RT Journal
A1 Leff B, Boyd C, Reider L, et al
T1 IS reducing home health a step in the right direction?—reply
JF Archives of Internal Medicine
JO Archives of Internal Medicine
YR 2011
FD September 26
VO 171
IS 17
SP 1597
OP 1598
DO 10.1001/archinternmed.2011.431
UL http://dx.doi.org/10.1001/archinternmed.2011.431
AB 
We appreciate the question posed by Suter et al. However, for a health care delivery model to be effective it must link a focused, relevant intervention to its optimally targeted patient population to bring about its intended outcome. Guided care is a multifaceted primary care–based intervention delivered in an ambulatory practice. Though guided care includes home-based assessment, it was not designed to compete with or supplant home health care, nor was its target population home-bound older adults. Reduction of home health care was neither an intended nor expected outcome of guided care.