Alternatives to Institutionalization: Estimates of Need And Feasibility

Abstract

Need for and feasibility of four alternatives to institutionalization of the elderly (home health care, respite care, day hospitals, and day care) are examined in a survey of 98 hospital staff in a university-affiliated VA medical center. The survey revealed 1) the majority were not familiar with the alternatives; 2) most thought the VA should provide three of the alternatives; 3) between 20-30% of the elderly patients would be referred; and 4) a number of problems in program implementation were anticipated. Important considerations in planning and implementing alternative long-term care programs are noted.