Pediatric home health care is one of the fastest growing segments of our health care system.
However, our knowledge of the extent and quality of the services provided in this field is generally limited.
Despite this shortcoming, pediatric health care providers are increasingly expected to participate in the home health care of their patients.
To describe the agencies and services that constitute pediatric home health care in a large metropolitan setting.
During the summer of 1995, home health care agencies in King County, WA, were surveyed if they had provided any pediatric services within the preceding 6 months.
The agencies were queried about their characteristics and services provided, as well as referral and reimbursement sources.
Survey data were supplemented by interviews with agency and state health personnel.
Fourteen (88%) of the 16 agencies providing pediatric home health care services completed the survey.
Agencies were predominantly for-profit, free-standing, and in business fewer than 10 years.
Although there were uniform licensing requirements for agencies, no pediatric-specific regulations existed.
In addition, many agencies lacked internal methods to ensure the provision of quality pediatric care.
Eighty percent of all pediatric home health care services were provided by only 5 agencies.
For intermittent (acute) services, agencies served approximately 450 children per month. (...)
Mots-clés Pascal : Soin, A domicile, Enfant, Homme, Pédiatrie, Qualité service, Washington, Etats Unis, Amérique du Nord, Amérique, Evaluation
Mots-clés Pascal anglais : Care, At home, Child, Human, Pediatrics, Service quality, Washington, United States, North America, America, Evaluation
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 97-0350319
Code Inist : 002B30A03B. Création : 12/09/1997.