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Abstract
The First Triennial Review of Home and Community Care (HACC) Program was released in early 1989. This paper discusses the main thrust of some of the recommendations made in that Review, specifically those relating to program administration, planning and user rights. The discussion of these issues and how the HACC Review addressed them is preceded by a summary of the general demographic, economic and policy context within which the HACC program was introduced and has evolved. The final section of the paper addresses two issues that are of longer-run relevance to the development of the HACC Program, the first relating to the role of carers in the program and the second the broad question of costs and who should bear them.