Home Health Care Services for the Elderly

Cost increases resulting from aesculapian checkup and biologic advances are due to:

1. An increase in the level of word and fright provided to individuals.

2. Increases in the be of wellness take serve, as a result of: (a) more costly equipment; (b) increased instruct levels required for medical personnel; and (c) an increased complexity in the medical treatment procedures employed. 3. The substitution of more costly in the altogether procedures for less costly, although less effective (in most instances), older procedures.

It was estimated that among 0.5 percent and 1.0 percent per year was added to the per capita health charge costs for Americans between 1970 and 1980, as a result of advances in medical science and biological science (Drake, 1982). In 1989, there appears to be little reason to believe that cost increases resulting from advances in medical science and in biological science would moderate during the 1990s.

In addition to this aspect of the cost problem, many observers believe that the of age(p) tend to overuse the health care system because they do not participate fully in its funding (Congressional budget Office, 1984). The cost of providing health care service for the antiquated has, thus, give-up the ghost a critical issue (Balinsky, 1985). First, because of an increasing elderly universe of discourse segment, and second, because of cost increases associated with the talking to of ser

strain in the provision of health care serve for the elderly is alltoooften placed on institutional care only, and on the costs of such care. Institutional care is the major component of the total health care services provided for the elderly. Further, hospital costs, together with nursing home costs, account for the great proportion of the total health care costs for the elderly. A comprehensive program for the provision of health care services for the elderly, however, cannot be based solely on the largest care delivery components in the system.

Individuals afflicted with chronic ailments account for somewhat 10 percent of the American population (Rosen, Fanshel, & Lutz, 1988).

This 10 percent of the population, however, accounts for approximately 30 percent of the total health care expenditures in the get together States (Rosen, et al.). Total health care expenditures in the joined States exceed $400 billion per year.

On a interior(a) basis, approximately $140 billion was spent in the United States in 1987 on the provision of health care services for the elderly (U.S. Department of Health and Human Services, 1988). The fastest exploitation population segment is the 65 years old and older groupa group requiring more health care than is required by younger persons, and more costly health care than that required for younger persons. Thus, it may be evaluate that health care costs for the elderly will knock off an increasingly larger share of total health care expenditures.

Confidentiality becomes an increasingly significant factor, with respect to medical records go oned in the home health care environs (Nassif, 1985). Personnel problematic in the delivery of health care services in the home must be aware of the necessity to maintain complete confidentiality outside of the home care environment, with respect to (1) the patient's medical records maintained in the home care environment, and (2) the home environment itself. <
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