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Abstract

The mismatch between the American health care system and the health care needs of our older adults is well documented (Butler, 1975; Schwab, 1977). All too often, available services are oriented to acute care, fragmented, poorly coordinated, and not readily accessible. Meeting the complex health care needs of our older adults is a major challenge to our ingenuity and resourcefulness, especially in light of the fact that American health care expenditures have reached 10 percent of our gross national product. This article tells of one approach to help alleviate this problem.