PMID- 18653083
OWN - NLM
STAT- PubMed-not-MEDLINE
DCOM- 20091214
LR  - 20080725
IS  - 0167-4943 (Print)
IS  - 0167-4943 (Linking)
VI  - 22 Suppl 1
DP  - 1996
TI  - Planning home care services: which data do we need?
PG  - 493-8
AB  - In Italy, as is true throughout the developed world, care in the home is becoming 
      central to the delivery of almost all health care services to much of the 
      population, especially those who are elderly. Although there are many reasons why 
      this is true, including the dramatic changes in the demographic characteristics 
      of the population being served, financial considerations are surely the proximate 
      and most visible cause. As Diagnostic Related Groupings (DRG) are introduced with 
      a fixed payment for acute institutional care for a given condition, regardless of 
      the duration of stay, hospitals will increasingly have an incentive to shorten 
      the period of hospital care. This will necessitate the provision of much care, 
      previously provided on an in-hospital basis, to be delivered in the home setting. 
      These changes in the site of care will demand considerations about the education 
      of all types of professionals but especially physicians who traditionally have 
      had little direct involvement in care in the home. In addition, there will be a 
      requirement for an expansion in health care research so that comparisons of 
      services and sites can be carried out with an eye to determining the most 
      cost-effective way to provide for care. Lastly, epidemiologic studies will be 
      needed to address the risk factors of those chronic diseases so frequently a 
      cause of functional impairment requiring home care services.
FAU - Maggi, S
AU  - Maggi S
AD  - National Research Counacil, Targeted Project on Aging, Via Pancaldo 21, I-50127 
      Florence, Italy.
FAU - Steel, K
AU  - Steel K
LA  - eng
PT  - Journal Article
PL  - Netherlands
TA  - Arch Gerontol Geriatr
JT  - Archives of gerontology and geriatrics
JID - 8214379
EDAT- 1996/01/01 00:00
MHDA- 1996/01/01 00:01
CRDT- 1996/01/01 00:00
PHST- 1996/01/01 00:00 [pubmed]
PHST- 1996/01/01 00:01 [medline]
PHST- 1996/01/01 00:00 [entrez]
AID - 0167-4943(96)86988-3 [pii]
AID - 10.1016/0167-4943(96)86988-3 [doi]
PST - ppublish
SO  - Arch Gerontol Geriatr. 1996;22 Suppl 1:493-8. doi: 10.1016/0167-4943(96)86988-3.