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Innovative Patient Access to Home-Based Primary Care in Central Virginia
Benjamin J Cahill1, Justin B Mutter1
1Division of General, Geriatric & Palliative Medicine, University of Virginia School of Medicine, Charlottesville, VA, USA.
Journal of the American Medical Directors Association
|April 26, 2025
Summary
Home-based primary care (HBPC) improves access for homebound seniors. The Virginia at Home program uses a public referral tool to expand HBPC enrollment, making care more accessible.
Area of Science:
- Geriatrics
- Health Services Research
- Public Health
Background:
- Home-based primary care (HBPC) is crucial for homebound older adults facing limited access to regular medical services.
- Current HBPC recruitment often relies on acute care utilization or hospital discharge, creating barriers to consistent access.
Purpose of the Study:
- To introduce new methods for identifying and enrolling patients into HBPC programs.
- To transform HBPC from a research-based model to a standard healthcare delivery system.
- To evaluate the Virginia at Home program's innovative approach to HBPC referral and enrollment.
Main Methods:
- Piloting a pragmatic and innovative HBPC model in Central Virginia.
- Implementing a public-facing referral tool to facilitate patient identification and enrollment.
- Empowering local providers to refer homebound patients needing enhanced primary care access.
Main Results:
- The Virginia at Home program successfully piloted an approach to broaden HBPC access.
- A public referral tool was utilized to streamline the enrollment process for homebound individuals.
- The program demonstrated a method for increasing HBPC accessibility beyond traditional recruitment strategies.
Conclusions:
- The Virginia at Home program's approach widens access to essential home-based primary care for homebound older adults.
- Innovative referral methods, like public-facing tools, are key to integrating HBPC into routine healthcare.
- This model empowers providers and improves primary care access for vulnerable, homebound populations.
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