By Scenario Commission on Future Health Care Technology, H. David Banta
As famous within the Foreword, this file is one of many volumes due to this research of wellbeing and fitness care expertise. the aim of the research, as formulated through the STG, used to be to investigate health and wellbeing care expertise. a part of the duty was once to boost an 'early caution method' for healthiness care expertise. the first target of the undertaking used to be to improve an inventory or description of a few attainable and possible overall healthiness care applied sciences, in addition to info on their significance. in the limits of money and time, this has been performed. even though, given the massive variety of attainable healthiness care applied sciences, whole details at the significance of every sector couldn't be built in any intensity for all expertise. hence, 4 particular applied sciences have been selected and have been prospectively assessed. those destiny applied sciences have been tested in additional intensity, having a look fairly at their health and wellbeing and coverage implications. for that reason, the venture used to be prolonged to September 1987, and extra applied sciences have been selected for assessment.
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While patients and other professionals expect district nurses to provide nursing services, district nurses themselves consider support and psychosocial care as an increasingly important task. In fact, hospital nursing and district nursing show opposite trends in their development in this respect during the past decade. Hospital nursing is characterized by increasing specialization, rationalization, and use of machine technology. District nursing, however, emphasizes all-round nursing, attention to psychosocial aspects of people's problems, and a supportive attitude.
A steering committee made up of primary care providers and hospital staff considers proposed projects and selects 39 those that seem feasible. Projects underway include treatment of respiratory problems in children, treatment of type 2 diabetes mellitus, ambulatory surgery (without hospital admission), diet management in mild to moderate hypertension, and care for open leg ulcers. Other projects have been suggested or approved, including cancer therapy, treatment of hypertension, treatment of dietary allergy in infants, treatment of sports injuries, and provision of advice on genetic problems.
People receive services in their homes. Resources are invested in home care. Home care services are based on or provide technologies. However, these services and people are not related t~ each other in a planned, coordinated system. Problems at the Policy Level. As the review of policy papers on home care showed, the definition of home care is not clear. Home care is equated with first line or primary health care, but in a logical 42 definition, it should at the same time be smaller (only care given at the patient's home) and broader (also including specialist care given at home).