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Ten Things Every Geriatrician Should Know About House Calls.
Mia Yang1, Jantira Thomas1, Rachel Zimmer1
1Department of Internal Medicine-Section on Gerontology & Geriatric Medicine, Wake Forest School of Medicine, Winston-Salem, North Carolina.
Journal of the American Geriatrics Society
|November 29, 2018
Summary
Home-based primary care (HBPC) is vital for homebound older adults, emphasizing team-based care, safety, and a systems approach. This model offers benefits and challenges, proving sustainable within value-based healthcare systems.
Area of Science:
- Geriatrics
- Primary Care
- Health Services Research
Background:
- Home-based primary care (HBPC) is increasingly recognized for addressing the needs of homebound older adults.
- Homebound status is an independent risk factor for mortality and associated with a high symptom burden.
- Existing literature and expert opinion highlight key aspects of HBPC.
Purpose of the Study:
- To review 10 essential facts about home-based primary care for geriatricians.
- To underscore the importance and characteristics of the HBPC model.
Main Methods:
- Literature review
- Expert opinion synthesis
- Discussion of 10 key facts regarding HBPC
Main Results:
- HBPC success hinges on team-based care, preparation for house calls, and home safety.
- Homebound status presents significant mortality risks and symptom burden.
- HBPC offers unique benefits and challenges, requiring a systems-based approach.
- HBPC is a sustainable model within value-based care, demonstrated by successful programs.
- HBPC includes an educational mission and is supported by national organizations.
Conclusions:
- Home-based primary care is a dynamic and growing practice model essential for geriatric care.
- Understanding the 10 key facts is crucial for geriatricians practicing or considering HBPC.
- HBPC represents a privilege and a vital component of future healthcare delivery for homebound populations.
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