Roadblocks to home care.

Inadequate or lack of Medicaid or private insurance reimbursement for needed services, lack of social and emotional support for families in certain communities, poor teaching, lack of continuity of treatment at home and communication breakdowns between key providers are just a few of the problems pointed out by discharge planners and pediatric home care nurses when transferring medically fragile children to the home. Although many children are successfully transferred and cared for in the home, problems continue to revolve around money, resources, and time, which stand in the way of an optimal success rate.