Abstract
Abstract: This article presents some of the background experience and models which led to the development of the concept of Extended Care in Medicare legislation. This legislation is a landmark because, for the first time, sound financial support has been given in the area of after‐care of the general‐hospital patient. The aims of Extended Care as visualized under Medicare are excellent in themselves. However, problems arise in administration of the programs (e. g., in defining skilled nursing care) and in developing methods by which quality service can be given.The area of health legislation that must be considered in the immediate future involves financial support and implementation of rehabilitation services beyond those provided by Extended Care at present. In addition, there should be programs for those who remain chronically ill and require institutional custodial care. Such patients are in a relatively stable condition after their allotted period in Extended Care with its rehabilitation services, but they have not improved enough to return home; at present, they are not eligible for future services under Extended Care. These are examples of major areas in which there is great need for improvement.
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