title: Quality of life and changes in health insurance in long-term home care.
abstract: Changes in health insurance and concomitant changes in quality of life in patients receiving long-term home parenteral nutrition care were explored. A decrease in quality of life and increase in depression were significantly associated with a change of insurance providers. Knowing the importance of health insurance as a family economic resource, nurses working in these settings may be alert for potential socio-emotional problems when health insurance providers change or coverage is less. Policymakers also have an opportunity to ease the financial burden of long-term disease management by expanding coverage for prescription drugs in Medicare benefits.
authors.affiliation: University of Kansas School of Nursing, Newman University, Wichita, KS, USA.
authors.forename: Carol D
authors.initials: CD
authors.lastname: Gaskamp
mesh_terms: D000328:Adult; D000368:Aged; D017281:Cost of Illness; D003863:Depression / Q000191:economics / Q000453:epidemiology; D005240:Feasibility Studies; D005260:Female; D006699:Home Care Services / Q000191:economics*; D006801:Humans; D015212:Inflammatory Bowel Diseases / Q000628:therapy*; D019458:Insurance Coverage / Q000639:trends; D007348:Insurance, Health / Q000706:statistics & numerical data* / Q000639:trends; D008134:Long-Term Care / Q000191:economics*; D008297:Male; D006278:Medicare; D008875:Middle Aged; D016331:Parenteral Nutrition, Home / Q000191:economics*; D011788:Quality of Life; D012307:Risk Factors; D014481:United States / Q000453:epidemiology