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Physicians in home care: past, present, & future.
1Virginia Commonwealth University, Medical College of Virginia, USA.
Caring : National Association for Home Care Magazine
|May 27, 1999
Summary
Physician house calls have decreased significantly since the 1960s. This study explores the reasons for this decline and proposes solutions to improve physician home care accessibility.
Area of Science:
- Medical Practice Evolution
- Healthcare Accessibility
Background:
- Physician house calls were once common but have become rare since the 1960s.
- The decline in home-based medical care raises concerns about patient access and continuity.
Purpose of the Study:
- To investigate the historical factors contributing to the reduction in physician house calls.
- To identify barriers and facilitators for re-establishing physician home care services.
Main Methods:
- Historical analysis of medical practice trends.
- Review of literature on healthcare delivery models.
- Exploration of policy and economic factors influencing home care.
Main Results:
- The shift towards specialized medicine and clinic-based practice reduced physician availability for home visits.
- Reimbursement policies and logistical challenges have hindered the viability of house calls.
- Patient demographics and increasing healthcare demands necessitate renewed consideration of home-based care.
Conclusions:
- Addressing reimbursement, integrating technology, and adapting practice models are crucial for reviving physician home care.
- Bridging the gap requires a multi-faceted approach involving healthcare providers, policymakers, and technology.
- Enhancing physician home care can improve access for underserved populations and support aging in place.