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September 22/29, 1999

Comprehensive Home Care After Hospitalization of Elderly Patients

Author Affiliations

Margaret A.WinkerMD, Deputy EditorIndividualAuthorPhil B.FontanarosaMD, Interim CoeditorIndividualAuthor

JAMA. 1999;282(12):1129. doi:10-1001/pubs.JAMA-ISSN-0098-7484-282-12-jbk0922

To the Editor: The article by Dr Naylor and colleagues1 provides valuable insight into how to reduce total cost of care while providing more home care to the elderly. Using sound principles of targeting a high-risk group, intervening with inexpensive preventive care, and setting goals that address both clinical and economic responsibility, the authors developed a system that improved care while achieving a remarkable 46% reduction in total health care cost.