A study of selected home care programs : a joint project of the Public Health Service and the Commission on Chronic Illness.

  • United States. Public Health Service.
Date:
1955]
Catalogue details

Licence: Public Domain Mark

Credit: A study of selected home care programs : a joint project of the Public Health Service and the Commission on Chronic Illness. Source: Wellcome Collection.

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    more services per patient than in programs dealing chiefly with less severe illnesses. In certain programs the amounts of services were affected by policies requiring that all patients receive at least one nursing and one medical social visit. The home situations of some pa- tients necessitated more nursing, medical social, and housekeeping services than others. In programs used for education, many visits were made for teaching purposes. Cost of Services It was impossible to obtain a true comparison of costs from one program to another since the items included varied greatly. Table 2 shows the services provided in 8 of the 11 study programs, indicating which were paid for entirely or partially out of the home care budget and which were provided without cost to the program. Budgets for home care were not kept separately from other medical care in the remaining 3 programs. According to general usage, the term ‘“‘costs of operation” of home care programs refers only to those costs listed in their budgets. Actual costs, however, fall into two major categories— costs paid by the home care budget and costs paid by the community. The first category contains funds spent directly by the program Table 2. Services in 8 programs,! showing costs paid out of home care budget Administrative agency Massa- , 7 Alameda} pogton |. chusetts Monte- ee Queens ee 7m porte, Type of services County Tice Memo- fiore Vigitin General Health eats Institu- A ie y rial Hospi- Nuts - Hospi- Depart-| Hospi- tions Hoey tal Society tal et tal 2 Direct services to patients Eracricin gph ysicians === a= ame = I if N I iP I P i FRGSICenibs tes be a 2 eee O I I O O il I O Medicalistudents: 22.2.2 = saeeees O N N O O O N N INUITSING ees See es eee eee N N N I I I I I POCINL SOPVICO. 054 eee eee eo N I I I N I I I Physical therapy 2° os.) 2 ee ee eee O N N I i! I N N Occupational therapy_____________- O O O I I O O O Speech Therapy tee Meee eee O O O O I O O O Home téaching= 25. eee eee O N N N N N N N Housekesping. 152). the ese O N N i I I 12 O Labotatory,. -.22 scutes e N hi N I N I I N RATA Y Gig eo te ae ee ee I 1g N I N ‘io N N Hospital equipment and supplies - __- N i * N le N I P - Medications and medical supplies___- N Ly iy I P I I I Prosthetic appliances. —.._....-___- O N N I Ie if N I Transportation of patients._________ N P N I N I N I Administration and overhead Stal sell. See eee eee N I I ie I I I I Space and. utilitiesss= eae see ae eee N I I N il I I N Other“expenses #22 4.. eee ee ea one 12 Le Ie 12 iI it it I CopBE: I— Cost of services included in home care budget. N—Cost of services not included in budget. P— Cost of services partially included in budget. O—Service not provided by the program. postage, and so on.