A study of selected home care programs : a joint project of the Public Health Service and the Commission on Chronic Illness.
- United States Public Health Service
- Date:
- 1955]
Licence: Public Domain Mark
Credit: A study of selected home care programs : a joint project of the Public Health Service and the Commission on Chronic Illness. Source: Wellcome Collection.
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![Table 1. Sources of direct services to patients / Administrative agency — o 1 o m4 ae 1 @o = ' a O : S| ye @ a aa = Si oa ABS: stay Type of services ore Be eee 4 Aa on SZ, os més mls es oe 3 gee Pee onl eel She elk | Se | mul ees Se | 82) a | 8) 39a] 2 | eae] 2s | sf | Se | sas ea ot = S o oe or = Sea 5 am Fo ~ a S i aCe i } aA | see! & Febeta a 3A | $63), cs = a a ete) = eS Ay o a D bp Practicing physicians 1_ C Co EE & A C A H&A C A H&CiH&A H uesidente 20. bo O O H O H O O A H O ri. Medical students ?_ _ - O O H O Et O O O H H H PUES ae SO C C C C C C A&C C C C C Social service____-_-- A A H H&A H H C A H H C Physical therapy_____ O C C C C H A H C A O Occupational therapy_ O C O O O H A O O O O Speech therapy - -____ O O O O O O C O O O O Home teaching______ O O C C C C C C C C O Housekeeping________ O C C A C C C C C O O Laboratory. ---. 2. - A&C C A&C C A&C A C A A&C A H&C Pesray ei tile So bonis And Coleus rAd C C A&C A C A A&C A G Hospital equipment and supplies-__---- Ads) ares Ce tH & € C C H&C/A&C i C H&A C Medications and medical supplies__-|A&C} C A&C C A&C A C A H&C A Ei Prosthetic appliances_| O C H&C C C C C A&C C C O Transportation_____ ~~ PaaeG, bea C C C A C H H&C A C Hospitalization ______ A C C C A&C A C A C A C Code for source of services: H—Facilities and staff of the home care program. C—Community resources. O—Services not provided in the program. hospitalized without delay when diagnostic or therapeutic procedures were needed. Wide variation was found in the extent to which the central administrative agency itself provided services or assumed responsibility for purchasing services through other community agencies. In some programs, such as that at Montefiore Hospital, the major portion of the services was supplied by a home care staff. In other programs, such as that of the Chicago Welfare Department, services were provided through community agencies, with the home care staff functioning primarily as the coordinat- ing and purchasing agent. When the adminis- trative agency depended upon other agencies to provide services, prior arrangements were made defining the administrative agency’s participation in the program. Arrangements between agencies ranged from formally signed Public Health Monograph No. 35, 1955 agreements to an informal understanding. In some programs, the participating agency was paid on a fee-for-service basis; in others, the services were provided by the agency without charge to the home care program. The training and experience of personnel providing services to patients ranged from fully qualified personnel in the various professional categories to students in the fields of medicine, nursing, and social service, functioning under the supervision of qualified personnel. Operational Policies and Procedures Only indigent or medically indigent patients were eligible for services except in the Phil- adelphia home care plan, which offered sery- ice to patients of private physicians regardless of financial status. Patients able to pay](https://iiif.wellcomecollection.org/image/b32179959_0017.jp2/full/800%2C/0/default.jpg)
