This work presents the results of a study undertaken by Abraham Monk and Carole Cox, which analyzes how the countries of Argentina, Canada, England, the Netherlands, Norway, and Sweden have responded to the increasing need for home health care. The study, completed with the cooperation of a team of researchers in each country, avoids isolated, fragmented solutions to the problem in favor of a more holistic profile of programs and services, placing them within the general policy and cultural framework of each region. It then examines the applicability of selected aspects of those home care programs deemed most effective to the needs of the United States as it too attempts to deal with a growing older population and the prohibitive costs of institutionalized care. After a review of existing home care in the United States, and an explanation of the operational model used to collect the data in the study, each country's home health care system is outlined with attention to its organization and operation, its manpower requirements, its place within government policy, and its most successful and invative practices. The international scope of the work makes its evaluative material and recommendations useful to both health care professionals and international policy makers.
ABRAHAM MONK is Professor of Social Work and Gerontology at the Columbia University of Social Work. He is author of over 100 publications in scholarly and professional journals in the fields of aging, social planning, and evaluative research. He is also the author of five books, including Handbook of Gerontological Services. He has conducted research on intergenerational relations, housing and sheltered environments, long term care, retirement adjustment, and elderly policy formulation. CAROLE COX is Associate Professor of Social Work at the National Catholic School of Social Services, Catholic University of America. Previously, she was Director of the Gerontology Program and Center at San Jose State University and a National Institute of Mental Health Fellow. She has studied at the London School of Economics and Political Science and worked at the World Health Organization. In addition to her work on home care, her research and publications have focused on health care issues of the elderly, older persons' use of community services, and the special needs of minority populations.