PMID- 10351067
OWN - NLM
STAT- MEDLINE
DCOM- 19990505
LR  - 20191103
IS  - 0162-1424 (Print)
IS  - 0162-1424 (Linking)
VI  - 17
IP  - 3
DP  - 1998
TI  - Retention of clients in service under two models of home health care for 
      HIV/AIDS.
PG  - 17-26
AB  - OBJECTIVE: To determine if a Transprofessional, care-management approach 
      (experimental group) produces different patterns of retention in home treatment 
      as 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). Initially, the Transprofessional Model 
      should lead to a greater retention rate in the program as patients bond to 
      blended care managers, but in later stages clients needing hospice should be 
      moved off-services resulting in lower retention rates in the medical-surgical 
      home care venue. 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. PRIMARY FINDING: In the earliest stages, Transprofessional patients 
      tend to be more likely to stay in treatment, probably due to the greater bonding 
      to the program. After about one year, the Transprofessional patients are more 
      likely to leave the program as they are transitioned into hospice care. 
      CONCLUSIONS: An integrated model of service delivery, which is based on 
      interdisciplinary care-management and blended modalities of service, provides a 
      quality of life enhancing and a cost-effective method in the provision of 
      home-care services for terminally ill AIDS patients.
FAU - Huba, G J
AU  - Huba GJ
AD  - Measurement Group, Culver City, CA 90230, USA. ghuba@themeasurementgroup.com
FAU - Cherin, D A
AU  - Cherin DA
FAU - Melchior, L A
AU  - Melchior LA
LA  - eng
GR  - BRU 900120-04-0/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  - Continuity of Patient Care/economics/organization & administration/standards
MH  - Cost-Benefit Analysis
MH  - Female
MH  - HIV Infections/*nursing
MH  - Home Care Services/economics/*organization & administration/standards
MH  - Humans
MH  - Length of Stay
MH  - Los Angeles
MH  - Male
MH  - *Models, Organizational
MH  - Organizational Innovation
MH  - Survival Analysis
EDAT- 1999/06/03 00:00
MHDA- 1999/06/03 00:01
CRDT- 1999/06/03 00:00
PHST- 1999/06/03 00:00 [pubmed]
PHST- 1999/06/03 00:01 [medline]
PHST- 1999/06/03 00:00 [entrez]
AID - 10.1300/j027v17n03_02 [doi]
PST - ppublish
SO  - Home Health Care Serv Q. 1998;17(3):17-26. doi: 10.1300/j027v17n03_02.