It has long been apparent that an improvement in the care of premature children at home or in hospital would result in a substantial reduction in neonatal infantile mortality rates. In March, 1944, this was given official recognition in the form ofa circular sent to Welfare Authorities (Ministry of Health, 1944), with recommendations for the care of premature children at home and in hospital. I...

OBJECTIVES To examine differences in satisfaction with acute care between patients who received treatment in a physician-led substitutive Hospital at Home program and those who received usual acute hospital care. DESIGN Survey questionnaire of participants in prospective, nonrandomized clinical trial. SETTING Three Medicare-managed care health systems and a Department of Veterans Affairs Me...

Clarke, A. (2011). Three therapeutic residential care models, the sanctuary model, positive peer culture and dyadic developmental psychotherapy and their application to the theory of congruence. Children Australia, 36, 2, 81–87. DOI 10.1375/jcas.36.2.81 Therapeutic residential care is a service model being funded within the Queensland out-of-home care sector within the last 24 months. The Depar...

The growth in home health care in the United States since 1970, and the exponential increase in the provision of Medicare-covered home health services over the past 5 years, underscores the critical need to assess the effectiveness of home health care in our society. This article presents conceptual and applied topics and approaches involved in assessing effectiveness through measuring the outc...

OBJECTIVES To identify the resources related to the care of critically ill patients in Spain, which are available in the units dependent of the Services of Intensive Care Medicine (ICM) or other services/specialties, analyzing their distribution according to characteristics of the hospitals and by autonomous communities. DESIGN Prospective observational study. SETTING Spanish hospitals. P...

BACKGROUND Dying patients would prefer to die at home, and therefore a goal of end-of-life care is to offer choice regarding where patients die. However, whether it is feasible to offer this option to patients within critical care units and whether teams are willing to consider this option has gained limited exploration internationally. AIM To examine current experiences of, practices in and ...