Needs assessment for hospital-based home care services.

Thomas Inui, K. M. Stevenson, D. Plorde, I. Murphy

Research output: Contribution to journalArticle

5 Citations (Scopus)

Abstract

Careful needs assessment is a prerequisite to addressing issues of health care program effectiveness and program planning from a population-based perspective. Home care program evaluation literature is lacking in examples of strategies for such assessment. A nurse-screening of admissions was conducted at an acute care general hospital to estimate need for hospital-based home care (HBHC) services among the 2,613 patients discharged from medical and surgical services over a 5-month period. After careful delineation of inclusion and exclusion criteria for identifying HBHC patients and participant-observer training, the nurse's judgments on patient appropriateness for HBHC care were shown to agree reliably with those of the HBHC staff (k = + .45). In the study hospital under current conditions, an estimated 64% of discharged patients appropriate for home care do not receive these services. A comparison of the incidence according to service of HBHC-appropriate patients and patient-referral rates to HBHC suggests that one service over-refers (neurology), but most under-refer. Screening nurse salary expenditures constitute the major costs of this approach to home care needs assessment, which is recommended only for addressing major, infrequent programmatic policy issues.

Original languageEnglish
Pages (from-to)101-106
Number of pages6
JournalResearch in Nursing and Health
Volume3
Issue number3
StatePublished - Sep 1980
Externally publishedYes

Fingerprint

Hospital Based Home Care Services
Needs Assessment
Home Care Services
Nurses
Program Evaluation
Community Health Planning
Salaries and Fringe Benefits
Neurology
Health Expenditures
General Hospitals
Referral and Consultation
Delivery of Health Care
Costs and Cost Analysis
Incidence

ASJC Scopus subject areas

  • Nursing(all)

Cite this

Inui, T., Stevenson, K. M., Plorde, D., & Murphy, I. (1980). Needs assessment for hospital-based home care services. Research in Nursing and Health, 3(3), 101-106.

Needs assessment for hospital-based home care services. / Inui, Thomas; Stevenson, K. M.; Plorde, D.; Murphy, I.

In: Research in Nursing and Health, Vol. 3, No. 3, 09.1980, p. 101-106.

Research output: Contribution to journalArticle

Inui, T, Stevenson, KM, Plorde, D & Murphy, I 1980, 'Needs assessment for hospital-based home care services.', Research in Nursing and Health, vol. 3, no. 3, pp. 101-106.
Inui T, Stevenson KM, Plorde D, Murphy I. Needs assessment for hospital-based home care services. Research in Nursing and Health. 1980 Sep;3(3):101-106.
Inui, Thomas ; Stevenson, K. M. ; Plorde, D. ; Murphy, I. / Needs assessment for hospital-based home care services. In: Research in Nursing and Health. 1980 ; Vol. 3, No. 3. pp. 101-106.
@article{eb5befd740ef465c90ba030b031950ab,
title = "Needs assessment for hospital-based home care services.",
abstract = "Careful needs assessment is a prerequisite to addressing issues of health care program effectiveness and program planning from a population-based perspective. Home care program evaluation literature is lacking in examples of strategies for such assessment. A nurse-screening of admissions was conducted at an acute care general hospital to estimate need for hospital-based home care (HBHC) services among the 2,613 patients discharged from medical and surgical services over a 5-month period. After careful delineation of inclusion and exclusion criteria for identifying HBHC patients and participant-observer training, the nurse's judgments on patient appropriateness for HBHC care were shown to agree reliably with those of the HBHC staff (k = + .45). In the study hospital under current conditions, an estimated 64{\%} of discharged patients appropriate for home care do not receive these services. A comparison of the incidence according to service of HBHC-appropriate patients and patient-referral rates to HBHC suggests that one service over-refers (neurology), but most under-refer. Screening nurse salary expenditures constitute the major costs of this approach to home care needs assessment, which is recommended only for addressing major, infrequent programmatic policy issues.",
author = "Thomas Inui and Stevenson, {K. M.} and D. Plorde and I. Murphy",
year = "1980",
month = "9",
language = "English",
volume = "3",
pages = "101--106",
journal = "Research in Nursing and Health",
issn = "0160-6891",
publisher = "John Wiley and Sons Inc.",
number = "3",

}

TY - JOUR

T1 - Needs assessment for hospital-based home care services.

AU - Inui, Thomas

AU - Stevenson, K. M.

AU - Plorde, D.

AU - Murphy, I.

PY - 1980/9

Y1 - 1980/9

N2 - Careful needs assessment is a prerequisite to addressing issues of health care program effectiveness and program planning from a population-based perspective. Home care program evaluation literature is lacking in examples of strategies for such assessment. A nurse-screening of admissions was conducted at an acute care general hospital to estimate need for hospital-based home care (HBHC) services among the 2,613 patients discharged from medical and surgical services over a 5-month period. After careful delineation of inclusion and exclusion criteria for identifying HBHC patients and participant-observer training, the nurse's judgments on patient appropriateness for HBHC care were shown to agree reliably with those of the HBHC staff (k = + .45). In the study hospital under current conditions, an estimated 64% of discharged patients appropriate for home care do not receive these services. A comparison of the incidence according to service of HBHC-appropriate patients and patient-referral rates to HBHC suggests that one service over-refers (neurology), but most under-refer. Screening nurse salary expenditures constitute the major costs of this approach to home care needs assessment, which is recommended only for addressing major, infrequent programmatic policy issues.

AB - Careful needs assessment is a prerequisite to addressing issues of health care program effectiveness and program planning from a population-based perspective. Home care program evaluation literature is lacking in examples of strategies for such assessment. A nurse-screening of admissions was conducted at an acute care general hospital to estimate need for hospital-based home care (HBHC) services among the 2,613 patients discharged from medical and surgical services over a 5-month period. After careful delineation of inclusion and exclusion criteria for identifying HBHC patients and participant-observer training, the nurse's judgments on patient appropriateness for HBHC care were shown to agree reliably with those of the HBHC staff (k = + .45). In the study hospital under current conditions, an estimated 64% of discharged patients appropriate for home care do not receive these services. A comparison of the incidence according to service of HBHC-appropriate patients and patient-referral rates to HBHC suggests that one service over-refers (neurology), but most under-refer. Screening nurse salary expenditures constitute the major costs of this approach to home care needs assessment, which is recommended only for addressing major, infrequent programmatic policy issues.

UR - http://www.scopus.com/inward/record.url?scp=0019060585&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0019060585&partnerID=8YFLogxK

M3 - Article

VL - 3

SP - 101

EP - 106

JO - Research in Nursing and Health

JF - Research in Nursing and Health

SN - 0160-6891

IS - 3

ER -