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By Lenard Kaye DSW, Joan Davitt MSS MLSP
This e-book bargains handy entry to information regarding the advantages, drawbacks and demanding situations of uploading high-technology remedy into the house care courses. it's either a descriptive record of research-based observations, and an interpretive research of significant matters and rules within the supply of technology-enhanced care. The authors carry to the leading edge evidence-based present domestic care practices, equivalent to ventilator remedy and synthetic nutrients infusion pumps, and advance them via entire discussions of felony, moral and administrative matters they entail. enterprise directors in addition to in-home direct provider companies like nurses and social staff, will locate crucial info on a serious domestic care supply factor provided with readability and accessibility. outdated replica: This quantity bargains the reader handy entry to a lot wanted information regarding the original advantages, drawbacks and demanding situations of uploading high-technology into the houses of the aged and disabled. it's a designated mix of either a descriptive record of research-based observations from the frontlines of domestic well-being enterprise operations and interpretive analyses of significant concerns, regulations, and practices informing the supply of excessive tech-home healthiness prone. content material can be correct to these enterprise planners and directors, managers, and supervisors who're contemplating undertaking or have lately applied a high-tech carrier application of their association in addition to in-home direct provider prone like nurses and social staff.
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5 billion. 4 billion and growing (National Association for Home Care, 1997). It is noteworthy that Medicaid home care subsidies reduce the likelihood of nursing home admission for at-risk The Evolution of In-Home Technologies 19 older persons using home care services. Simultaneously, it results in the substitution of formal home care for informal care provided by family members. Thus, it can be seen that the availability of Medicaid subsidies for home care can reduce nursing home expenditures while also reducing the amount of family care provided without charge (Ettner, 1994).
ORGANIZATIONAL RESPONSIBILITY AND HIGH-TECH HOME CARE Quality Assurance and Staff Training Used in the traditional sense of the phrase, quality assurance refers to measures directed at assuring appropriate, safe, and effective care. Such measures will ideally include establishing standards of care, monitoring care routinely to assess whether standards are being observed, taking action in the event that standards are not being met, and conducting assessments at regularly scheduled intervals. , 1997).
Informalization refers to the increased shift to the informal sector to provide chronic care and supportive services. A high value may be attached to the role of informal care giver—family member, neighbor, clergy, among others—as is the case among many rural older people for whom independence is a key component of their culture (Magilvy, Congdon, & Martinez, 1994). This "warring dualism" of medicalization and informalization, fueled by public policy and technological advances, has decreased the comprehensive nature of home care services provided by home health care agencies, resulting in greater emphasis on high-tech services and less emphasis on custodial, supportive services.