Keeping Grandma in the home once she needed care was happening less and less; nursing home populations were growing, and there were still few standards to ensure that Grandma was being well cared for
Despite the growth in special care units, most people with dementia are still cared for
in the general nursing home population.
Most of the persons cared for
are not legally entitled to this health care based on service connected disability.
* Subacute care centers that provide highly skilled care to patients who ten short years ago would have been cared for
in hospitals at much higher cost.
In a recent study of patients with asthma in a large HMO, Vollmer et al, found that those cared for
by allergists were more likely to conform to national asthma management guidelines and reported better quality of life than patients of generalist physicians.
This often forced elderly persons to enter nursing homes rather than being cared for
at home by a caregiver backed by a network of HCBC providers, who were often scarce to begin with, because of the lack of Medicaid funding.
Third, patients would benefit from the knowledge that their more serious problems would be cared for
at a high-quality and prestigious institution.