A RANDOMIZED TRIAL OF VETERANS-ADMINISTRATION HOME CARE FOR SEVERELY DISABLED VETERANS

被引:43
作者
HUGHES, SL [1 ]
CUMMINGS, J [1 ]
WEAVER, F [1 ]
MANHEIM, LM [1 ]
CONRAD, KJ [1 ]
NASH, K [1 ]
机构
[1] VET ADM MED CTR,HLTH SERV RES & DEV FIELD PROGRAM,HINES,IL 60141
关键词
Cognitive functioning of disabled patients; Home health care; Satisfaction patient; VA health care;
D O I
10.1097/00005650-199002000-00004
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
This randomized study screened hospital admissions to all wards except Psychiatry and Spinal Cord Injured during a 3-year period to identify 233 severely disabled patients (2 impairments on the Katz Index of ADL) and caregivers who were willing to participate in a pretest-multiple posttest trial of the Hines VA Hospital-based Home Care (HBHC) Program. Patient functional status, morale, and satisfaction with care were measured at baseline, 1 month and 6 months post discharge. Caregiver satisfaction and morale were assessed at the same time periods. All health care services used by both groups were tracked over the 6-month period and converted to cost. Findings include improved 1-month satisfaction with care (P = 0.04) and improved 6-month cognitive functioning (P = 0.04) among HBHC patients and improved 1-month (P = 0.04) and 6-month satisfaction with care (P < 0.01) among their caregivers. A nonsignificant 10% decrease in net cost of care, was found in the treatment group, largely due to lower use of private sector hospital care. © Lippincott-Raven Publishers.
引用
收藏
页码:135 / 145
页数:11
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