Fisher H M, Raphael T G
Caring. 2000 Jun;19(6):8-11.
New approaches to home and community-centered long term care offer strategic opportunities for home health providers to thrive by providing expanded service options for the growing population of chronically ill, frail elders. The traditional expertise of home health providers makes a powerful combination with the flexibility of capitation financing to successfully meet both the needs of dually eligible older adults and government mandates to reduce overall expenditures. VNS CHOICE, a home-centered, managed long-term care program, is built on the principles and delivery system of home health care. By understanding the VNS CHOICE service delivery model and lessons learned from its first two years of operating experience, home care providers across the country may identify innovations to incorporate into their agency product lines.
以家庭和社区为中心的长期护理新方法为家庭健康服务提供者带来了战略机遇，使其能够通过为日益增多的慢性病患者和体弱老年人提供更多服务选择而蓬勃发展。家庭健康服务提供者的传统专业知识与按人头付费融资的灵活性形成了强大合力，成功满足了双重资格老年人的需求以及政府降低总体支出的要求。VNS CHOICE是一个以家庭为中心的管理式长期护理项目，建立在家庭医疗保健的原则和服务提供体系之上。通过了解VNS CHOICE的服务提供模式及其头两年运营经验中的经验教训，全国各地的家庭护理服务提供者可以找到创新方法并将其纳入本机构的产品线。
