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Bringing healthcare home.

C M Herron

    Health Progress (Saint Louis, Mo.)
    |December 11, 1987
    PubMed
    Summary

    Home healthcare systems integrate medical and social support for frail individuals, prioritizing independence and wellness. Effective case management and quality assurance are crucial for cost-effective, high-quality care, preventing unnecessary institutionalization.

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    Area of Science:

    • Gerontology
    • Health Services Research
    • Social Work

    Background:

    • Home healthcare systems integrate medical and social services to maximize independence for frail individuals.
    • These systems focus on maintaining family unity and promoting overall wellness, shifting from a sickness-treatment model.
    • Current systems can be enhanced through improved reimbursement policies to support effective case management and prevent institutionalization.

    Purpose of the Study:

    • To explore the multifaceted nature of home healthcare systems.
    • To highlight the importance of multidisciplinary providers and patient-centered approaches in home care.
    • To emphasize the necessity of formal quality assurance programs for maintaining high standards in home healthcare.

    Main Methods:

    • The study synthesizes existing knowledge on home healthcare models.
    • It examines the roles and approaches of multidisciplinary providers within the home environment.
    • It discusses the significance of patient-provider rapport and family cooperation.

    Main Results:

    • Home healthcare requires a multidisciplinary approach, with providers acting as guests in the client's home.
    • Establishing strong rapport and cooperative relationships with families is paramount for successful care delivery.
    • Formal quality assurance programs are essential for ensuring the structure, process, and outcomes of home care.

    Conclusions:

    • Home healthcare systems offer a viable alternative to institutionalization, promoting independence and wellness.
    • High-quality, cost-effective home care is achievable through strategic improvements in policy, provider training, and quality assurance.
    • Investing in robust home healthcare infrastructure can lead to better patient outcomes and family well-being.

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