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June 1988 (Volume 66)
June 1988 | William G. Weissert, Cynthia Matthews Cready, James E. Pawelak
For almost three decades researchers have sought to quantify the benefits of home and community care for the elderly, invariably assuming that such care would be an economical substitute for institutionalization. Twenty-seven studies that met rigorous criteria of design, size, and subject were analyzed and the results were synthesized to address the effects on institutional utilization and expenditures, and patient health status and well-being. Home- and community-based health care services are shown to raise overall utilization and costs. Health status effects are limited primarily to patient and caregiver contentment and reduction of unmet needs. Recommendations are made for reaping this considerable benefit more efficiently.
Author(s): William G. Weissert; Cynthia Matthews Cready; James E. Pawelak
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Volume 66, Issue 2 (pages 309–388)
Published in 1988
Governing the Health Sector: Power and Policy Making in the English and Swedish Health Services
Projecting the Older Population of the United States: Lessons from the Past and Prospects for the Future
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