From Outcomes to Value: Analyzing the Multifunctional Roles and Value Implications of Home Care Nursing

This study reconceptualizes value in nurse-led home care within Taiwan’s rapidly expanding, policy-driven community care system. Using national administrative data and a survey of 94 agencies, we examined performance, workforce capacity, and managerial conditions. Agencies achieved low hospital and emergency utilization despite small-scale operations. However, documentation burden, limited management training, and marked discrepancies between recorded and actual caseloads revealed substantial invisible nursing work. These findings advance a multidimensional understanding of value, encompassing clinical, coordinative, relational, and organizational dimensions, and underscore the need for leadership development and integrated digital infrastructures to sustain value-based community nursing.