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Related Experiment Videos

Expanded home-based care for the impaired elderly: solution or pipe dream?

B D Dunlop

    American Journal of Public Health
    |May 1, 1980
    PubMed
    Summary

    Expanding home health care may offer limited benefits for the elderly and their caregivers. Research suggests reduced institutionalization is questionable, with potential benefits only for specific populations. Further study is needed.

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    Area of Science:

    • Gerontology
    • Health Services Research
    • Public Health Policy

    Background:

    • The expansion of home health care services for the elderly is advocated with assumptions of reduced institutionalization, caregiver stress, and improved life satisfaction.
    • However, these assumed benefits lack sufficient research and clear identification of beneficiaries or service users.

    Purpose of the Study:

    • To critically evaluate the purported benefits of expanding home health care for the dependent aged.
    • To identify specific populations that may benefit and assess the potential for demand.

    Main Methods:

    • Review of existing literature and evidence on home health care expansion.
    • Analysis of findings from local experiments with expanded home-based programs.

    Main Results:

    • Evidence suggests benefits are only partially realized and may be limited to select population segments.
    • Reduced institutionalization is particularly questionable, with potential only for mildly impaired individuals lacking family support.
    • Factors limiting demand for expanded home care services have been identified in local programs.

    Conclusions:

    • The assumed benefits of massive home health care expansion require more rigorous research and reflection.
    • Targeted expansion for specific groups, like mildly impaired elderly without kin, shows the most promise for reducing institutionalization.
    • Further research is essential to understand demand and optimize home-based care programs.

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