Original Articles: PDF OnlyAllen Doris V. Ph.D.; Kuhns, Patricia L. M.S.N., M.P.H; Werley, Harriet H. Ph.D.; Peabody, Sylvia R. M.P.H.Medical Care: October 1974 - p 828-844 Buy Abstract The influence that selected factors may have on referral of hospitalized patients to a Visiting Nurse Association (VNA) home care program was assessed. Length of participation in the program was examined by comparing two newly participating small “sister” hospitals with a larger hospital which had been participating in the home care program for a number of years. A questionnaire which covered knowledge about services available through home care, attitudes toward home care, and perception about the influence of specific factors upon home care referral was used. The respondents were nurses and social workers in the three hospitals, physicians in the three hospitals whose specialties were such that their patients might need after-care, and VNA staff who were affiliated with the home care program. Comparative findings are presented in terms of agencies, i.e., the three hospitals and the VNA. Favorable attitudes toward home care were found despite the fact that the respondents lacked considerable knowledge about the program. Length of hospital participation in the program did not present a reliable trend. Five factors were identified as important sources of dissatisfaction; these are discussed in terms of suggestions for improvement of the home care referral program. © Lippincott-Raven Publishers.