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Search indexed PubMed citations on genomics, clinical trials, systematic reviews and public health. Explore titles, authors and supplied subject terms, then open the PubMed record.

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At least 235 records · Page 13Linked to original sources
PubMed1997

Aerospace technology comes home.

Science is expanding the options for homebound patients. Many of the new technologies coming into the home care industry are the result of aerospace innovations. What are these new technologies, and what can the home care industry expect to see in the future.

Aerospace Medicine↗
PubMedDate not supplied

Assessing quality in home-care programs.

As the chronically homebound population increases, more primary-care individuals and groups will be providing care in the home. Assessing and improving the care of this population involves developing strategies to monitor the quality of care provided (for example, using clinical practice guidelines), assessing the efficacy of plans to help prevent decline, and identifying unavoidable negative outcomes. Outcome indicators for this group must be able to discriminate between expected decline and decline that could have been modified by medical intervention. Because of multiple variables not present in institutional settings, in-home care presents a somewhat different situation than care of nursing home residents.

Caregivers↗
PubMed1998

Provision of drugs and medicines to certain veterans in state homes--VA. Interim final rule with request for comments.

This document amends the "Medical" regulations concerning the provision of drugs and medicines prescribed by non-VA physicians for certain veterans who are permanently housebound or in need of regular aid and attendance. The regulations are amended to allow prescriptions to be filled by non-VA pharmacies in state homes under contract with VA for filling prescriptions for patients in state homes. This is consistent with VA's special relationship with state homes. It will eliminate duplication of services and will help improve timeliness for filling prescriptions in state homes.

Drug Prescriptions↗
PubMed1998

Tap your own Medicare risk members to supply needed social services for peers.

Start a Medicare peer volunteer program to meet your members' social service needs: For 11 years, Elderplan Inc. has used senior volunteers to effectively and inexpensively meet the social service needs of its frail and homebound members, plus gained loads of favorable publicity and community goodwill in the process. Find out the benefits of such a program and get some tips on how to start one at your organization.

Aged↗
PubMed1998

Home-based primary care in the VA setting, with a focus on Birmingham, Alabama.

The Veterans Administration Hospital-Based Home Care Program provides comprehensive primary care to homebound veterans. Unlike Medicare-funded home care, it is not oriented to episodic provision of skilled nursing care, but rather to long-term primary care in the home. The interdisciplinary composition of HBPC teams allows for innovative approaches to care and coordinated implementation of treatment plans. Outcomes assessment of care provided through HBPC has been positive, suggesting an overall improvement in function and decrease in health care costs among those using the HBPC Program. The HBPC Program offers a tested model of primary home care within a "managed care" model. Its positive features should be considered by those initiating managed primary home care within the private sector.

Aged↗
PubMed1998

Judgment of abnormal condylar surface forms in edentulous patients by temporomandibular joint noise.

Forty-five patients with upper and lower complete dentures with no subjective symptoms of temporomandibular disorder (TMD) were studied. On initial examination, the existence of abnormal condylar surface forms and temporomandibular joint (TMJ) noises were checked in order to study the relationship between these abnormalities. Zonography was conducted to observe the abnormal condylar surface forms, and stethoscopy was conducted to detect TMJ noises. The results demonstrated the relationship between the abnormal condylar surface forms and TMJ noise at the significant level of 0.02%. Furthermore, a judgment of the presence of the abnormal condylar surface form could be based upon the existence of TMJ noise at the sensitivity value of 0.60.

Aged↗
PubMed1999

[Public health nurses' disaster responses for intractable neurological patients at home].

OBJECTIVE: This paper describes the 1995 Hanshin-Awaji Earthquake experience of the local public health nurses. The purpose of the study was to identify problems regarding assistance of intractable neurological patients at home during and after the earthquake and to discuss ways to improve future local disaster responses by public health nurses for those patients. METHODS: Approximately 2 hours of a group interview of public health nurses from 2 public health centers in Kobe City was conducted in August, 1996. Interview data was collected via audio-tape and transcribed. The data was organized according to phases of the earthquake. The acute phase of the earthquake disaster ended within 72 hours. The data was then analyzed to identify problems in assisting intractable neurological home patients in order to discuss disaster responses by public health nurses. RESULTS: There was a delay in confirming the safety of and providing needed assistance for intractable neurological patients at home by public health nurses. During the first 3 days after the earthquake, the majority of public health nurses were unable to commute to work due to the shutdown of transportation systems. In addition, nurses, who were able to come to work, were preoccupied with treating earthquake casualties and distributing medical supplies. Other factors associated with the delay included the following: lack of a registration list for intractable neurological patients at home; lack of close contacts between public health nurses and patients, and between public health nurses and patient support groups; and sparing nurses for guiding volunteers and for coordinating between shelters and hospitals. CONCLUSION: Measures to improve future disaster responses are as follows: a) teaching patients and their families how to safeguard against disaster; b) preparing registration lists; c) establishing support networks and cooperating with network members; and d) upon disaster, assigning some nurses to assess the needs of patients.

Disaster Planning↗
PubMed1998

Home visits by physicians improve care, reduce utilization, cut costs under Medicare risk.

Bringing back the doctor house call: Only 1% to 3% of your seniors are probably homebound frail elderly, but they're responsible for exorbitantly high costs. Unable to make office visits, they're at high risk for ER visits and hospitalization. The answer to improving their care and reigning in their costs are regular doctor house calls, say two physicians who practice in-home primary care. Here's why, plus details on their innovative program.

Aged↗