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Comparison of the high-tech service delivery experiences of hospice and non-hospice home health providers
Author(s)Lenard W Kaye, Joan K Davitt
Journal titleThe Hospice Journal, vol 13, no 3, 1998
Pagespp 1-20
SourceHaworth Document Delivery Center, The Haworth Press, Inc., 10 Alice Street, Binghamton, NY 13904-1580, USA.
KeywordsTherapeutic services [domiciliary] ; Home nursing ; Technology ; Terminal care ; United States of America.
AnnotationThis study examined the degree to which national samples of (154) hospice and non-hospice home health care agencies in the US present different organisational profiles and grapple with different patient capacity issues when delivering technology-enhancing services to incapacitated older people. Hospice agencies employ more part-time staff, make more in-home visits, see more high-tech patients, and provide a wider range of high-tech services than non-hospice providers. Factor analysis of index data confirms that hospice staff have more experience (p < .05) addressing the legal/ethical dimensions of care. Specifically, hospices deal with `right to die' issues more often (p < .05), but not with `delegation of authority' and `patient rights' issues. More agencies of both types have policies for handling decisions about life-sustaining treatment than for dealing with patients having questionable decision-making capacity. Needed agency policies for dealing with limited patient decision-making capacity in hospice and non-hospice home care agencies are reviewed. (RH).
Accession NumberCPA-980810011 A
ClassmarkN3: N4: Y9: LV: 7T

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