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In a meta-analysis Elkan and colleagues (p 719) have found that
regular home visits to elderly people significantly reduced mortality
and admissions to long term institutional care. Home visits have been
proposed as a strategy to enable elderly people to remain living in
their own homes. A review recently reported in this journal, however,
concluded that preventive home visits were largely ineffective. There
is at present little understanding of what works and why. Future
studies must attempt to unravel the factors that make a successful
programme of home visiting to older people.