This article describes: the origin and evolution of house calls; what is uniquely
gained from house calls for both patients and providers; key clinical issues managed
at home; evidence that house calls improve outcomes; organization of house call practices;
and changes in Medicare reimbursement, technology, and interdisciplinary team care
that have influenced the delivery of home-based medical care.
Keywords
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References
- The social transformation of American medicine.Basic Books, New York1982 (p. 359)
- Is there a doctor in the house?.Am Acad Home Care Physicians News. 1991; 3: 7-8
- National ambulatory medical care survey: 2001 summary.Adv data. 2003; 11: 337
- House calls to the elderly—a vanishing practice among physicians.N Engl J Med. 1997; 337: 1815-1820
- Home visiting by general practitioners in England and Wales.BMJ. 1996; 313: 207-210
- The role of physicians in home health care.Clin Geriatr Med. 1991; 7: 665-675
- Effectiveness of home based support for older people: systematic review and meta-analysis.BMJ. 2001; 323: 1-9
- Acute medical care in the home.J Am Geriatr Soc. 1996; 44: 603-605
- Weighing the costs of a CT scan's look inside the heart.New York Times. June 29, 2008;
- Geriatric house calls: relic of the past or challenge of the future?.Can Fam Physician. 1990; 36 (1415): 1409-1411
- Factors associated with the frequency of house calls by primary care physicians.J Gen Intern Med. 1991; 6: 335-340
- House calls for the 21st century.J Am Geriatr Soc. 1998; 46: 246-248
- The national home and hospice care survey: 1992.Vital Health Stat 1. 1994; 117 ([summary]): 1-110
Office of Inspector General, DHHS 1997. Operation restore trust: audit of Medicare home health services in California, Illinois, A-04-96-02121. Office of the Inspector General Press Office.
- Needs of physician house calls—views from health and social service providers.Home Health Care Serv Q. 2003; 22: 17-29
- Primary care medicine in crisis: toward reconstruction and renewal.Ann Intern Med. 2003; 138: 244-247
- Will generalist physician supply meet demands of an increasing and aging population?.Health Aff. 2008; 27: w232-w241
- Status of Geriatrics Workforce Study.(Available at:) (Accessed July 20, 2008)
- Medical schools and home care.NEJM. 1994; 331: 1098-1099
- Retooling for an aging America: building the health care workforce.The National Academies Press, Washington (DC)2008
Administration on Aging, US Department of Health and Human Services. A profile of older Americans: Washington (DC); Administration of Aging, US Department of Health and Human Services. 2007.
- The physician's role in home health care.Caring. 1998; 17: 10-15
- The future history of home care and physician house calls in the United States.J Gerontol. 2001; 56A: M603-M608
Direct data source: Medicare Part B Summary Data 2005–2007; file prepared for American Academy of Home Care Physicians, August 2008.
- Trends in house calls to Medicare beneficiaries.JAMA. 2005; 294: 2435-2436
- A multidisciplinary program for delivering primary care to the underserved urban homebound: looking back, moving forward.J Am Geriatr Soc. 2006; 54: 1283-1289
- (Available at:) (Accessed September 22, 2008)
- (Available at:) (Accessed October 2, 2008)
- Role of house calls in geriatric practice—clinical practice statement.(Available at:) (Accessed April 18, 2008)
- When the patient cannot come to the doctor: a medical house calls program.J Am Geriatr Soc. 1998; 46: 226-231
- Geriatric care management for low-income seniors: a randomized controlled trial.JAMA. 2007; 298: 2623-2633
- Reflections of medical students on visiting chronically ill older patients in the home.J Am Geriatr Soc. 2006; 54: 1778-1783
- A randomized trial of in-home visits for disability prevention in community-dwelling older people at low and high risk for nursing home admission.Arch Intern Med. 2000; 160: 977-986
- The yield of a home visit in the assessment of geriatric patients.J Am Geriatr Soc. 1989; 37: 17-24
- Comparison of clinic-based home assessment to a home visit in demented elderly patients.Alzheimer Dis Assoc Disord. 2004; 18: 145-153
- Effectiveness of a home-based palliative care program for end-of-life.J Palliat Med. 2003; 6: 715-724
- An evaluation of the advanced illness management (AIM) program: increasing hospice utilization in the San Francisco Bay area.J Palliat Med. 2006; 9: 1404-1411
- A trial of annual in-home comprehensive geriatric assessments for elderly people living in the community.NEJM. 1995; 333: 1184-1189
- [ElderPAC].(Available at:)www.aahcp.org/presentations(Accessed June 23, 2008)Date: 2005
- Home visits to prevent nursing home admission and functional decline in elderly people.JAMA. 2002; 287: 1022-1028
- Persons found in their home helpless or dead.NEJM. 1996; 334: 1710-1716
- Home based chronic care.(Available at:) (Accessed June 23, 2008)
- Comprehensive discharge planning and home follow-up of hospitalized elders.JAMA. 1999; 281: 613-620
- The positive financial contribution of home-based primary care programs: the case of the Mount Sinai visiting doctors.J Am Geriatr Soc. 2008; 56: 744-749
- Transitional model of care at VCU medical center—6 years' experience.AGS Annual Meeting Abstract. April 2008;
- Brief communication: national quality-of-care standards in home-based primary care.Ann Intern Med. 2007; 146: 188-192
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