Ten Things Every Geriatrician Should Know About House Calls

Mia Yang, Jantira Thomas, Rachel Zimmer, Maryjo Cleveland, Jennifer L. Hayashi, Jessica L. Colburn

Research output: Contribution to journalReview articlepeer-review

Abstract

Home-based primary care (HBPC) is experiencing a reemergence to meet the needs of homebound older adults. This brief review based on existing literature and expert opinion discusses 10 key facts about HBPC that every geriatrician should know: (1) the team-based nature of HBPC is key to its success; (2) preparations and after-hour access for house calls are required; (3) home safety for the clinician and patient must be considered; (4) being homebound is an independent mortality risk factor with a high symptom burden; (5) home care medicine presents unique benefits and challenges; (6) a systems-based approach to care is essential; (7) HBPC is a sustainable model within value-based care proven by the Department of Veterans Affairs and the Independence at Home Medicare Demonstration Project; (8) HBPC has an educational mission; (9) national organizations for HBPC include American Academy of Home Care Medicine and Home Centered Care Institute; and (10) practicing HBPC is a privilege. HBPC is a dynamic and unique practice model that will continue to grow in the future. J Am Geriatr Soc 67:139–144, 2019.

Original languageEnglish (US)
Pages (from-to)139-144
Number of pages6
JournalJournal of the American Geriatrics Society
Volume67
Issue number1
DOIs
StatePublished - Jan 2019

Keywords

  • home-based primary care
  • house calls
  • interdisciplinary teams

ASJC Scopus subject areas

  • Geriatrics and Gerontology

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