Document 0322
 DOCN  M9590322
 TI    Home ambulatory therapy.
 DT    9509
 AU    Reilly M; Silver Chain Nursing Association, Osborne Park, WA.
 SO    Annu Conf Australas Soc HIV Med. 1994 Nov 3-6;6:179 (unnumbered
       abstract). Unique Identifier : AIDSLINE ASHM6/95291777
 AB    Changes in the healthcare delivery system have created a competitive
       marketplace that demands new programmes to contain healthcare costs
       while providing more efficiently for clients healthcare needs. One major
       change is a trend toward home ambulatory therapy. The Special Services
       team of Silver Chain Nursing Association in Western Australia provides
       home based nursing care for people with HIV disease who choose to live
       in the community. The team has continued to strive for excellence in
       client care since its inception in 1982. It remains the only HIV/AIDS
       specialist service in domiciliary care in Australia and enjoys an
       excellent and highly valued reputation. A growth in referrals since 1986
       and an increase in the degree of complexity of infections and increasing
       neurological complications, and their accompanying therapeutic regimes
       and symptom control management, resulted in the introduction of an
       innovative model of care to the community in 1990. This paper will
       discuss the utilisation of Home Ambulatory Therapy in the community and
       the effect this has on the need to control health care costs, the
       community's desire to take more responsibility for its own health care
       treatment and the success of domiciliary nursing services to deliver
       high quality care.
 DE    Cost Control/TRENDS  Delivery of Health Care/ECONOMICS/TRENDS
       Forecasting  Home Care Services/ECONOMICS/*TRENDS  Human  HIV
       Infections/ECONOMICS/*NURSING  Nurse Clinicians/ECONOMICS/*TRENDS
       Nursing, Team/ECONOMICS/*TRENDS  Western Australia  MEETING ABSTRACT

       SOURCE: National Library of Medicine.  NOTICE: This material may be
       protected by Copyright Law (Title 17, U.S.Code).