Discusses critical factors complicating efforts to assure quality of in-home care for people with chronic disabilities: client and provider characteristics, fiscal restraints, inadequate regulation, lack of quality assurance methods, and lack of coherent social policy for long-term care. Identifies three areas of policy to be addressed if efforts…

The Community Care Organization-Milwaukee, sought to provide care at less cost and with higher resultant quality of life than nursing home care. Most frequently used services were transportation and nutrition. Much of the cost savings resulted from reduced hospitalization and nursing home utilization. (Author)