When did formalized home health and community-based systems originate in the United States?
a. 1776
b. 1800s
c. 1965
d. 2001
ANS: B
Early home health services originated in the United States in the 1800s and were based on the district nursing model developed in England. Often, initial programs evolved into visiting nurse associations. Home health services increased and changed considerably after Medicare was enacted in 1965.
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