PMID- 10338809
OWN - NLM
STAT- MEDLINE
DCOM- 19990202
LR  - 20181201
IS  - 0162-1424 (Print)
IS  - 0162-1424 (Linking)
VI  - 17
IP  - 1
DP  - 1998
TI  - A typology of service patterns in end-stage AIDS care: relationships to the 
      transprofessional model.
PG  - 73-92
AB  - OBJECTIVE: To determine the relationship among 11 types of home health care 
      services for patients with HIV/AIDS and to develop a terminal-care, service-usage 
      profile of persons receiving such services. Services include the number of 
      psychiatric nurse visits, Medical Social Work (MSW) visits, evaluation visits, 
      physical therapy visits, occupational therapy visits, homemaker visits, home 
      health aide visits, public health nurse visits, registered nurse (RN) visits, 
      Licensed Vocational Nurse (LVN) visits, and Intravenous (i.v.) nurse visits. DATA 
      SOURCES AND STUDY SETTING: Data were collected on 549 AIDS patients admitted for 
      medical/surgical home-care services to the Visiting Nurse Association of Los 
      Angeles (VNA-LA). The service utilization data were collected from the VNA-LA's 
      computerized data system. STUDY DESIGN: The relationship among the service types 
      was evaluated with principal component analysis. A service-usage profile was 
      developed for patients using cluster analysis. To control for the variability in 
      the amount of time that patients were on service, the number of days that 
      patients were in the VNA-LA program and were actually receiving services was 
      included as a factor that yielded a variable reflecting the number of each type 
      of service that a patient received per day. PRINCIPAL FINDINGS: Five components 
      were found to best describe the relationships among the service-type variables. 
      These were identified as being: the Number of Evaluation Visits, the Number of 
      Intensive Nursing Visits, the Number of Physical Therapy Visits, the Number of 
      Psychosocial Visits, and the Number of Attendant Visits. Patients were found to 
      cluster into 1 of 5 groups based on the type of service utilization profile that 
      they received. The variables that appeared to have the most influence on this 
      profile were the number of home health aide visits per day that the patient 
      received, the number of RN visits that were made, the number of i.v. nurse visits 
      that were provided, and the number of LVN visits that were made. CONCLUSIONS: 
      Terminally ill AIDS patients receiving home health care services can be 
      identified as having a service utilization profile. This profile can be used to 
      evaluate more precisely the service areas in which costs for patient services 
      differ. Individually assigned to an experimental Transprofessional Model of care 
      had a different service utilization profile than those assigned to a Traditional 
      Model of care.
FAU - Huba, G J
AU  - Huba GJ
AD  - The Measurement Group, Culver City, CA 90230, USA.
FAU - Brief, D E
AU  - Brief DE
FAU - Cherin, D A
AU  - Cherin DA
FAU - Panter, A T
AU  - Panter AT
FAU - Melchior, L A
AU  - Melchior LA
LA  - eng
GR  - BRU 120-96/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  - Acquired Immunodeficiency Syndrome/*therapy
MH  - Cluster Analysis
MH  - Community Health Nursing/organization & administration
MH  - Comprehensive Health Care/organization & administration
MH  - Demography
MH  - Female
MH  - Health Services Research
MH  - Home Care Services/*organization & administration/statistics & numerical data
MH  - Humans
MH  - Los Angeles
MH  - Male
MH  - *Models, Organizational
MH  - Social Support
MH  - Terminal Care/*organization & administration/statistics & numerical data
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_05 [doi]
PST - ppublish
SO  - Home Health Care Serv Q. 1998;17(1):73-92. doi: 10.1300/J027v17n01_05.