Eliminating duplication in home health care for the elderly: the Guale Project.
Fragmentation in funding has created an artificial separation and duplication in the delivery of health and social services for the elderly. The authors report on a demonstration project that not only proved the feasibility of having one homemaker--home health aide provide both types of services, but eliminated duplication of services and improved the quality of care as well.
D000368:Aged; D003695:Delivery of Health Care / Q000191:economics; D005240:Feasibility Studies; D005260:Female; D005845:Georgia; D006300:Health Services Misuse / Q000191:economics; D006299:Health Services for the Aged / Q000458:organization & administration*; D006699:Home Care Services / Q000191:economics*; D006704:Homemaker Services / Q000191:economics; D006801:Humans; D008297:Male; D008875:Middle Aged; D010865:Pilot Projects; D012943:Social Security