Needs assessment for hospital-based home care services
Article first published online: 19 JAN 2007
Copyright © 1983 Wiley Periodicals, Inc., A Wiley Company
Research in Nursing & Health
Volume 3, Issue 3, pages 101–106, September 1980
How to Cite
Inui, T. S., Stevenson, K. M., Plorde, D. and Murphy, I. (1980), Needs assessment for hospital-based home care services. Res. Nurs. Health, 3: 101–106. doi: 10.1002/nur.4770030304
- Issue published online: 19 JAN 2007
- Article first published online: 19 JAN 2007
- Manuscript Accepted: 3 MAY 1980
- Manuscript Received: 27 SEP 1979
- Veterans Administration Health Services Research and Development Program.
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.