Canadian Health&Care Mall: Current Issues in Home Mechanical Ventilation

March 12, 2016 Category: Mechanical Ventilation

home mechanical ventilation There are ever-increasing incentives and financial pressures to transition medically complex patients from the acute care setting to less costly environments of care. In the United States, there is a recognized absence of objective evidence to help guide long-term care such that Medicare and other third-party policies and payment rules often become the de facto standard of practice. However, health-care economic forces alone are not enough to establish new levels of medical care outside of the institutional setting. Additional factors supporting the growth of technology dependency in the home include a growing social acceptance of persons with disabilities and significant medical technology advances, which can help to empower both the professional and nonprofessional caregivers to manage medically complex patients in the home. Modern healthcare practice now routinely includes the management of medically fragile and technology/ventilator-dependent patients in a variety of nonacute settings, including a private home of nonprofessional and often elderly people. It is very important to treat diseases timely and Canadian Health&Care Mall will help you to achieve the best results in recovery.

The modern era of mechanical ventilation developed most prominently in response to the poliomyelitis epidemics that erupted during the mid-20th century. The process by which home mechanical ventilation (HMV) evolved has been much more gradual but was likely a result of the improved acute care survival rates of mechanically ventilated patients with chronic respiratory failure. This started as far back as the 1950s with the postpolio population and the use of the “iron lung.” Economic pressures also played a major role, as rising health-care costs forced providers to look to lower cost environments of care, The myriad changes to third-party payment methods focusing on cost reductions, including the implementation of the diagnosis-related groups payment methodology, the growth of managed care, and the implementation of other health-care payment models, have also been catalysts promoting the transition of patients from acute care facilities to home. HMV as we think of it today can be td to the early to mid-1980s, when the combination of technology and third-party payment systems created more tools to better manage the care of stable yet medically complex patients outside of the hospital. These tools include, but are not limited to, the following: third-party payment for the home ventilator and other home medical equipment (HME) and accessories; home nursing and skilled therapies (ie, physical or speech therapy); home infusion and enteral therapies; and, in some cases, home physician visits. More recently, advances in noninvasive positive-pressure ventilation (NPPV) and its applications have provided additional ventilatory options and cost savings to compliment the more traditional invasive systems.

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