Medically Oriented HCBS: House Calls Make a Comeback

Hayashi, Jennifer; Leff, Bruce
April 2012
Generations;Spring2012, Vol. 36 Issue 1, p96
Academic Journal
Older adults with chronic physical illnesses or who have unstable physical health often need the careful monitoring that comes with nursing home care. For some older people to stay home-or to return home after hospitalization or rehabilitation-intensive oversight by healthcare practitioners is necessary. This article describes house-call medicine approaches to providing primary healthcare to elders needing long-term care in their own homes. It also describes ways of offering hospital-level care at home when appropriate. The authors review a range of programs that offer primary care at home (including those in the VA system), and summarize the evidence supporting their effectiveness.


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