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Council on Scientific Affairs

JAMA. 1990;263(9):1241-1244.

Abstract
Home care is a rapidly growing field that is beginning to attract greater physician interest and participation. Cost-containment pressures have led to reduced institutionalization in hospitals and nursing homes and to more patients, both acutely and chronically ill, being cared for in their own homes. Undergraduate and graduate medical education programs are developing home care curricula, and academic medicine is beginning to develop a research agenda, particularly in the area of clinical outcome measurements. Medical care in the home is highly diversified and innovative. The areas of preventive, diagnostic, therapeutic, rehabilitative, and long-term maintenance care are all well represented as physicians develop new practice patterns in home care.

(JAMA. 1990;263:1241-1244)

Author Affiliations
From the Council on Scientific Affairs, American Medical Association, Chicago, III.; Dr Joanne Schwartzberg is medical director of Home Health Service of Chicago North, a not-for-profit home care agency, and is funded in part by a grant from Caremark Inc, an affiliate of Baxter Healthcare Corporation.

Footnotes
This report was presented to the House of Delegates at the American Medical Association's 1989 Annual Meeting as an informational report of the Council on Scientific Affairs.

This report is not intended to be construed or to serve as a standard of medical care. Standards of medical care are determined on the basis of all of the facts and circumstances involved in an individual case and are subject to change as scientific knowledge and technology advance and patterns of practice evolve. This report reflects the views of scientific literature as of June 1989.

Reprint requests to Council on Scientific Affairs, American Medical Association, 535 N Dearborn St, Chicago, IL 60610 (William R. Hendee, PhD).

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