Health Care

Paper Summary:

This paper discusses the differences in quality care provided in a nursing home setting versus that found in private home health care. Some issues covered highlight the Institute of Medicine's report of negative findings in 1986 and recommendations for improvement that still failed. It also cites the dramatic increase in the level of home health care services provided from 1985-1995 in the US and in Canada and how that translated into a higher level of quality of care for the individual.

From the Paper:

"There is a myriad of health care delivery systems available to individuals who require continuous care. Some of them are more traditional some are alternative and include Adult Day Care Centers. With the rapidly increasing aged population, along with medical advances providing for longer lives, health care for the elderly is a major topic of debate. Unfortunately many times this debate centers on cost and/or simple practicality. Other times the debate revolves around the dynamics and quality of the health care delivered. This paper is a high level presentation designed to comparing and contrasting home health care services with a skilled services nursing home. According to Hicks, Rantz, Petroski and Mukamel (2004), the two most significant issues facing nursing homes (skilled facilities) are quality of care and the decline in the rates and levels of Medicaid reimbursement received. Staffing issues and other issues at skilled nursing facilities, some ..."

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