Centre for Policy on Ageing



Evolving the delivery of acute care services in the home
Author(s)	C L McWilliam, Barbara Godfrey, Moira Stewart
Journal title	Home Health Care Services Quarterly, vol 22, no 1, 2003
Publisher	Haworth Press, 2003
Pages	pp 55-74
Source	http://www.tandfonline.com
Keywords	Acute illness ; Therapeutic services [domiciliary] ; Evaluation ; Qualitative Studies ; Canada.
Annotation	To serve escalating acute care caseloads, physicians affiliated with one Canadian home care programme have piloted a project to integrate physician services into the home (IPSITH). This paper presents the 18-month qualitative evaluation. Findings revealed the central role of the nurse practitioner, who served as a clinical expert, care coordinator and case manager. Several unsolved issues were identified: the extent to which home care is a viable alternative to hospital admission; the feasibility of physician involvement; hospital emergency services redundancies; and the limitations of system resources for funding such services. The researchers conclude that full-scale long-term integration of physician services in the home may require macro-level decisions about system design, resource allocation and professional regulations. (KJ/RH).
Accession Number	CPA-030702208 A
Classmark	CHA: N3: 4C: 3DP: 7S
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...from the Ageinfo database published by Centre for Policy on Ageing.