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Editorial
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Volume 333:1213-1214 November 2, 1995 Number 18
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New Hope for Home Care?

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Home care is popular, and its many supporters are quick to point out that care delivered in a patient's home should cost far less than similar care in a hospital or nursing home. Nonetheless, it has been hard to prove that home care saves money. The National Long Term Care Demonstration included more than 6000 high-risk older people in a controlled trial of coordinated care that included home care. This admirable program met needs that had previously been unmet, but instead of producing the anticipated savings, it increased the total cost of care.1 The costs of the additional services more . . . [Full Text of this Article]

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