Home care nursing is a fast growing sector of the health care system. Which of the following factors have contributed to the growth of home health care? (Select all that apply.)
1. The need for custodial care
2. Third-party payers who support cost control measures
3. The increase in the older adult population
4. The decreasing need for acute care
Correct Answer: 2,3
Rationale: Factors that have contributed to the growth of home care services include the increase in the older population, who are frequent recipients of home care; third-party payers who favor home care to control costs; consumers who prefer to receive care in the home rather than in an institution; and the ability of agencies and institutions to successfully deliver high-technology services in the home. A common misconception about home health nursing is that it is custodial in its scope of practice. Acute care has not decreased, but the length of stay in acute care has.
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