Quality care issues in home care services for the minority elderly

Equitable quality assurance protocols must consider the differences and special needs of the minority elderly. Differences including language, cultural background, and legal status will present barriers to access. Innovation is required to provide home care to minorities who reside in economically depressed, crime-ridden, and drug-infested sections of cities. Many minority elderly will require attention because they lack the education and skills to coordinate their own care. More formal and informal support services and resources are needed. Education of home health agency staff to minority needs and differences are also critical. Education of the minority patient, family, and caregivers in the use of health services is vital. To avoid institutionalization, discharge planning must provide for alternative home care. Minority representation on the home health agency staff should reflect minority representation in the population served.