scholarly journals Accommodating care

2015 ◽  
Vol 2 (1) ◽  
Author(s):  
Laura L. Heinemann
Keyword(s):  
United States ◽  
Health Care ◽  
Organ Transplant ◽  
The United States ◽  
Place And Space ◽  
Home Life ◽  
Ethnographic Fieldwork ◽  
Home Based ◽  
Transplant Center ◽  
Transplant Medicine

In this article, I explore how medical care responsibilities in the United States are shifting away from formal clinical contexts and into the home. Using organ transplant-related care as an illustrative example of this larger phenomenon, I trace the incorporation of health care into the home using three cases from ethnographic fieldwork near a major transplant center in the midwestern United States. Here, patients and loved ones transform their dwellings, lives, and relationships to attend to the demands of transplant medicine. Bringing together literature on hospitality, caregiving, houses and homes, and place and space in health care, I offer ‘accommodating care’ as a framework for understanding the materializing practices of home-based transplant care. This approach suggests avenues toward studying larger questions about the distinctiveness and overlap of medicine and home life.

scholarly journals The Resurgence of Home-Based Primary Care Models in the United States

Geriatrics ◽  
2018 ◽  
Vol 3 (3) ◽  
pp. 41 ◽  
Author(s):  
Mattan Schuchman ◽  
Mindy Fain ◽  
Thomas Cornwell
Keyword(s):  
United States ◽  
Primary Care ◽  
Health Care ◽  
Institutional Care ◽  
Target Population ◽  
The United States ◽  
Community Services ◽  
Fee For Service ◽  
Home Based Primary Care ◽  
Home Based

This article describes the forces behind the resurgence of home-based primary care (HBPC) in the United States and then details different HBPC models. Factors leading to the resurgence include an aging society, improved technology, an increased emphasis on home and community services, higher fee-for-service payments, and health care reform that rewards value over volume. The cost savings come principally from reduced institutional care in hospitals and skilled nursing facilities. HBPC targets the most complex and costliest patients in society. An interdisciplinary team best serves this high-need population. This remarkable care model provides immense provider satisfaction. HBPC models differ based on their mission, target population, geography, and revenue structure. Different missions include improved care, reduced costs, reduced readmissions, and teaching. Various payment structures include fee-for-service and value-based contracts such as Medicare Shared Savings Programs, Medicare capitation programs, or at-risk contracts. Future directions include home-based services such as hospital at home and the expansion of the home-based workforce. HBPC is an area that will continue to expand. In conclusion, HBPC has been shown to improve the quality of life of home-limited patients and their caregivers while reducing health care costs.

Health Outcomes and Health Care Utilization Among Obstetric Deliveries With Concurrent CKD in the United States

2020 ◽  
Vol 75 (1) ◽  
pp. 148-150 ◽  
Author(s):  
Andrea L. Oliverio ◽  
Lindsay K. Admon ◽  
Laura H. Mariani ◽  
Tyler N.A. Winkelman ◽  
Vanessa K. Dalton
Keyword(s):  
United States ◽  
Health Care ◽  
Health Care Utilization ◽  
Health Outcomes ◽  
The United States ◽  
Care Utilization

The Special Perils of Being Old and Sick in Prison

2020 ◽  
Vol 32 (5) ◽  
pp. 276-284
Author(s):  
William J. Jefferson
Keyword(s):  
United States ◽  
Health Care ◽  
Medical Care ◽  
Health Care Providers ◽  
The United States ◽  
United States Constitution ◽  
Care Providers ◽  
Medical Practitioners ◽  
Medical Needs ◽  
Access To Medical Care

The United States Supreme Court declared in 1976 that deliberate indifference to the serious medical needs of prisoners constitutes the unnecessary and wanton infliction of pain…proscribed by the Eighth Amendment. It matters not whether the indifference is manifested by prison doctors in their response to the prisoner’s needs or by prison guards intentionally denying or delaying access to medical care or intentionally interfering with treatment once prescribed—adequate prisoner medical care is required by the United States Constitution. My incarceration for four years at the Oakdale Satellite Prison Camp, a chronic health care level camp, gives me the perspective to challenge the generally promoted claim of the Bureau of Federal Prisons that it provides decent medical care by competent and caring medical practitioners to chronically unhealthy elderly prisoners. The same observation, to a slightly lesser extent, could be made with respect to deficiencies in the delivery of health care to prisoners of all ages, as it is all significantly deficient in access, competencies, courtesies and treatments extended by prison health care providers at every level of care, without regard to age. However, the frailer the prisoner, the more dangerous these health care deficiencies are to his health and, therefore, I believe, warrant separate attention. This paper uses first-hand experiences of elderly prisoners to dismantle the tale that prisoner healthcare meets constitutional standards.

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