Health care for the homebound older adult: a medical model.

: The medical home-care program is a logical and indispensable addition to the comprehensive, multilevel geriatric care offered by the Department of Geriatrics. The home-care program enables the frail and homebound elderly to remain in their home environment and continue to receive comprehensive primary medical care and supportive services. It also serves as a valuable teaching site for medical trainees. Program evaluation through assessment of patient and caregiver satisfaction, estimates of costs of care, and frequency of hospitalization and emergency room visits are ongoing.