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. 2011 Dec;23(6):412-420.
doi: 10.1177/1084822311405456.

Home Health Care Nursing Visit Intensity and Heart Failure Patient Outcomes

Jennifer S Riggs  1 , Elizabeth A Madigan, Richard H Fortinsky
Affiliations

Home Health Care Nursing Visit Intensity and Heart Failure Patient Outcomes

Jennifer S Riggs et al. Home Health Care Manag Pract. 2011 Dec.

Abstract

This study is a secondary analysis of data for 107 home health care heart failure patients. The authors investigate the impact of patient characteristics and nursing visit intensity on change in activities of daily living (ADL) status and instrumental activities of daily living (IADL) status and improvement/stabilization of dyspnea. Prior hospital stay (β = .38, p = .001) and nursing visit intensity (β = -.39, p = .001) predict improvement in ADL status. The model for change in IADL status is not significant. Patients with more than two comorbidities (OR = 6.5, p = .04) and patients who received higher nursing visit intensity (OR = 7.0, p = .04) are more likely to have improved/stabilized dyspnea at home care discharge.

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Figure 1
Andersen’s (1995) Behavioral Model of Utilization
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