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Related Experiment Videos

The home visit.

B K Unwin1, A F Jerant

  • 1Eisenhower Army Medical Center, Fort Gordon, GA 30905-5650, USA.

American Family Physician
|October 19, 1999
PubMed
Summary
This summary is machine-generated.

Physician home visits are increasingly needed due to patient preferences and healthcare shifts. A new framework, INHOMESSS, aids effective home evaluations, complemented by telemedicine for efficient "virtual" house calls.

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Area of Science:

  • Geriatrics
  • Primary Care
  • Health Services Research

Background:

  • Home health programs are expanding, shifting medical care delivery to patients' residences.
  • Physician involvement in home health care has historically been limited but is now increasing.
  • Patient preferences and systemic healthcare changes necessitate greater physician engagement in home visits.

Purpose of the Study:

  • To outline the essential attitudes, knowledge, and skills required for effective physician home visits.
  • To introduce the INHOMESSS mnemonic as a framework for comprehensive patient and home environment evaluation.
  • To explore the role of technology, such as telemedicine, in supporting physician home care.

Main Methods:

  • Development of the INHOMESSS mnemonic (immobility, nutrition, housing, others, medication, examination, safety, spirituality, services) for structured home assessments.

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  • Discussion of necessary physician competencies for conducting home visits.
  • Exploration of technological solutions for remote patient assessment.

    • Main Results:

    • Effective home visits require specific physician attitudes, knowledge, and skills.
    • The INHOMESSS mnemonic provides a structured approach to evaluating functional status and the home environment.
    • Telemedicine and telephone consultations offer efficient "virtual" house call alternatives.

    Conclusions:

    • Physicians need specialized training and tools to conduct effective home visits.
    • The INHOMESSS framework enhances the systematic evaluation of patients in their home setting.
    • Telemedicine can augment or substitute in-person visits, improving efficiency in home healthcare delivery.