This work presents the results of a study undertaken by Abraham
Monk and Carole Cox, which analyzes how the countries of Argentina,
Canada, England, the Netherlands, Norway, and Sweden have responded
to the increasing need for home health care. The study, completed
with the cooperation of a team of researchers in each country,
avoids isolated, fragmented solutions to the problem in favor of a
more holistic profile of programs and services, placing them within
the general policy and cultural framework of each region. It then
examines the applicability of selected aspects of those home care
programs deemed most effective to the needs of the United States as
it too attempts to deal with a growing older population and the
prohibitive costs of institutionalized care.
After a review of existing home care in the United States, and
an explanation of the operational model used to collect the data in
the study, each country's home health care system is outlined with
attention to its organization and operation, its manpower
requirements, its place within government policy, and its most
successful and innovative practices. The international scope of the
work makes its evaluative material and recommendations useful to
both health care professionals and international policy makers.
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