The proposal for teams of home care workers by Burnham to keep people out of hospitals may be the solution for 21st Century health resource problems1. Our population is aging and it is essential that a combination of health and social care is provided as a whole to target the challenge of age related disabilities in the community.
Is integrated care a new concept? The integration of social and health care was introduced in the WHO guidelines of community based rehabilitation over forty years ago and includes personal care by optimising the use of local resources. The proposal for teams of home care workers may need to consider the training and responsibilities of the community for personal care as funding reduces.
The aging population and increase in associated disabilities will continue to draw on health resources. Perhaps we could learn from our third world country neighbours and reduce our reliance on big tertiary hospitals to help integrate people back to their home.
1. Iacobuchi G. Teams of Home Care Workers will be recruited to keep people out of hospital BMJ 2014;349
2. World Health Organization, 2010. Community-Based Rehabilitation: CBR Guidelines. Pck Pap/CD Edition. World Health Organization
Competing interests: No competing interests