Home health care services for AIDS patients: one community's response.
The AIDS epidemic has challenged communities to develop and mobilize care networks for persons infected with the human immunodeficiency virus (HIV). A major part of that mobilization has been a push toward community- and home-based services. The movement of HIV care to the home/community setting is occurring, however, without investigation of either the problems that this change engenders for agencies providing care or the agencies' responses to these problems. This article from one health care market suggests that home care agencies may not be well positioned to meet the cyclical needs of HIV patients, that care is becoming increasingly fragmented with multiple agencies seeking to patch together a program of comprehensive services, and that agency policies may be limiting the numbers of community-based HIV patients eligible for home care.
College of Nursing, Ohio State University, Columbus 43210.
P J
PJ
Salsberry
J T
JT
Nickel
M
M
O'Connell
N R
NR
Reynolds
D L
DL
Brady
P R
PR
Bentz
D000163:Acquired Immunodeficiency Syndrome / Q000453:epidemiology / Q000451:nursing* / Q000635:transmission; D000203:Activities of Daily Living; D000328:Adult; D003266:Continuity of Patient Care / Q000592:standards; D005260:Female; D017048:Health Care Costs; D006301:Health Services Needs and Demand / Q000592:standards; D006302:Health Services Research; D006699:Home Care Services / Q000191:economics / Q000592:standards* / Q000706:statistics & numerical data; D006801:Humans; D015994:Incidence; D008297:Male; D015403:Nursing Evaluation Research; D017063:Outcome Assessment, Health Care; D017060:Patient Satisfaction; D015995:Prevalence; D011788:Quality of Life; D012017:Referral and Consultation / Q000706:statistics & numerical data; D012051:Reimbursement Mechanisms / Q000706:statistics & numerical data; D012307:Risk Factors