Ethical Issues in Home Care
HEC (HealthCare Ethics Committee) Forum. 1995 Sep; 7(5): 290-295.
Developments in healthcare over the past decade, particularly regulation of hospital resources, growth of managed care, prolific technologic advances, and changes in state and federal regulatory guidelines, have dramatically influenced the provision of healthcare and related services in the home. Many diagnostic and treatment procedures, as well as rehabilitative and restorative therapies, once provided in the acute care setting, are being successfully carried out in the home. Studies continue to investigate and support earlier findings of improved physical and psychological outcomes, with evidence of significant cost savings. Home care client surveys indicate that, for many, the ability to remain in their homes is a primary factor for enhanced quality of life. It is not surprising that within this vast and complex environment, the quality of clients' lives is affected by ethical conflicts. The purpose of this article is to present actual situations from the field, discuss common dilemmas, and explore strategies that are currently being used by home health agencies to respond to ethical issues.
Aged; Case Studies; Chronically Ill; Clinical Ethics; Clinical Ethics Committees; Decision Making; Domestic Violence; Environment; Ethics; Ethics Committees; Family Members; Guidelines; Health; Health Care; Health Facilities; Health Personnel; Home Care; Life; Managed Care; Patient Care; Professional Ethics; Psychological Stress; Quality of Life; Regulation; Social Problems; Surveys; Violence;
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