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Housecalls in general practice.

A Cunney1, F D O'Kelly

  • 1Trinity Centre for Health Sciences, Tallaght Hospital, Dublin 24. cunneya@hotmail.com

Irish Medical Journal
|September 15, 2012
PubMed
Summary
This summary is machine-generated.

General Practitioner home visits have decreased, but most house calls are medically indicated for elderly patients with multiple conditions. The practice anticipates continued need for these visits.

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Area of Science:

  • General Practice
  • Geriatric Medicine
  • Public Health

Background:

  • Home visits by General Practitioners (GPs) have seen a decline globally.
  • This study examines trends in GP home visits within an inner-city Dublin practice.

Purpose of the Study:

  • To analyze the frequency and characteristics of home visits conducted by GPs.
  • To assess the medical and social indications for these house calls.
  • To understand the patient demographics receiving home visits.

Main Methods:

  • Retrospective analysis of home visit records from an inner-city Dublin practice.
  • Data collection focused on the period between 2006 and 2010.
  • GP assessment of medical and social indications for each house call.

Main Results:

  • Home visit rates decreased from 45/month in 2006 to 35/month in 2010.
  • 88% of house calls had valid medical or social indications.
  • 91% of patients were eligible for free care under the General Medical Services (GMS) scheme.
  • 75% of patients were over 65 years old.
  • 87% of patients had multiple comorbidities.

Conclusions:

  • Despite a decline, home visits remain crucial for specific patient groups, particularly the elderly with complex health needs.
  • The aging population suggests a continued, albeit potentially evolving, role for GP house calls in primary care.
  • Valid medical and social reasons underpin the majority of current home visits.