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House Calls.

Caitlyn M Rerucha1, Ruben Salinas2, Jacob Shook3

  • 1Uniformed Services University of the Health Sciences, Bethesda, MD, USA.

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|August 18, 2020
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Summary
This summary is machine-generated.

House calls are increasingly vital for homebound patients and the aging population, offering cost savings and better outcomes. Physicians can use the INHOMESSS mnemonic for comprehensive assessments during these visits.

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Area of Science:

  • Geriatrics
  • Primary Care
  • Health Services Research

Background:

  • Increasing demand for house calls driven by aging population and homebound individuals.
  • Growing recognition of house calls' value in healthcare and by the public.
  • Existing home-based primary care programs demonstrate cost savings and improved outcomes.

Purpose of the Study:

  • To review key considerations for family physicians conducting house calls.
  • To guide the integration of home-based primary care services into practice.
  • To provide a framework for comprehensive house call assessments.

Main Methods:

  • Literature review of current U.S. home-based primary care programs.
  • Discussion of common indications and components of house calls.
  • Introduction of the INHOMESSS mnemonic for health assessments.

Main Results:

  • House calls are indicated for acute/chronic illness management, post-hospitalization care, assessments, and end-of-life care.
  • House calls can include medication reconciliation, caregiver stress evaluation, and home safety assessments.
  • The INHOMESSS mnemonic aids in comprehensive patient evaluation during house calls.

Conclusions:

  • House calls can be efficiently integrated into family medicine practices with proper planning.
  • Home-based primary care benefits older adults and vulnerable populations.
  • House calls are a valuable component of modern primary care delivery.