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Related Experiment Videos

Which physicians make home visits and why? A survey.

R Bergeron1, A Laberge, L Vézina

  • 1Family Medicine Unit, Hôpital Laval, Sainte-Foy, Que.

CMAJ : Canadian Medical Association Journal = Journal De L'Association Medicale Canadienne
|September 9, 1999
PubMed
Summary

Physician home care practices differ based on practice setting and gender. As demand for home care grows, adapting physician practices to patient needs is crucial for effective healthcare delivery.

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Area of Science:

  • Health Services Research
  • General Practice
  • Geriatrics

Background:

  • North American healthcare system changes and demographics are increasing demand for home care services.
  • Limited data exists on strategies to adapt medical practices for effective patient-centered home care.
  • This study identifies key factors influencing physicians' home care practices in Quebec City.

Purpose of the Study:

  • To identify major factors influencing physicians' home care practices.
  • To understand variations in home care delivery among different physician groups.
  • To inform strategies for optimizing home care services.

Main Methods:

  • A self-administered questionnaire was mailed to 696 general practitioners in Quebec City.
  • Data collected included physician characteristics and home care practice details (volume, client types, visit characteristics, assessment, follow-up).

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  • Response rate was 70.0% (487 physicians), with 58.1% reporting home visits.

    • Main Results:

    • Physicians in private practice conducted more home visits per week (mean 11.5) than those in family medicine units and CLSCs (community centres for social and health services) (mean 5.8).
    • Private practitioners saw a higher proportion of patients in residential facilities, at patient request, or due to acute conditions.
    • Physicians in family medicine units/CLSCs performed more follow-ups for patients with cognitive or palliative care needs and utilized CLSC resources more extensively.

    Conclusions:

    • Physician home care practices significantly vary based on practice setting (private vs. family medicine/CLSC) and physician sex.
    • Given the increasing need for home care, further research is essential to adapt physician practices to meet evolving patient requirements.
    • Understanding these practice variations is key to enhancing the quality and accessibility of home healthcare services.