Home Health and Hospice Care Overview

<p>Drastic changes in financing and more people living with complex illness</p> Signup and view all the answers

<p>More people survived to live with debilitating chronic illness and disability</p> Signup and view all the answers

<p>Throughout human history, health care has been provided at home by family members. In the USA, the Ladies Benevolent Society in Charleston, South Carolina, made the earliest known 1813 organized effort to care for the sick poor at home. In the 19th century, it became possible for women to become nurses trained in the manner of Florence Nightingale. In 1893, Lillian Wald began home visiting in New York City. One of Wald’s famous innovations was the establishment of insurance coverage for home care. Between 1909 and 1952, 100 million home visits were made to the policy holders of Metropolitan Life Insurance Company. In the later half of the 20th century, as hospitals became increasingly effective in providing acute care, more people survived to live with debilitating chronic illness and disability, and referral to home care was used to discharge those nonacute patients from the hospital. The Medicare home health benefit was established with certain goals in mind.</p> Signup and view all the answers

<p>The establishment of the Medicare home health benefit impacted the provision of health care at home by providing certain goals in mind, such as addressing the needs of individuals with complex chronic conditions and promoting effective and efficient care delivery in the home setting.</p> Signup and view all the answers

<p>As hospitals became increasingly effective in providing acute care, more people survived to live with debilitating chronic illness and disability, leading to the need for referral to home care to discharge those nonacute patients from the hospital.</p> Signup and view all the answers

<p>One of Lillian Wald’s famous innovations was the establishment of insurance coverage for home care.</p> Signup and view all the answers

<p>Drastic changes in financing and more people living with complex illness have contributed to the need for health care at home. These include early hospital discharges, a growing population that survives yet suffers from complex illness, advanced technologies available for home care, and an aging population.</p> Signup and view all the answers