Home health nurse patient care and coordination time - Health maintenance organization versus fee-for-service

被引:4
作者
Adams, CE [1 ]
Usher, R [1 ]
Kramer, S [1 ]
机构
[1] FAMILY HOME CARE,SPOKANE,WA
来源
JOURNAL OF NURSING ADMINISTRATION | 1997年 / 27卷 / 03期
关键词
D O I
10.1097/00005110-199703000-00006
中图分类号
R47 [护理学];
学科分类号
1011 ;
摘要
Home health nurse visit and care coordination time were compared between Medicare patients enrolled in an health maintenance organization (HMO) and in the traditional Medicare fee for service program. In home nurse visit time did not differ for the two groups. Coordination time per episode of care was approximately 40 minutes longer for an HMO patient. When home health administrators develop discounted visit rates for HMO contracts, they must include the extra coordination time in the rates.
引用
收藏
页码:21 / 27
页数:7
相关论文
共 15 条
[1]   REDUCED RESOURCE UTILIZATION THROUGH STANDARDIZED OUTCOME-FOUCSED CARE PLANS [J].
ADAMS, CE ;
BIGGERSTAFF, N .
JOURNAL OF NURSING ADMINISTRATION, 1995, 25 (10) :43-50
[2]   HOME HEALTH QUALITY OUTCOMES - FEE-FOR-SERVICE VERSUS HEALTH MAINTENANCE ORGANIZATION ENROLLEES [J].
ADAMS, CE ;
KRAMER, S ;
WILSON, M .
JOURNAL OF NURSING ADMINISTRATION, 1995, 25 (11) :39-45
[3]   Home health resource utilization - Health maintenance organization versus fee-for-service subscribers [J].
Adams, CE ;
Kramer, S .
JOURNAL OF NURSING ADMINISTRATION, 1996, 26 (02) :20-27
[4]   CARE COORDINATION - A RESOURCE-INTENSIVE COMPONENT OF HOME HEALTH NURSING PRACTICE [J].
CLOONAN, PA ;
SHUSTER, GF .
PUBLIC HEALTH NURSING, 1990, 7 (04) :204-208
[5]  
Helberg J L, 1990, Nurs Health Care, V11, P464
[6]  
HELLINGER FJ, 1995, RES ACTIV, V189, P14
[7]  
*HLTH CAR FIN ADM, 1996, YOUR MED HDB 1996
[8]  
*HLTH POL EC GROUP, 1996, IS THER BIAS SEL MED
[9]  
JEFFREY NA, 1995, WALL STREET J 1020, P6
[10]  
JEFFREY NA, 1995, WALL ST J 0728, pC1