Evolving the Delivery of Acute Care Services in the Home
| Autor: | Barbara Godfrey, Irene Cohen, Joan Mitchell, Moira Stewart, Carol L. McWilliam, John F. Sangster |
|---|---|
| Rok vydání: | 2003 |
| Předmět: |
Male
District nurse Canada medicine.medical_specialty Interview Pilot Projects Nurse's Role Interviews as Topic InformationSystems_GENERAL Nursing Ambulatory care Acute care Critical care nursing Health care medicine Humans Nurse Practitioners Aged Point of care Community and Home Care Physician-Patient Relations Delivery of Health Care Integrated business.industry Family caregivers Health Policy Public Health Environmental and Occupational Health Middle Aged Home Care Services House Calls Acute Disease Feasibility Studies Female Health Services Research business |
| Zdroj: | Home Health Care Services Quarterly. 22:55-74 |
| ISSN: | 1545-0856 0162-1424 |
| DOI: | 10.1300/j027v22n01_04 |
| Popis: | To serve escalating acute care caseloads, physicians affiliated with one Canadian home care program have piloted a project to integrate physician services into the home (IPSITH). This paper presents the 18-month qualitative evaluation. Phenomenological methodology and in-depth interviewing were used to construct a holistic interpretation of the implementation from the experiences of all involved: patients, family caregivers, physicians, case managers, community nurses and the project's nurse practitioner. 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 hospitalization, the feasibility of physician involvement, redundancies with hospital emergency services, 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. |
| Databáze: | OpenAIRE |
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