Assesses applied relevance of research on home care, reviewing literature on predictors of use of home care services, experience of receiving home care, and efficacy studies. Notes that efficacy studies have not concluded that home care is less costly or better for quality of life of older adults when compared with institutional care. (Author/NB)

Notes that increasing demand for paraprofessional home care workers is already straining the quantity and quality of workers entering the field. Describes variables that affect supply and demand for home care workers, barriers to change in the home care labor market, and importance of government as key variable in any discussion of home care labor…

Describes the process of implementing the New York State Long-Term Home Health Care Program (LTHHCP) during its initial three years of operation. Sponsors of similar programs should be aware of the need for program flexibility and the length of time required for start-up and implementation. (JAC)

Examined nationally representative sample of 60 adult day care centers to describe state of adult day care. Results indicated that day care centers could be categorized into 3 models of care, each serving distinctive subpopulation. Tested model appropriateness with analysis of variance of differences in participant characteristics. Contrasted…

Triage is unique because it includes several functions under a single health care delivery model. Clients' morale improved with their sense of control. Family support systems were enhanced. Costs were reasonable as was the reimbursement system. (JAC)

ACCESS outreach identified more persons in need of service who met the Title XIX eligibility requirements. Home care emphasis provided the opportunity for increasing proportions to remain at home or return to their home from the hospital. (Author)