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Quality of Medicare-reimbursed home health care
Author(s)Alan M Jette, Kevin W Smith, Susan M McDermott
Journal titleThe Gerontologist, vol 36, no 4, August 1996
Pagespp 492-501
KeywordsPrivate health services ; Private nursing ; Long term ; Quality ; Variance analysis ; United States of America.
AnnotationThe authors investigated the prevalence of deficiencies in quality of care in 4,324 instances of Medicare-reimbursed care provided by 47 home health agencies. Quality of care was recorded by a trained nurse reviewer, in the form of a process-oriented, systematic review record. Results suggest that an estimated 14.4% of home health care episodes had quality deficiencies with the potential for or actual adverse effects on patients. Multivariate analyses revealed that the complexity of patients' needs increased the likelihood and severity of problems of quality. Agency ownership was not related to risk of a quality problem, but regional variation in agency effects was observed. Specific problem areas were identified that suggested several ways that home health care could be improved.
Accession NumberCPA-970522008 A
ClassmarkLH: N5: 4Q: 59: 3YA: 7T

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