[Possible substitution between intramural and extramural care. An exploration from a needs approach].

This article concerns the possibility of substitution within the health and welfare system for the aged, in particular the possibility of shifting from institutional care (homes for the aged) towards community care (home care programmes). Based on an analysis of the need for support among elderly persons requesting admission into residential homes, it was concluded that such a shift will be possible. Attention was then paid to the planned introduction of more restricted admission-norms as part of old-age-policy in the Netherlands. Of some importance is whether this more strict admission-policy will lead to a decline in the percentage of elderly in residential homes below the existing norm of 7%. This seems unlikely, mainly because most of the aged requesting admission into residential homes already have such a need for support that they will meet the requirements of a more restricted admission policy.