care (Pasquale, 1988) and the more advanced age for women at onset of ischemic heart disease than for men. Women had longer hospital stays, were more likely to need assistance with toileting, and were less likely to be married than men, although they were no more likely to live alone.…”

Section: Discussionmentioning

confidence: 84%

Health Patterns of Cardiac Surgery Clients Using Home Health Care Nursing Services

Redeker

Brassard

1996

Public Health Nursing

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The purpose of this study was to examine the health patterns of cardiac surgical patients in the home health care population and their relationships to outcomes and duration of home health care using Gordon's Functional Health Pattern framework. Home health care records of 96 cardiac surgical clients were reviewed. Admission health pattern data, reasons for admission, duration and outcomes of home care services, characteristics of hospital experience, and demographic data were analyzed. Dysfunctional health patterns were primarily in the area of activity/exercise. The most common reasons for admission were monitoring of cardiopulmonary status, wound care, and instruction on diet, medications, and cardiac regimen. The mean duration of home care was 28.8 days. Thirty percent of the sample were readmitted to the hospital. Duration of home care was shorter for those who were married and for those who reported weakness, tiredness, or fatigue as a chief complaint. Readmission to the hospital was more likely for those who had complications during their initial hospital stay and those who required at least partial assistance with bathing, dressing, feeding, or toileting. Implications for practice and research are discussed.

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“…These women are less likely to have informal caregivers available and are more functionally impaired (Hughes et al, 1990;Pasquale, 1987Pasquale, , 1988. Researchers found chronic rather than acute health problems predominate, despite the postacute focus of Medicare policy (Williams, Phillips, Torner & Irvine, 1990;Williams & Weissert, 1994;Martin, Scheet & Stegman, 1993; Downloaded by [FU Berlin] at 04:14 04 December 2014 Mausner & Miller, 1994).…”

Section: Literature Reviewmentioning

confidence: 99%

“…Researchers found chronic rather than acute health problems predominate, despite the postacute focus of Medicare policy (Williams, Phillips, Torner & Irvine, 1990;Williams & Weissert, 1994;Martin, Scheet & Stegman, 1993; Downloaded by [FU Berlin] at 04:14 04 December 2014 Mausner & Miller, 1994). Home health care patients generally have moderate functional deficits (Fredman, Droge & Rabin, 1992;Hughes et al, 1984;Pasquale, 1988). …”

Section: Literature Reviewmentioning

confidence: 99%

Description and Outcomes of a Medicare Case Management Program by Nurses

Allen

2000

Home Health Care Services Quarterly

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During the current environment of cost-cutting and restructuring, case management is viewed as a means of providing comprehensive, coordinated care while reducing costs. Studies of community-based case management have been disappointing. This study evaluates a Medicare service, Management and Evaluation of the Care Plan (MAE), as a model of nurses providing case management in the home. Three groups were compared: MAE (N = 176), non-MAE (N = 187) and newly discharged (N = 93). Utilization data was collected over one year. Overall, subjects were unmarried older women with three functional limitations, four medical diagnoses and averaged 43 home care visits and one hospitalization. MAE patients were older, had more functional and environmental limitations, less ADL independence, and a worse prognosis, yet used significantly less health care than non-MAE recipients did. Regression analysis was performed using group membership and hospital and home care utilization as dependent variables. Although the project was conducted at one site, overall the sample was similar to the national Medicare population.

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Characteristics of Medicare‐Eligible Home Care Clients

Abstract: Providers, consumers, and legislators Seem to

Cited by 15 publications

References 6 publications

Use of Home Care Nursing Resources by the Elderly

Use of Home Care Nursing Resources by the Elderly

Health Patterns of Cardiac Surgery Clients Using Home Health Care Nursing Services

Description and Outcomes of a Medicare Case Management Program by Nurses

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