The Value of Home-Based Primary Care: Qualitative Exploration of Homebound Participant Perspectives

Sarah LaFave; Brittany Drazich; Orla C. Sheehan; Bruce Leff; Sarah L. Szanton; Mattan Schuchman

doi:10.1177/0733464820967587

The Value of Home-Based Primary Care: Qualitative Exploration of Homebound Participant Perspectives

Sarah LaFave, Brittany Drazich, Orla C. Sheehan, Bruce Leff, Sarah L. Szanton, Mattan Schuchman

Research output: Contribution to journal › Article › peer-review

1 Scopus citations

Abstract

Older adults’ preference to age in place and health systems’ commitment to cost-effective quality care has set the stage for a growing interest in home-based primary care (HBPC). The objective of this study was to explore what patients and caregivers value about HBPC and what modifications could improve its value. Semi-structured individual interviews (n = 20) were audio-recorded, transcribed, and coded for themes. Four themes emerged: (a) HBPC offers peace of mind because patients can access care without leaving the home and can reach the primary care team at all hours, (b) HBPC supports aging in place by providing in-home care, (c) HBPC supports provider rapport building because of the intimate setting and continuity of care, (d) HBPC patients and caregivers have significant nonmedical needs. Findings suggest that teams developing or expanding on HBPC programs should prioritize access to providers, rapport building with patients and families, and supporting patients’ and caregivers’ nonmedical needs.

Original language	English (US)
Pages (from-to)	1611-1616
Number of pages	6
Journal	Journal of Applied Gerontology
Volume	40
Issue number	11
DOIs	https://doi.org/10.1177/0733464820967587
State	Published - Nov 2021

Keywords

home-based
homebound
in-home
primary care

ASJC Scopus subject areas

Gerontology
Geriatrics and Gerontology

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10.1177/0733464820967587

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title = "The Value of Home-Based Primary Care: Qualitative Exploration of Homebound Participant Perspectives",

abstract = "Older adults{\textquoteright} preference to age in place and health systems{\textquoteright} commitment to cost-effective quality care has set the stage for a growing interest in home-based primary care (HBPC). The objective of this study was to explore what patients and caregivers value about HBPC and what modifications could improve its value. Semi-structured individual interviews (n = 20) were audio-recorded, transcribed, and coded for themes. Four themes emerged: (a) HBPC offers peace of mind because patients can access care without leaving the home and can reach the primary care team at all hours, (b) HBPC supports aging in place by providing in-home care, (c) HBPC supports provider rapport building because of the intimate setting and continuity of care, (d) HBPC patients and caregivers have significant nonmedical needs. Findings suggest that teams developing or expanding on HBPC programs should prioritize access to providers, rapport building with patients and families, and supporting patients{\textquoteright} and caregivers{\textquoteright} nonmedical needs.",

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AU - Leff, Bruce

AU - Szanton, Sarah L.

AU - Schuchman, Mattan

N1 - Funding Information: The author(s) disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: This study was supported by the Johns Hopkins Center for Innovative Care in Aging. Publisher Copyright: © The Author(s) 2020.

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The Value of Home-Based Primary Care: Qualitative Exploration of Homebound Participant Perspectives

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Keywords

ASJC Scopus subject areas

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