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Biomedical subjects

J L Helberg

Publications and source records attributed to J L Helberg.

8 recordsLinked to original sources
PubMed1994

Use of home care nursing resources by the elderly.

We explored the influence of nursing dependency over and above sociodemographic factors and medical conditions on the use of home care nursing resources by patients 65 years of age and older. Use measures were number of visits made by home care nurses, and length of nursing stay. Nurses' reports, direct observation of nursing care provided, patient interviews, and record abstraction were used to obtain data on 236 patients who were admitted to and discharged from a certified public home health agency. Nursing dependency explained a significant amount of variance over and above sociodemographic factors and medical conditions in number of visits made by nurses and length of nursing stay. Measures of nursing dependency should be incorporated into future studies that examine factors related to use of home care nursing resources.

Activities of Daily Living↗
PubMed1993

Factors influencing home care nursing problems and nursing care.

This study was conducted to determine the contributions of sociodemographic factors, medical conditions, and nursing dependency to nursing problems identified and nursing care provided to patients during a home care nursing visit. Patient interviews, direct observation of nursing care, record abstraction, and nurses' reports were used to obtain data from 438 patients receiving nursing visits from a certified home health agency. Nursing dependency was the strongest predictor of the nursing problems of and nursing care provided to home care patients. Measures of nursing dependency should be incorporated in models to determine the extent of nursing problems and nursing care provided in the home and in models of home care nursing reimbursement.

Activities of Daily Living↗
PubMed1993

Patients' status at home care discharge.

This study describes patients' status following home care nursing discharge, and explores the relationship of sociodemographic characteristics, medical conditions and nursing needs to patients' status at discharge. The sample consisted of 367 adult patients receiving nursing services from a certified home health agency. The majority (61 percent) of patients could manage independently or only with the help of family providers at home care nursing discharge. The rest (39 percent) required at least some help from community service providers, were institutionalized or had died. Patients' discharge status was more closely related to nursing needs such as nursing problems, functional status and coping ability than to medical conditions.

Activities of Daily Living↗
PubMed1990

Information needs in home care: a review and analysis.

Before prospective payment can be implemented in home care, providers and administrators in home care agencies require information in a variety of areas. This article reviews the literature on several factors likely to influence the market for home care services, including hospital use trends, the response to diagnosis-related groups by home care agencies, proposed reimbursement patterns, patient disease and demographic profiles, and patient needs. Research must be conducted in several areas before prospective payment can be implemented in home care.

Health Facility Administrators↗