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Factors associated with achievement of goals for home health care
Author(s)Michael J O'Sullivan, Beverly Volicer
Journal titleHome Health Care Services Quarterly, vol 16, no 3, 1997
Pagespp 21-34
Sourcehttp://www.tandfonline.com
KeywordsTherapeutic services [domiciliary] ; Patients ; Health [elderly] ; Usage [services] ; Costs [care] ; United States of America.
AnnotationWith the introduction of Medicare's prospective Payment System (PPS) and diagnostic related groups (DRG), the economic value of home health care services lie in its ability to reduce total patient care costs by the substitution of outpatient home care for inpatient hospital care. Analysis of service delivery patterns utilised by home health agencies will be an important ingredient in meeting these objectives. The purpose of this study was to determine if important patient characteristics known at the onset of home health care are predictive of utilisation of home health services and/or the likelihood of meeting goals for home care established at the time of certification of care. Multivariate models were developed which predicted the odds of terminating with goals met based upon age, intensity of utilisation, functional limitations, prognosis, presence of a caregiver, and type of patient condition. Results indicated that variability in likelihood of meeting goals for care is much better predicted by patient characteristics than by utilisation of home care. (AKM).
Accession NumberCPA-971209210 A
ClassmarkN3: LF: CC: QLD: QDC: 7T

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