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Professional Standards Review Organization and Care of the Elderly

Ian R. Lawson, MD, FRCP(E)
JAMA. 1974;229(3):311-313. doi:10.1001/jama.1974.03230410035020.
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THE institution that I serve, The Hebrew Home, Hartford, Conn, has a responsibility mainly for disabled elderly patients, for whose varied needs we have attempted to provide a spectrum of institutional geriatric care. The Hebrew Home includes a professional assessment of need made in the patient's home, hospital rehabilitation care, long-term nursing care, and day-hospital care. This is all in response to a public expectancy, nourished a good deal by Title XVIII and XIX enactments that services will be provided for the elderly according to evident need and disability. Hence, should future fiscal-professional formulas fall seriously short of supporting that need, providers like our Home staff will be in the front line of embarassment, the more so because we have attempted the ideal in comprehensive care.

In connection with Titles XVIII and XIX, we have seen already that later statutory and fiscal amendments may seriously limit the care of the

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