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House calls.
1Uniformed Services University of the Health Sciences, Bethesda, MD, USA. bunwin@usuhs.mil
American Family Physician
|April 29, 2011
Summary
House calls offer valuable insights into patient environments and health needs, especially with an aging population. Multidisciplinary house calls may decrease hospital readmissions and long-term care stays.
Area of Science:
- Geriatrics
- Health Services Research
- Home Healthcare
Background:
- The demand for house calls is projected to rise due to the aging US population.
- House calls offer a unique perspective on patients' home environments and health challenges.
Purpose of the Study:
- To explore the role and integration of house calls in healthcare.
- To highlight the potential benefits of multidisciplinary house calls.
Main Methods:
- Review of existing literature and common practices for house calls.
- Introduction of the INHOMESSS mnemonic for comprehensive house call assessment.
- Discussion of logistical considerations for integrating house calls into practice.
Main Results:
- House calls can aid in managing acute/chronic illnesses and palliative care.
- Multidisciplinary teams in house calls may reduce hospital readmissions and long-term care facility stays.
- Comprehensive assessments include clinical evaluation, activity observation, medication reconciliation, and home safety evaluation.
Conclusions:
- House calls are a valuable service, particularly for the aging population.
- Effective integration requires strategic planning, including geographic clustering and interprofessional coordination.
- The INHOMESSS mnemonic serves as a useful tool for structured house call delivery.
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