An evaluation of institutional care of the aged in South Africa

Problems associated with the care of elderly persons in institutions in South Africa are described. The importance of keeping ageing people in the community is stressed. The results of questionnaires sent to general hospitals, psychiatric institutions and old-age homes relative to the quality of medical and psychosocial care, availability of beds and finance are described. Recommendations for improvement in preventive sociomedical facilities in the community and in the education of medical, paramedical and nursing personnel involved in the care of the elderly are made. The development of assessment units and facilities for rehabilitation and convalescence as well as day-care centres and day hospitals is discussed. Improved co-ordination of services between hospitals, local authorities and voluntary organizations is required. Suggestions are made for the subsidization of old-age homes.