The home as a framework for health care.

Abstract

The past two or three decades have witnessed a steep rise in the cost of health and social services. It is anticipated that this uphill climb will continue and bring these systems to a complete collapse within a few decades. The prevention of this crisis depends on the elimination of some of the causes of the rise: (a) we do not want to save costs by sacrificing the quality of our services; (b) we have no control over the quantity of clients utilizing these services, or the seriousness of their problems; (c) we can, however, replace part of the expensive institutional care by the more natural and cost-effective home care, supplied by volunteers, strengthened by human and technological services. These principles guided an Israeli organization called Yad Sarah, whose leadership in the supply of home and community care enables thousands of ill, elderly and disabled people to remain at home and thus save the high cost of institutionalization.