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Review
. 1994 Fall;16(1):69-89.

Perspectives on home care quality

R A Kane  1 , R L Kane, L H Illston, N N Eustis
Affiliations
Review

Perspectives on home care quality

R A Kane et al. Health Care Financ Rev. 1994 Fall.

Abstract

Home care quality assurance (QA) must consider features inherent in home care, including: multiple goals, limited provider control, and unique family roles. Successive panels of stakeholders were asked to rate the importance of selected home care outcomes. Most highly rated outcomes were freedom from exploitation, satisfaction with care, physical safety, affordability, and physical functioning. Panelists preferred outcome indicators to process and structure, and all groups emphasized "enabling" criteria. Themes highlighted included: interpersonal components of care; normalizing life for clientele; balancing quality of life with safety; developing flexible, negotiated care plans; mechanisms for accountability and case management. These themes were formulated differently according to the stakeholders' role. Providers preferred intermediate outcomes, akin to process.

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References

    1. American Bar Association. The Black Box of Home Care Quality. 1986. Report presented by the Chairman of the Select Committee on Aging, U.S. House of Representatives. Comm. Pub. No. 99-573.
    1. Applebaum R, Atchley SJ, McGinnis R, Bare CA. A Guide to Ensuring the Quality of In-Home Care: Final Report of Ohio's Quality Assurance Project. Columbus, OH.: Ohio Department of Aging; 1988.
    1. Applebaum RA, McGinnis R. What Price Quality: Assuring the Quality of Case-Managed In-Home Care. Journal of Case Management. 1992;1(1):9–13. - PubMed
    1. Arnold SB, Gage B, Harris J. Interim Analysis of Payment Reform for Home Health Services. Washington: 1994. Prospective Payment Assessment Commission Congressional Report C-94-02.
    1. Branch LG, Goldberg HB, Cheh VA, et al. Medicare Home Heath: A Description of Total Episodes of Care. Health Care Financing Review. 1993;14(4):59–74. - PMC - PubMed

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