Implications of the Adult Day Health Care Evaluation Study for program revision and research.

S. C. Hedrick, M. Chapko, J. Ehreth, M. L. Rothman, J. R. Kelly, Thomas Inui

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

With no additional effort to revise adult day health care (ADHC) services or the types of patients who receive them, it would appear that adding an ADHC program to a VA Medical Center would not achieve the desired objectives. The authors discuss here the advantages, disadvantages, and feasibility of 2 options for program revision. The first is to target ADHC to those types of patients who may be most likely to benefit. A targeting scheme should use the most objective criteria possible and may need to be implemented as part of a case-managed package of community-based services. The second option for program revision is to reduce the costs of ADHC services. A cost model developed as a part of the study demonstrated the effect of possible revisions, including increasing enrollment, reducing staffing costs, decreasing length of stay in ADHC, and increasing substitution of ADHC for other services. These changes differ in the level of administrative support and clinician behavior change needed for their implementation. This report then concludes with a discussion of the implications of the results for implementation of VA-ADHC versus contract ADHC, and a discussion of possible directions for future research.

Original languageEnglish
JournalMedical Care
Volume31
Issue number9 Suppl
StatePublished - Sep 1993
Externally publishedYes

Fingerprint

health care
Delivery of Health Care
evaluation
Research
health care services
Costs and Cost Analysis
Health Services
costs
Social Welfare
staffing
Contracts
substitution
Length of Stay
community

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health
  • Nursing(all)
  • Health(social science)
  • Health Professions(all)

Cite this

Hedrick, S. C., Chapko, M., Ehreth, J., Rothman, M. L., Kelly, J. R., & Inui, T. (1993). Implications of the Adult Day Health Care Evaluation Study for program revision and research. Medical Care, 31(9 Suppl).

Implications of the Adult Day Health Care Evaluation Study for program revision and research. / Hedrick, S. C.; Chapko, M.; Ehreth, J.; Rothman, M. L.; Kelly, J. R.; Inui, Thomas.

In: Medical Care, Vol. 31, No. 9 Suppl, 09.1993.

Research output: Contribution to journalArticle

Hedrick, SC, Chapko, M, Ehreth, J, Rothman, ML, Kelly, JR & Inui, T 1993, 'Implications of the Adult Day Health Care Evaluation Study for program revision and research.', Medical Care, vol. 31, no. 9 Suppl.
Hedrick SC, Chapko M, Ehreth J, Rothman ML, Kelly JR, Inui T. Implications of the Adult Day Health Care Evaluation Study for program revision and research. Medical Care. 1993 Sep;31(9 Suppl).
Hedrick, S. C. ; Chapko, M. ; Ehreth, J. ; Rothman, M. L. ; Kelly, J. R. ; Inui, Thomas. / Implications of the Adult Day Health Care Evaluation Study for program revision and research. In: Medical Care. 1993 ; Vol. 31, No. 9 Suppl.
@article{639f51f4b1974d82b2518e23d4c43009,
title = "Implications of the Adult Day Health Care Evaluation Study for program revision and research.",
abstract = "With no additional effort to revise adult day health care (ADHC) services or the types of patients who receive them, it would appear that adding an ADHC program to a VA Medical Center would not achieve the desired objectives. The authors discuss here the advantages, disadvantages, and feasibility of 2 options for program revision. The first is to target ADHC to those types of patients who may be most likely to benefit. A targeting scheme should use the most objective criteria possible and may need to be implemented as part of a case-managed package of community-based services. The second option for program revision is to reduce the costs of ADHC services. A cost model developed as a part of the study demonstrated the effect of possible revisions, including increasing enrollment, reducing staffing costs, decreasing length of stay in ADHC, and increasing substitution of ADHC for other services. These changes differ in the level of administrative support and clinician behavior change needed for their implementation. This report then concludes with a discussion of the implications of the results for implementation of VA-ADHC versus contract ADHC, and a discussion of possible directions for future research.",
author = "Hedrick, {S. C.} and M. Chapko and J. Ehreth and Rothman, {M. L.} and Kelly, {J. R.} and Thomas Inui",
year = "1993",
month = "9",
language = "English",
volume = "31",
journal = "Medical Care",
issn = "0025-7079",
publisher = "Lippincott Williams and Wilkins",
number = "9 Suppl",

}

TY - JOUR

T1 - Implications of the Adult Day Health Care Evaluation Study for program revision and research.

AU - Hedrick, S. C.

AU - Chapko, M.

AU - Ehreth, J.

AU - Rothman, M. L.

AU - Kelly, J. R.

AU - Inui, Thomas

PY - 1993/9

Y1 - 1993/9

N2 - With no additional effort to revise adult day health care (ADHC) services or the types of patients who receive them, it would appear that adding an ADHC program to a VA Medical Center would not achieve the desired objectives. The authors discuss here the advantages, disadvantages, and feasibility of 2 options for program revision. The first is to target ADHC to those types of patients who may be most likely to benefit. A targeting scheme should use the most objective criteria possible and may need to be implemented as part of a case-managed package of community-based services. The second option for program revision is to reduce the costs of ADHC services. A cost model developed as a part of the study demonstrated the effect of possible revisions, including increasing enrollment, reducing staffing costs, decreasing length of stay in ADHC, and increasing substitution of ADHC for other services. These changes differ in the level of administrative support and clinician behavior change needed for their implementation. This report then concludes with a discussion of the implications of the results for implementation of VA-ADHC versus contract ADHC, and a discussion of possible directions for future research.

AB - With no additional effort to revise adult day health care (ADHC) services or the types of patients who receive them, it would appear that adding an ADHC program to a VA Medical Center would not achieve the desired objectives. The authors discuss here the advantages, disadvantages, and feasibility of 2 options for program revision. The first is to target ADHC to those types of patients who may be most likely to benefit. A targeting scheme should use the most objective criteria possible and may need to be implemented as part of a case-managed package of community-based services. The second option for program revision is to reduce the costs of ADHC services. A cost model developed as a part of the study demonstrated the effect of possible revisions, including increasing enrollment, reducing staffing costs, decreasing length of stay in ADHC, and increasing substitution of ADHC for other services. These changes differ in the level of administrative support and clinician behavior change needed for their implementation. This report then concludes with a discussion of the implications of the results for implementation of VA-ADHC versus contract ADHC, and a discussion of possible directions for future research.

UR - http://www.scopus.com/inward/record.url?scp=0027669749&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0027669749&partnerID=8YFLogxK

M3 - Article

C2 - 8361240

AN - SCOPUS:0027669749

VL - 31

JO - Medical Care

JF - Medical Care

SN - 0025-7079

IS - 9 Suppl

ER -