title: Patients' health problems: differences in perceptions between home health patients and nurses.
abstract: Quality care is consumer-driven care. Yet, much of home healthcare is driven by Medicare regulations and reimbursement rates. This study compared home health patients' perceptions of their health problems with nurses' documentation of the patients' health problems. The results showed that the problems patients report and nurses document are very different. Home health nurses must move beyond a focus on medicare-reimbursable patient problems to documenting and providing consumer-driven patient care.
authors.affiliation: Washington State University, Spokane, USA.
authors.forename: C E
authors.initials: CE
authors.lastname: Adams
authors.forename: J E
authors.initials: JE
authors.lastname: Johnson
authors.forename: J F
authors.initials: JF
authors.lastname: Moore
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D001291:Attitude of Health Personnel; D001294:Attitude to Health; D005260:Female; D006304:Health Status; D006699:Home Care Services; D006801:Humans; D008297:Male; D009730:Nursing Assessment / Q000592:standards*; D015403:Nursing Evaluation Research; D009737:Nursing Records; D009740:Nursing Staff / Q000523:psychology*; D011787:Quality of Health Care; D012051:Reimbursement Mechanisms