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Abstract
Over a 3 month period, 116 patients assigned on the basis of geographical proximity to an urban or rural Hospital Based Home Care Program were examined to derermine whether sewices provided by an urban-based HBHC team could be extended by a rural-based team to a similar bur rural, chronically ill patient population. Variables reflecting medical and socio-economic patient characteristics and level of services provided were gathered to rest for significant differences between the two programs. Two-tailed difference of group means t-teas of the data revealed that only number of medications and supplies dispensed attained significance; patients in the urban program received more than their rural counterpans, a result probably due to the greater proximity of the program physician to the urban-based team. The results appear to indicate that it is possible to maintain severely disabled patients in their own homes in rural as well as urban settings.