This article describes barriers to successful patient outcomes in home health care from a systems perspective and provides suggestions to remove these barriers. The barriers that are discussed include processes for collecting assessment data, referral procedures for patient access to medical social services, and changes in Medicare’s home health funding structure.
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References
1.
Brown, E. L., McAvay, G., Raue, P. J., Moses, S., & Bruce, M. L. (2003). Recognition of depression among elderly recipients of home care services. Psychiatric Services, 54(2), 208-213.
Cowles, L. A., & Lefcowitz, M. J. (1992). Interdisciplinary expectations of the medical social worker in the hospital setting. Health & Social Work, 17(1), 57-65.
4.
Elias, J. W., Ferry, R., & Treland, J. (2000). When world views collide: A commentary on home health care case-mix and patient outcomes. Experimental Aging Research, 26(3), 181-189.
5.
Fessler, S. R., & Adams, C. G. (1985). Nurse/social worker role conflict in home health care. Journal of Gerontological Social Work, 9(1), 113-123.
6.
Krulish, L. H. (1999). Optimizing clinical and financial outcomes in home care: A niche program approach. Topics in Geriatric Rehabilitation, 14(4), 68-81.
7.
Lee, J. S. (2002). Social work services in home health care: Challenges for the new prospective payment system era. Social Work in Health Care, 35(3), 23-36.
8.
Martin, K. S., Scheet, N. J., & Stegman, M. R. (1993). Home health clients: Characteristics, outcomes of care, and nursing interventions. American Journal of Public Health, 83(12), 1730-1735.
