TY - JOUR T1 - IS reducing home health a step in the right direction?—reply AU - Leff B, Boyd C, Reider L, et al Y1 - 2011/09/26 N1 - 10.1001/archinternmed.2011.431 JO - Archives of Internal Medicine SP - 1597 EP - 1598 VL - 171 IS - 17 N2 - 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. SN - 0003-9926 M3 - doi: 10.1001/archinternmed.2011.431 UR - http://dx.doi.org/10.1001/archinternmed.2011.431 ER -