Health Home Program Research Articles

Patient Compliance in Occupational Therapy Home Health Programs:

Patient Compliance in Occupational Therapy Home Health Programs:

Patient Compliance in Occupational Therapy Home Health Programs:

Home health is by definition intermittent treatment. The voluntary participation of the patient and family in working toward goal achievement, especially in the absence of the practitioner, greatly affects the effectiveness of the occupational therpist. Improving that participation requires a thoughtful understanding of the value system of the patient and creative, flexible programming. The unique effects that the sociocultural experiences of patients have on the treatment process in home health care are discussed according to a set of facotrs that influence his compliance with care. Research findings and a brief case study shall illustrate some of the factors.

Developing Home Health Services in Rural Communities—

Developing financially sound home health agencies in isolated rural communities is a continuing problem. This article discusses the use of a little known provision of the Rural Health Clinics Act, P. L. 95-210, as a vehicle for creating an economically viable home health program in an isolated mountain community of Northern California.

The private nonprofit home health agency: an exploratory essay.

Despite a history that coincides with the medicare-funded home health program the private nonprofit (PNP) home health agency does not appear to have been the focus of any extensive or objective examination. Herein that task is undertaken. First, the PNP is positioned within the context of the other four nonprofit provider forms comprising home health's "third sector." These are the voluntary nonprofit, the combination agency, the institution-based nonprofit, and the sectarian nonprofit. Second, the principal attributes characterizing the PNP ethos are described. Third, the criticism received by PNP's over the lat decade is briefly reviewed. Fourth, the major past and present trends in the growth and distribution of PNP's are charted. Fifth, the three pathways to PNP formation are looked at. These are incorporation, conversion, and transition of nonprofit auspice. Sixth, the major rationales for PNP development are considered. Lastly it is observed that the PNP may serve as an object lesson to other nonprofit providers endeavoring to reach an accord with a seemingly anti-nonprofit health care environment.

Mr. Edwards' Triumph

MS. GRIM. a graduate of Mercy Hospital School of Nursing, Hamilton. Ohio, is a member of the staff of the Home Health Program of the Southern West Virginia Regional Health Council in Bluefield, W. Va. She was formerly a staff nurse at Cincinnati General Hospital. Ohio, and served in the Air Force Nurse Corps. James Edwards, a resident of Mercer County, West Virginia, was referred to the Home Health Pro-