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Stakeholder Perspectives on Development of a Home-Based Primary Care Practice Recognition Program.

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Stakeholders support a home-based primary care (HBPC) recognition program, seeing value despite concerns about burden. Development should include ongoing input to ensure success and improve care delivery.

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Area of Science:

  • Healthcare Management
  • Quality Improvement
  • Primary Care

Background:

  • Home-based primary care (HBPC) offers longitudinal, interdisciplinary care to functionally impaired patients at home.
  • Despite improving outcomes, HBPC remains underrecognized and has not scaled effectively.
  • Practice recognition programs formally acknowledge healthcare practices meeting specific standards.

Purpose of the Study:

  • To assess key stakeholder views on the potential benefits and challenges of an HBPC practice recognition program.
  • To identify unintended consequences of implementing such a program.
  • To determine potential core components for an effective HBPC recognition framework.

Main Methods:

  • A sequential mixed-methods study was conducted.
  • Focus groups informed the development of a national online survey distributed to 2603 HBPC stakeholders.
  • 298 surveys were completed, yielding an 11.8% response rate.

Main Results:

  • A plurality of respondents believed an HBPC recognition program could add value across multiple domains.
  • 74% of respondents indicated their practice would likely engage in a recognition process.
  • Concerns included financial, resource, and administrative burdens, particularly for smaller practices.

Conclusions:

  • Key stakeholders hold a generally positive view towards developing an HBPC practice recognition program, albeit with reservations.
  • Potential challenges include administrative burden and ensuring the program genuinely improves care and external recognition.
  • Ongoing stakeholder input is crucial for the successful development and implementation of an HBPC practice recognition process.