Presents data from diverse sources that lead to conclusion that jobs of paraprofessional home care workers who provide ongoing care for older clients would be more intrinsically rewarding and offer better conditions for high-quality care if workers had more contact with supervisors and peers, more information about clients and care plans, clearer…

Assesses applied relevance of research on home care, reviewing literature on predictors of use of home care services, experience of receiving home care, and efficacy studies. Notes that efficacy studies have not concluded that home care is less costly or better for quality of life of older adults when compared with institutional care. (Author/NB)

Presents three articles on housing policies for the elderly. Topics include the need for housing assistance and targeting aid to the disabled, the practicality of delivering support services to impaired elderly in current housing, and potential future directions of federal housing policy. (NRB)

Presents estimates of paraprofessional home care revenue and size, the composition of the industry, and the workforce incentives inherent in different forms of reimbursement. Findings from the review are discussed, including indications that industry's reliance on public funding places special importance on payment policies that recognize critical…