In the December edition of The Atlantic , there is an interesting article by Jonathan Rauch entitled The Hospital Is No Place for the Elderly. He explores the movement to provide home based primary care rather than hospital based care for the elderly.
“Hospitals are hugely dangerous and inappropriately used,” says George Taler, a professor of geriatric medicine at Georgetown University and the director of long-term care at MedStar Washington Hospital Center. “They are a great place to be if you have no choice but to risk your life to get better.” For many, the worst place of all is the intensive-care unit, that alien planet where, according to a recent study in the Journal of the American Medical Association, 29 percent of Medicare beneficiaries wind up in their last month of life. “The focus appears to be on providing curative care in the acute hospital,” an accompanying editorial said, “regardless of the likelihood of benefit or preferences of patients.”
Brad Stuart, of Sutter Health, a giant network of hospitals and doctors in Northern California, has devoted himself to developing home-based care for frail, elderly patients. “Home-based primary care comes in many varieties, but they share a treatment model and a business model. The treatment model begins from the counterintuitive premise that health care should not always be medical care. ‘It’s not medical treatment, it’s helping meet personal goals,” Brad Stuart said. “It’s about ‘Who is this person, and what do they want in their life?’ ” (click here to read the article)
In 2009, US News and World Report ran two articles about naturally occurring retirement communities – yes boys and girls, that’s NORCs and not narcs!
In 2010, US News ran another article entitled How to Build Your Own Retirement Village – right-click here to read it. The author, Phillip Moeller, writes “today, the village movement is a textbook example of how technology can help older Americans improve the quality of their lives, remain in their homes as they age, and possibly save a bundle of money in the process.”
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