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Science 26 May 1978:
Vol. 200. no. 4344, pp. 913 - 919
DOI: 10.1126/science.417403
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Articles

Science, Vol 200, Issue 4344, 913-919
Copyright © 1978 by American Association for the Advancement of Science

articles

Care of the aged: old problems in need of new solutions

RL Kane and RA Kane

Long-term care for the aged in the United States is overly dependent upon the nursing home. This hospital-like model for long-term care is particularly inappropriate since it imposes a medical solution on a variety of social problems. An adequate long-term care program requires a range of resources in the community as well as in institutions; sheltered housing options seem a desirable alternative to the nursing home. To ensure the quality of nursing home care, the present focus on setting standards for care activities should be abandoned in favor of a focus on care outcomes (physical, mental, and social). In an effort to change our present perverse incentives in the nursing home industry, the proposal is made that nursing homes be reimbursed according to the degree to which patient outcomes meet predicted outcomes.


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Good Health Care for the Aged.
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Physician Care in Nursing Homes.
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Foster Home Characteristics and Psychiatric Patient Outcome: The Wisdom of Gheel Confirmed.
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