Ten things every geriatrician should know about house calls
- Autores: Mia Yang, Jantira Thomas, Rachel Zimmer, Maryjo Cleveland, Jennifer L. Hayashi, Jessica L. Colburn
- Localización: Journal of the American Geriatrics Society, ISSN 0002-8614, Vol. 67, Nº. 1, 2019, págs. 139-144
- Idioma: inglés
- Enlaces
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Resumen
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.
