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Misalignment between medicare policies and depression care in home health care: home health provider perspectives.

TitleMisalignment between medicare policies and depression care in home health care: home health provider perspectives.
Publication TypeJournal Article
Year of Publication2014
AuthorsBao Y, Eggman AA, Richardson JE, Bruce ML
JournalPsychiatr Serv
Volume65
Issue7
Pagination905-10
Date Published2014 Jul
ISSN1557-9700
KeywordsDepressive Disorder, Home Care Agencies, Home Care Services, Humans, Medicare, United States
Abstract

Semistructured interviews with nurses working for home health care agencies in five states raise serious questions about the deleterious effects of Medicare policies and procedures on depression care. The agencies have strong incentives to limit nursing time in a given payment episode and to increase volume, making it difficult to provide high-quality depression care for homebound patients. Some nurses felt forced to "abandon" many patients with depression. The authors call for incremental policy changes in several key areas.

DOI10.1176/appi.ps.201300158
Alternate JournalPsychiatr Serv
PubMed ID24632686
PubMed Central IDPMC4167154
Grant ListK01 MH090087 / MH / NIMH NIH HHS / United States
R01 MH082425 / MH / NIMH NIH HHS / United States
R01 MH096441 / MH / NIMH NIH HHS / United States
K01MH090087 / MH / NIMH NIH HHS / United States
Category: 
Faculty Publication