Abstract
A pioneering project for the home treatment of patients with chronic diseases was established at Montefiore Hospital in January, 1947. Various medical and economic considerations were responsible for the launching of the home care program.1For one thing, an extensive experience at this hospital had shown that there were long periods in the evolvement of chronic illness during which the patient did not need most of the specialized facilities of the modern hospital, although he was too ill to return to the home as this environment ordinarily functions in relation to medical practice.2Further, the increasing incidence of the chronic diseases had put great demands on our hospital beds. A long waiting period before admission meant for some patients an interim of avoidable deterioration and suffering. A third and most significant consideration was the psychological welfare of the patients: many of them developed anxiety and depression during long

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