Home Health Care Services Introduction Albrech

Albrecht (1990) has defined home health care as a component in a continuum of health care whereby health services are provided to individuals and families in their places of residence for purposes of promoting, maintaining, or restoring health, and/or for maximizing patient independence while minimizing illness. The nature of provided home health services was delineated by Medicare (HCFA, 1989) as including one or more of the following:

(1) Part-time or intermittent nursing care provided by or under the supervision of a professional registered nurse.

(2) Physical, occupational, or speech therapy.

(4) Part-time or intermittent services of a home health aide.

(5) Medical supplies (non drug and/or biologic materials) and the use of medical applications.

(6) Medical services provided by an intern or resident enrolled in a teaching program in hospitals affiliated or under contract with a home health agency.

One practical problem in home health care is making sure that both clients and medical personnel involved in providing home health care service delivery are aware of community resources which can be utilized to effect maximal service quality and delivery (Albrecht, 1994). The purpose of the review of literature presented here is to examine research which documents the exploitation of home health community resources as a problem and which offers solutions for correcting this problem.

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or equal to 48 annual home health referrals (n = 315) reported a mean of 2.6 hours per week in home care telephone management and 2.1 hours per week on related paperwork. Rural internists and family physicians (n = 230) reported less availability of several types of non-physician home health services than did non-rural respondents (n = 931), yet rural physicians were more likely to refer patients to home health agencies. Using multivariate linear regression, the reported frequency of home health referrals was significantly related to several factors. These factors were: rural practice location, number of homebound patients, proportion of geriatric patients, number of house calls, graduation from an American or Canadian medical school, physician knowledge of community resources, and physician experience either as a medical director, a member of the board of directors, or a consultant for a home health agency. What the finding of Boling et. al's (1992) study show is that, along with other variables, knowledge of those services offered by the community is a determinant of the extent to which physicians and internists utilize home health care for patients. Pepa (1992) investigated for relationships among dependency, suppo

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