The nursing care quality means that the services provided to individuals, families or communities to be good (ethical) and right (based on science and applicable law). Health services should not only be given to patients in hospitals, those services can be done also at the residence of patients. In the U.S., in home health care which are organized starting around 1880 – an, at which a lot of people with infectious diseases with high mortality. Although at the time it has been widely established modern hospital, but their utilization is still very low, this is because people prefer in home health care.
In home health care services is necessary to continuously monitor patient progress. For instance postoperative patients still require special handling though it was allowed out of hospital. In home health care is a system service to patients to maintain health, improve, and maximize independence. Conversely, side effects such as malformation and other diseases can be minimized.
What is preferred was an approach system, both the environment and patients so that patients can be treated appropriately. Since the 1990′s the institution that provides in home health care services continue to rise about 10% per year, from the original service provided by the organization only nurse home visitors (VNA = Visiting Nurse Association) and the government, then developed a profit-oriented services (Proprietary Agencies) and hospital based (Hospital Based Agencies).
This condition occurs due to changes in the payment system of in home health care services (can be paid through a third party / insurance) and the development of specialization in a variety of health services including the development of Home Health Nursing which is a specialization of Community Health Nursing.
Scope Of In Home Health Care
- Medical and nursing care services
- Social services and efforts to create a therapeutic environment
- Rehabilitation services and physical therapy
- Information and referral service
- Education, training and health education
Limitations of communities to finance health services in cases of degenerative diseases that require a relatively long treatment, thus the ever increasing impact on cases that are require follow-up nursing home. Various reasons make the program services if in home health care began to demand both by the client and his family, the nurse or the hospital.

