ABSTRACT

Blending curative and palliative orientations to care in the home care services delivery of terminal HIV/AIDS patients produces 204a cost efficient and patient effective overall model of care. This article characterizes the development, implementation, and evaluation of the Visiting Nurse Association Foundation of Los Angeles’ (VNAF-LA) Transprofessional Model of terminal home care. Palliatively trained social workers were made part of the VNAF-LA’s regular home care service delivery teams to create a biopsychosocial perspective to pre-hospice terminal care services. This enrollment to routine home care produced significant cost reductions and improved patients’ quality of life. In addition, evaluation data were used to develop a cost profile of patient care. [Article copies available for a fee from The Haworth Document Delivery Service: 1-800-342-9678. E-mail address: <getinfo@haworthpressinc.com> Website: <https://www.HaworthPress.com>]