The nursing home: neither home nor hospital

by Robert L. Kane, Rosalie A. Kane

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Presents data on the current nursing home situation, including descriptions of the homes themselves and the patients housed therein. The growth of the nursing home industry has made it a significant part of the medical care scene today. Its increasing consumption of the medical care dollar has prompted a number of schemes to develop more efficient reimbursement for such care. Nonetheless, the nursing home continues to waver between a set of medical and social forces. Neither efforts to improve quality of care nor efforts to improve quality of life for nursing home patients have been notably successful to date. The solution to the dilemma of the nursing home patient will have to be found in some mutually satisfactory resolution of both health and social needs. When a choice between medical and social models is demanded, the home should take priority over the hospital.

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