Under physician leadership, Hospice, Inc., started a home care program for terminally ill cancer patients and their families in March 1974. This paper is based on the 3-year evaluation by the medical director who argu...
详细信息
Under physician leadership, Hospice, Inc., started a home care program for terminally ill cancer patients and their families in March 1974. This paper is based on the 3-year evaluation by the medical director who argues that priority of care should be directed to physical needs, managed in a problem-oriented approach.
This article examines differential responses to the Medicare hospice benefit across ownership types. The analysis reveals little difference in costs or quality of service among government‐owned, for‐profit, and nonp...
详细信息
As the number of hospice programs in the United States expands, policymakers face a variety of issues concerning the care of the terminally ill. Do hospice programs offer a truly unique approach in caring for the dyin...
详细信息
As the number of hospice programs in the United States expands, policymakers face a variety of issues concerning the care of the terminally ill. Do hospice programs offer a truly unique approach in caring for the dying? Are hospice services cost effective? Should hospice programs become integrated into the mainstream of medical care service delivery? Based on data from hospice programs in an industrialized Midwestern state, this paper explores the strategies employed by hospice programs to become integrated, the conflicts that have arisen among providers of hospice care, and the impact of hospice program integration on patient *** show that as hospice programs become more integrated, they have lost some of the idealism on which they were founded, have altered organizational structures, and have changed certain patient services. However, there is no evidence to suggest that integration of hospice programs into the medical mainstream has decreased the quality of patient care or patient satisfaction for hospice services.
Hillhaven Hospice began patient services in 1977 as the nation's first “free standing,” comprehensive service hospice. This paper is a description of how the program was designed to be part of a community's ...
详细信息
Hillhaven Hospice began patient services in 1977 as the nation's first “free standing,” comprehensive service hospice. This paper is a description of how the program was designed to be part of a community's total health system, how it is staffed, and what its principles are.
This article develops two previous research efforts. William J. Winston has proposed a set of strategies by which health care organizations can benefit from forging strategic alliances. Raadt and Self have proposed a ...
详细信息
This article develops two previous research efforts. William J. Winston has proposed a set of strategies by which health care organizations can benefit from forging strategic alliances. Raadt and Self have proposed a classification model of alliances including horizontal, vertical, internal, and osmotic. In the second of two articles, this paper presents a model of vertical, internal, and osmotic alliances. Advantages and disadvantages of each are discussed. Finally, the complete alliance system model is presented.
This study explores the emerging conflict and cooperation between two types of organization providing home health care to chronically ill and terminal patients-the hospice and the home health agency. Exploratory resul...
详细信息
This study explores the emerging conflict and cooperation between two types of organization providing home health care to chronically ill and terminal patients-the hospice and the home health agency. Exploratory results suggest that the variables of size (terminal patient load), and competition (the number of other home health agencies in an area) influence relationships between home health agencies and hospices. It is also suggested that recent Medicare regulations may encourage mergers between agencies and hospices in addition to the existing modes of cooperation and referrals.
Presents a rationale for the hospice program as a service program attempting to help dying patients in the spiritual quest for wholeness and dignity. Gives the historic origins of the hospice movement, its philosophy ...
详细信息
Presents a rationale for the hospice program as a service program attempting to help dying patients in the spiritual quest for wholeness and dignity. Gives the historic origins of the hospice movement, its philosophy and its adoption in North America. Describes the hospice team and the functions of its members.
The essential characteristics of a hospice program of care are described. Goals of the hospice are elaborated on. The myriad problems of dying patients and their families are discussed, along with the importance of vo...
详细信息
The essential characteristics of a hospice program of care are described. Goals of the hospice are elaborated on. The myriad problems of dying patients and their families are discussed, along with the importance of volunteers, a comprehensive interdisciplinary team, and the support of the medical community. British and American hospices are compared. Families are recognized as being a separate unit of care—not only do they participate in the care of the patient, but they also participate in bereavement follow-up programs after the patient's death. Pain control, involving titration of drugs, combined with team effort, is important to dying patients, along with relief from distressing symptoms of disease, the security of a caring environment, sustained expert care, and assurance that they and their families will not be abandoned.
暂无评论