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CLINICIAN'S CORNER
Home Care
Sharon A. Levine, MD;
Jeremy Boal, MD;
Peter A. Boling, MD
JAMA. 2003;290:1203-1207.
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INTRODUCTION
Care at home is an important option for patients with acute or chronic health problems.1 Home care used appropriately decreases hospitalization and nursing home use without compromising medical outcomes. Moreover, patients generally prefer to remain in familiar surroundings. Physician support of home care services honors that preference.
Definition
The term home care refers to any diagnostic, therapeutic, or social support service provided at home (Box) .2 Home health agency care is familiar to most physicians. This includes physical, occupational and speech therapy, skilled nursing, social work, and home health aide services; is focused primarily on postacute care; and usually lasts weeks to months. Home care also encompasses the use of medical equipment, telemedicine monitoring, and portable diagnostic tools. Technologically intensive services range from simple intravenous therapy to multidrug preloaded infusion pumps, hemodialysis, and ventilators. The specialized . . . [Full Text of this Article]
Funding
Cost-effectiveness
Quality of Care
House Calls
Education
Future Issues
Author Affiliations: Department of Medicine, Boston University School of Medicine, Boston, Mass (Dr Levine); Departments of Medicine and Geriatrics and Adult Development, Mount Sinai School of Medicine, New York, NY (Dr Boal); and Department of Medicine, Virginia Commonwealth University, Richmond (Dr Boling).
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