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1 Introduction
Pages 9-18

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From page 9...
... Given converging trends of an aging population, an increasing human life span, medical technology migrating into the home, and design features of the home in contrast to health care institutions, it is important to gain an understanding of the most prevalent and serious threats to safety, the quality of care experienced, and the well-being of care recipients and caregivers. Developing a human factors approach to health care in the home that can accommodate the diversity, strengths, and limitations of humans, both as care recipients and caregivers, is critical to addressing these threats effectively.
From page 10...
... This report, prepared by members of the committee, documents the current state of health care in the home and identifies existing problems and opportunities for the improvement of care through applying human factors knowledge and methods. Throughout our work, the committee was constantly reminded that delivery of health care in the home occurs in the larger context of the health care system and policies that impact that 1 InDecember 2010, the Committee on Human-Systems Integration was reconstituted as the Board on Human-Systems Integration.
From page 11...
... However, while the committee recognized the importance of these issues, thorough consideration of them was viewed as beyond the charge, which focused on a human factors perspective on health care in the home.
From page 12...
... • ospitals are discharging patients, including premature infants, H sooner into home care, sometimes with complex care regimens.
From page 13...
... . Health care tasks managed at home range from health maintenance and disease prevention activities (regular exercise, good nutrition, healthy behaviors, wellness through ongo ing monitoring)
From page 14...
... THE DIVERSITY OF HOME HEALTH CARE Overall, health care that occurs at home is a complex experience, involving various types of individuals, tasks, technologies, and environments. • he people involved in health care in the home include people receiv T ing care, who may care for themselves, and those providing care, who may be professional or lay caregivers, family or friends, or some combination.
From page 15...
... The reorientation of the culture of health care to the home setting, as well as the range of individuals, tasks, technologies, and environments involved in home health care, heightens the importance of human factors. Care recipients and other caregivers, now expected to perform procedures previously executed only by trained professionals, bring a range of knowledge, capabilities, environments, and subsequent interactions to health care.
From page 16...
... This chapter details the diversity of both care recipients and caregivers. The range of abilities and characteristics as well as cultural experiences presented demonstrates the importance of a human factors focus to the design of safe and effective health care in the home.
From page 17...
... Committee on the Role of Human Factors in Home Health Care. Committee on Human-Systems Integration, Division of Behavioral and Social Sciences and Education.


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