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Biomedical subjects

R Seaton

Publications and source records attributed to R Seaton.

6 recordsLinked to original sources

The posthospital needs and care of patients: implications for discharge planning.

Sixty-nine patients hospitalized for a serious illness and discharged to their own or relative's homes were followed up to learn about patient's posthospital needs; sources of help they received and how well they met these needs; and the extent to which hospital social work targets these needs in the discharge planning process. The patients, who were mostly elderly, had substantial needs for care. The family was the major care provider. Although service provision was limited, the social worker had a pivotal role in linking the patient to community services. This exploratory study points to gaps in the hospital screening and discharge planning process.

Activities of Daily Living↗

Surviving DRG's: New Jersey's social work experience with prospective payments.

This is a report of a study which examined the impact of New Jersey's four-year experience with all-payer DRG's upon 82 hospital social work departments as these were reported by their directors. Although DRG's have made discharge planning, and thus social work, central to hospitals' financial health, departments have faced increased caseloads and some refocus of staff deployment, not always with compensatory increases in staff. Strategies to survive the cost-containment policies and other implications are noted.

Diagnosis-Related Groups↗

Health care participation of perinatal women with HIV: what helps and what gets in the way?

Dealing with the reality of the human immunodeficiency virus (HIV) is a life-changing challenge to perinatal women as they try to care for themselves and their children in environments that often include stigma, uncertainty, and limited access to information and health care. Our purpose for this interpretive hermeneutic study was to identify factors that women with HIV saw as helping or impeding their participation in their health care. We analyzed the qualitative data from open-ended interviews conducted with 18 women. We identified the facilitating themes of "Staying Healthy for Kids," "God Has His Reasons," and "My Family's There for Me." Barriers were "It Hurts to Know," "Health Care System Struggles," and "Kids and Buses and Taxies." We found that the women identified "Health Care Providers' Behaviors" as both an enhancing and an impeding factor to their health care participation. These findings can guide providers to offer more "user-friendly" support systems for women with HIV and their children.

Adolescent↗