Across Canada, the phenomenal success of home care has led to rapid growth, demand outstripping resources and fragmentation of services. These problems and many others are facing home care managers today. Four controversial issues are discussed and comments are made on how they may be (or should be) resolved: (a) what groups should home care serve? (b) what should the link be between home care and the other components of the health system? (c) co-ordination of the array of services for the elderly population and (d) control of home care.
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