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A clinician‐driven home care delivery system
Author(s) -
August David A.,
Faubion Walter C.,
Ryan Michael L.,
Haggerty Raymond H.,
Wesley John R.
Publication year - 1993
Publication title -
cancer
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.052
H-Index - 304
eISSN - 1097-0142
pISSN - 0008-543X
DOI - 10.1002/1097-0142(19931201)72:11+<3542::aid-cncr2820721622>3.0.co;2-#
Subject(s) - medicine , delivery system , medical emergency , nursing , biomedical engineering
The financial, entrepreneurial, administrative, and legal forces acting within the home care arena make it difficult for clinicians to develop and operate home care initiatives within an academic setting. HomeMed is a clinician‐initiated and ‐directed home care delivery system wholly owned by the University of Michigan. The advantages of a clinician‐directed system include: Potential disadvantages of a clinician‐based system include: The University of Michigan HomeMed experience demonstrates a model of clinician‐initiated and ‐directed home care delivery that has been innovative, profitable, and clinically excellent, has engendered broad physician, nurse, pharmacist, and social worker enthusiasm, and has supported individual investigator clinical protocols as well as broad outcomes research initiatives. It is concluded that a clinician‐initiated and ‐directed home care program is feasible and effective, and in some settings may be optimal.Entrepreneurial, financial, and legal naivete. Disconnection from institutional administrative and data management resources. Inadequate clinician interest and commitment.