PMID- 10338808
OWN - NLM
STAT- MEDLINE
DCOM- 19990202
LR  - 20071114
IS  - 0162-1424 (Print)
IS  - 0162-1424 (Linking)
VI  - 17
IP  - 1
DP  - 1998
TI  - Evaluation of the transprofessional model of home health care for HIV/AIDS.
PG  - 55-72
AB  - OBJECTIVE: To determine if a Transprofessional care-management approach 
      (experimental group) produces savings in service delivery dollars when compared 
      to a Traditional treatment approach (control group). The care-management approach 
      utilizes an interdisciplinary mix of allied health professionals who adhere to a 
      service delivery protocol based on active, medical, surgical treatment (curative 
      services) as well as on pain, symptoms, and emotional care (palliative services). 
      DATA SOURCES AND STUDY SETTING: Data were collected from 549 AIDS patients 
      admitted for medical/surgical home-care services to the Visiting Nurse 
      Association of Los Angeles (VNA-LA). Demographic and disease-specific data were 
      collected from admitting records; service-utilization data were collected from 
      the VNA-LA's computerized data system. STUDY DESIGN: Upon admission for home-care 
      services, patients were randomly assigned to an experimental (Transprofessional) 
      or control (Traditional) treatment group. Service levels were comparable. 
      PRINCIPLE FINDINGS: Post-test measures indicate an 8 percent reduction in labor 
      delivery costs for an average experimental patient's entire episode of home-care 
      versus for an average control patient's. CONCLUSIONS: An integrated model of 
      service delivery, which is based on interdiscriplinary, care-management and 
      blended modalities of service, provides a cost-effective method in the provision 
      of home-care services for terminally ill AIDS patients.
FAU - Cherin, D A
AU  - Cherin DA
AD  - Visiting Nurse Foundation, Burbank, CA 91502, USA.
FAU - Huba, G J
AU  - Huba GJ
FAU - Brief, D E
AU  - Brief DE
FAU - Melchior, L A
AU  - Melchior LA
LA  - eng
GR  - BRU 900127-04-0/PHS HHS/United States
PT  - Journal Article
PT  - Research Support, U.S. Gov't, P.H.S.
PL  - England
TA  - Home Health Care Serv Q
JT  - Home health care services quarterly
JID - 8000128
MH  - Adult
MH  - Aged
MH  - Aged, 80 and over
MH  - Cognition
MH  - Community Health Nursing/economics/organization & administration/standards
MH  - Cost Savings
MH  - Data Collection
MH  - Female
MH  - HIV Infections/physiopathology/*therapy
MH  - Health Services Research
MH  - Holistic Health
MH  - Home Care Services/economics/*organization & administration/standards
MH  - Humans
MH  - Los Angeles
MH  - Male
MH  - Middle Aged
MH  - *Models, Organizational
MH  - *Program Evaluation
EDAT- 1999/05/29 00:00
MHDA- 1999/05/29 00:01
CRDT- 1999/05/29 00:00
PHST- 1999/05/29 00:00 [pubmed]
PHST- 1999/05/29 00:01 [medline]
PHST- 1999/05/29 00:00 [entrez]
AID - 10.1300/J027v17n01_04 [doi]
PST - ppublish
SO  - Home Health Care Serv Q. 1998;17(1):55-72. doi: 10.1300/J027v17n01_04.