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© 1972 Oxford University Press

other

Interventions and Outcomes: Notes on Designing and Implementing an Experiment in Health Care

GEORGE L. MADDOX1

1 The Center for the Study of Aging and Human Development, Duke University Medical Center Durham, North Carolina, 27706, U.S.A.

This paper describes one illustration of the challenge to measure the performance and impact of health and welfare programs and the response of a research group to this challenge. The inference that a success story will be recorded is discouraged. The experience to be described deals with some timely and important questions: can vulnerable elderly persons who are at high risk for institutionalization be appropriately, effectively, and efficiently maintained in a non-institutional setting ? The data necessary to provide even preliminary answers are not yet in; the experiment is in mid-course and a balanced appraisal is at least a year in the future. Consequently, what is of interest in this paper is the way in which the challenge was posed to the research group and how that challenge has been conceptualized and translated into a set of researchable problems.


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