This overview discusses articles published in this issue of the Health Care Financing Review, entitled "Issues in Reforming Home Health Care." Articles focus on basic policy issues in the financing and delivery of home care services, illustrate how research provides insights into these issues, and report on some recent research and demonstration initiatives that are designed to further our unde...

Pediatric home health care is an effective and holistic venue of treatment of children with medical complexity or developmental disabilities who otherwise may experience frequent and/or prolonged hospitalizations or who may enter chronic institutional care. Demand for pediatric home health care is increasing while the provider base is eroding, primarily because of inadequate payment or restrict...

OBJECTIVES The aim of this paper is to study home care clients' freedom to choose their services, as well the association between the effectiveness of home care services and freedom of choice, among other factors. METHODS A structured postal survey was conducted among regular home care clients (n = 2096) aged 65 or older in three towns in Finland. Freedom of choice was studied based on client...

This Chagas disease prevention project via housing improvement aims to determine the efficiencyof different interventions in vector control. The following study describes the target communities, disease magnitude, and housing improvements. Transmission levels are analysed from an ecological and socioeconomic perspective. Special interest was focused on the peridomicile as the origin of domicili...

Managed care and the paradox of patient confidentiality: A case study analysis from a communication boundary management perspective Marifran Mattson ab; Maria Brann c a Associate Professor, Department of Communication, Purdue University, b Fellow Office of Communication, National Center for Environmental Health, Centers for Disease Control and Prevention, c Department of Communication, College ...

Depression affects 14% to 46% of homebound elderly and is costly and disabling. Home health agencies face significant challenges delivering effective depression care. In response, an evidence-based depression care model was developed in a home health agency. Twelve-month program evaluation data demonstrated a 2.99 mean reduction in depression scores (P < .0001) on the Geriatric Depression Scale...

in a period of less than five decades, the urban residence has dramatically increased in iran. currently more than two thirds of the population live in city dwellings. this rapid urbanization has considerable impact on people’s mental health and psychiatric care. the main strategy of iran&apos;s national program of mental health has been the integration of mental health into the primary health ...

OBJECTIVE to analyze the factors associated with the gateway of the health systems of Brazilian municipalities for the diagnosis of tuberculosis in older people. METHOD survey study type, with a sample of 91 elders, in a population with 706 cases of tuberculosis. Data were collected by means of an instrument based on the Primary Care Assessment Tool (PCAT) adapted for tuberculosis care, empha...