OBJECTIVE Home visiting programs aim to improve child health, reduce developmental risks, and enhance use of community resources. How these programs can work in collaboration with pediatric practice has been understudied. The MOM Program was a randomized controlled trial of an innovative home visiting program to serve urban, low-income children. Program aims included promoting child health thro...

From 1974 through 1983, Medicare-covered home health visits and expenditures increased at double digit rates (18.4 and 29.0 percent annually, respectively). During the period from 1984 through 1987, intensified bill review by fiscal intermediaries and increased denial rates led to a decline in the number of home health visits. New reimbursement policies led to a markedly reduced rate of increas...

Home visits have a long history in geriatrics. In this narrative review, the literature on home visits performed by specialists in geriatric medicine (or psychiatry) and/or specialized programs in geriatric medicine (or psychiatry) published between January 1988 and December 2008 was examined. The papers reviewed were few and inconsistent in their message. The lessons that can be derived from t...

BACKGROUND Most older adults want to live independently in a familiar environment instead of moving to a nursing home. Preventive home visits based on multidimensional geriatric assessment can be one strategy to support this preference and might additionally reduce health care costs, due to the avoidance of costly nursing home admissions. The purpose of this study was to analyse the cost-effect...

OBJECTIVES To characterize emergency department (ED) use by nursing home residents in the United States. DESIGN Analysis of the National Hospital Ambulatory Medical Care Survey. SETTING U.S. EDs from 2005 to 2008. PARTICIPANTS Individuals visiting U.S. EDs stratified according to nursing home residency. MEASUREMENTS All ED visits by nursing home residents were identified. The demographi...

Intervention Stratified by maternal race, age, gestational age, employment status, and geographic region, women were allocated to 1 of 4 treatment groups: (1) transportation to prenatal care (n = 166); (2) treatment 1 plus developmental screening at 6, 12, and 24 months (n = 515); (3) treatment 2 plus prenatal nurse home visits (mean 7 visits) (n = 230); or (4) treatment 3 plus 2 years of postp...

PURPOSE OF THE STUDY To compare acute care outcomes and costs among nursing home residents with community-dwelling home health recipients. DESIGN AND METHODS A matched retrospective cohort study of Alabamians aged more than or equal to 65 years admitted to a nursing home or home health between March 31, 2007 and December 31, 2008 (N = 1,291 pairs). Medicare claims were compared up to one year...

OBJECTIVE To determine the effectiveness of pre-discharge home assessment visits by occupational therapists in assisting hospitalized patients from a range of settings to return to community living. DATA SOURCES Electronic databases MEDLINE, CINAHL, Embase, PsychINFO, Cochrane Central Register of Controlled Trials and OTseeker were searched until February 2014. STUDY SELECTION Quantitative ...