de Lissovoy G, Feustle J A
Johns Hopkins University School of Hygiene and Public Health, Baltimore, MD.
Health Policy. 1991 Apr;17(3):227-42. doi: 10.1016/0168-8510(91)90126-i.
Home health care in the United States is growing rapidly, as reflected in numbers of persons treated and national expenditures for care. Recent growth in this sector reflects the emergence of 'high-tech' care, such as intravenous infusion therapy, total parenteral nutrition and home dialysis. This focus on device-based therapy detracts from a larger issue, the efficient production of medical care subject to acceptable levels of cost and quality. The structure of payment and quality assurance mechanisms will shape the emergence of advanced home health care in the 1990's and beyond.
美国的家庭医疗保健正在迅速发展，这体现在接受治疗的人数和全国护理支出上。该领域最近的发展反映了“高科技”护理的出现，如静脉输液治疗、全胃肠外营养和家庭透析。对基于设备的治疗的关注偏离了一个更大的问题，即如何在可接受的成本和质量水平下高效地提供医疗服务。支付结构和质量保证机制将塑造20世纪90年代及以后先进家庭医疗保健的出现。
