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Home-based primary care: a needed primary-care model for vulnerable populations
Linda V DeCherrie1, Theresa Soriano, Jennifer Hayashi
1Mount Sinai School of Medicine, New York, NY, USA. linda.decherrie@mountsinai.org
The Mount Sinai Journal of Medicine, New York
|July 13, 2012
Summary
Home-based primary care is experiencing a resurgence in the US, driven by demographic shifts and policy changes. Evidence supports the effectiveness of medical house calls, with reforms potentially boosting these practices.
Area of Science:
- Geriatrics
- Public Health
- Health Policy
Background:
- Home-based primary care (HBPC) has historical roots in American medicine.
- Its prevalence is gradually increasing in the US due to evolving demographics, societal needs, and health policy.
- Various models of HBPC exist, including private, academic, Veterans Affairs-associated, and concierge practices.
Purpose of the Study:
- To review the current landscape and growing evidence supporting home-based primary care.
- To explore the potential impact of healthcare reform on HBPC practices.
Main Methods:
- Literature review of existing studies on the effectiveness of the medical house-call model.
- Analysis of current healthcare reform initiatives relevant to HBPC.
Main Results:
- A growing body of evidence supports the effectiveness of the medical house-call model.
- Healthcare reform initiatives, such as Independence at Home and Accountable Care Organization demonstration projects, may influence the growth of HBPC.
Conclusions:
- Home-based primary care is a viable and increasingly relevant model of healthcare delivery.
- Policy changes and demonstrated effectiveness are likely to drive further expansion of HBPC services.
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