Serum potassium when rising.
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Biomedical subjects
Publications and source records attributed to A S Rosenfeld.
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Data from two states with different reimbursement policies for home health service were compared. The analysis indicates that changes in Medicaid policy encouraging the use of home health aid service as a long term maintenance program was effective in obtaining treatment for persons at greater risk of institutionalization. The analysis also indicates that differences in Medicaid reimbursement policies have a more general impact on the overall caseload and pattern of care provided in the home health care system. The findings have both theoretical and policy relevance in terms of program and policy implementation, understanding service networks, and professional organizations.
Much attention has been given to developing alternatives to institutionally based long term care. For most of the alternative programs the community agencies are assumed to be the health provider of health and personal care services. An analysis of 18,000 patients discharged from 45 home health agencies in one state reveals that the agencies provide very different patterns of services in terms of skilled and personal care. Agencies also vary widely in the type of person served in terms of disability and reimbursement. It appears that the home health agencies through a process of internal and external interactions establish their role in the long term care delivery system and subsequent referral patterns reflect that role.