Many ventilator-assisted children and adults remain needlessly in acute care centers at enormous costs in economic and human terms. They cannot leave institutions because the options they require in the community either do not exist or cannot help them due to inadequate expertise or reimbursement. Thus, these survivors remain in expensive care units, at costs in 1982 exceeding $& million per year per patient. More current and specific dollar-cost figures comparing hospital (ICU) vs home care costs and cost analysis outcomes from home-health care organizations are needed. Such data are not available from any one reliable source. In acute care facilities, these patients do not receive the needed educational preparation and functional training required for a successful return into the community. Their acute caregivers become […]

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