McAllister J C
Am J Hosp Pharm. 1985 Nov;42(11):2533-9.
Alternatives for providing home health-care services (HHC) are discussed. An institution may provide HHC services for a variety of reasons including economic incentives, physician requests, consumer demands, and a desire to provide continuity of care. In planning an HHC program, data should be collected to provide a reliable estimate for potential HHC referrals. Demographic and reimbursement information on potential referrals should also be collected. Six basic HHC functions--patients screening and selection, patient training, product compounding, supply distribution, clinical management, and reimbursement--are described. The level of institutional participation in each of these functions is determined by the number of patients who require the services, the availability of resources, and the interest and expertise of the hospital staff. Alternatives for carrying out these responsibilities are discussed. The process for screening potential HHC providers is described. The value of competitive bidding for HHC services is emphasized, and specific data for the bid request and contract development are presented. Hospitals can provide HHC services through a variety of mechanisms ranging from the total delegation of HHC responsibilities to an external organization to the independent assumption of all HHC functions by the hospital. Hospital pharmacists can play a leadership role in HHC program development.
本文讨论了提供家庭医疗保健服务（HHC）的多种方式。机构提供HHC服务可能有多种原因，包括经济激励、医生请求、消费者需求以及提供连续护理的愿望。在规划HHC项目时，应收集数据以对潜在的HHC转诊提供可靠估计。还应收集潜在转诊患者的人口统计学和报销信息。文中描述了HHC的六项基本功能——患者筛查与选择、患者培训、产品调配、供应分发、临床管理和报销。机构在这些功能中每项功能的参与程度取决于需要服务的患者数量、资源可用性以及医院工作人员的兴趣和专业知识。文中讨论了履行这些职责的不同方式。描述了筛选潜在HHC提供者的过程。强调了HHC服务竞争性投标的价值，并给出了投标请求和合同制定的具体数据。医院可以通过多种机制提供HHC服务，从将HHC职责完全委托给外部组织到医院独立承担所有HHC功能。医院药剂师可以在HHC项目开发中发挥领导作用。
