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Nursing Homes: Improving a Flawed Community Facility
Bernard A. Stotsky; Ellen S. Stotsky
Psychiatric Services 1983; doi:
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St. Elizabeth's Hospital in Boston, University of Massachusetts at Boston, Tufts University School of Medicine; 736, Cambridge Street, Brighton, Massachusetts 02135

1983 by the American Psychiatric Association

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Abstract

The phenomenal growth in the number and population of nursing homes in this country over the past 40 years is a sign of tbe over-reliance on institutional approaches to carefor the ill elderly and the underuse ofother community alternatives. The authors discuss the reasons for the growth of nursing homes and outline the problems homes have in securing funding and providing appropriate quality care for patients. Two broad approaches to improving care for the ill elderly in the community—finding alternative community placements and improving the nursing homes themselves—are examined, and the need for homes to document the cost-effectiveness and efficacy of their treatments is highlighted.

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