The need for care coordination and management of transitions between Patient-Centered Medical Home providers, outpatient and community settings, including the Accountable Care Organization is often overlooked, episodic, and accountability for coordinating care and managing transitions between providers and services is lacking. Recognizing the potential of the RN to contribute to enhanced qualit...

This article describes how a children's home care service operates as part of a general paediatric service within an acute NHS trust. Although a debate exists about whether a home care service should be set up as part of a community or acute trust, there are advantages and drawbacks for staff within either system. The authors believe that children benefit regardless of where the service is based.

The American College of Clinical Pharmacy (ACCP) Ambulatory Care Practice Research Network (PRN) considers the role of clinical pharmacists to be fundamental to the success of the Patient-Centered Medical Home (PCMH) model. Within the PCMH, pharmacists can improve the health of populations by participating in activities that optimize medication management. Multiple published articles support cl...

Paediatric home care services in the UK were ascertained in 1991 and 1992. Respondents from 209 (97%) UK health districts and boards identified 62 general and 124 specialist paediatric home care services by January 1993, 15% having opened in the previous year. Of all UK children, 30% lived in a district with a general home care service. Five health regions had only specialist services. District...

BACKGROUND Restorative home care services are short-term and aimed at maximizing a person's ability to live independently. They are multidimensional and often include an exercise program to improve strength, mobility, and balance. The aim of this study was to determine whether a lifestyle exercise program would be undertaken more often and result in greater functional gains than the current str...

Introduction: As the elderly population increases, chronic diseases and disabilities also become more prevalent. Home care programs as hospital services supplement, not only can prevent elderly from get worse in their disabilities but also make it easier for governments to manage elderly people's needs; therefore, we aimed to determine the home visit services provided for elderly residing in Is...

This article reports on preliminary impacts during the first year of a demonstration in which home health agencies (HHAs) were paid a prospectively set rate for each Medicare home health visit rendered, rather than being reimbursed for costs. Forty-seven agencies in five States participated. The evaluation compared the experiences of randomly assigned treatment agencies and their patients with ...

a study was undertaken in southern peninsular state of india, the tamil nadu state, to assess the farmers’ “willingness to pay” (wtp) for receiving annual health care services to their dairy animals. the districts of the state were categorized as “livestock developed” (ld) and “livestock under developed” (lud) based on initial base line developed. contingent valuation (cv) approach was used to ...

Ambulatory care faces challenges in sustaining a nursing workforce in the future as newly licensed nurses are heavily recruited to inpatient settings and retirements will impact ambulatory care sooner than other areas. Building a diverse team by recruiting nurses of different ages (generations) and skills may result in a more successful and robust organization. Knowledge about generational char...