The Resurgence of Home-Based Primary Care Models in the United States
This article describes the forces behind the resurgence of home-based primary care (HBPC) in the United States and then details different HBPC models. Factors leading to the resurgence include an aging society, improved technology, an increased emphasis on home and community services, higher fee-for...
| 出版年: | Geriatrics |
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| 主要な著者: | , , |
| フォーマット: | 論文 |
| 言語: | 英語 |
| 出版事項: |
MDPI AG
2018-07-01
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| 主題: | |
| オンライン･アクセス: | http://www.mdpi.com/2308-3417/3/3/41 |
| _version_ | 1852785023744212992 |
|---|---|
| author | Mattan Schuchman Mindy Fain Thomas Cornwell |
| author_facet | Mattan Schuchman Mindy Fain Thomas Cornwell |
| author_sort | Mattan Schuchman |
| collection | DOAJ |
| container_title | Geriatrics |
| description | This article describes the forces behind the resurgence of home-based primary care (HBPC) in the United States and then details different HBPC models. Factors leading to the resurgence include an aging society, improved technology, an increased emphasis on home and community services, higher fee-for-service payments, and health care reform that rewards value over volume. The cost savings come principally from reduced institutional care in hospitals and skilled nursing facilities. HBPC targets the most complex and costliest patients in society. An interdisciplinary team best serves this high-need population. This remarkable care model provides immense provider satisfaction. HBPC models differ based on their mission, target population, geography, and revenue structure. Different missions include improved care, reduced costs, reduced readmissions, and teaching. Various payment structures include fee-for-service and value-based contracts such as Medicare Shared Savings Programs, Medicare capitation programs, or at-risk contracts. Future directions include home-based services such as hospital at home and the expansion of the home-based workforce. HBPC is an area that will continue to expand. In conclusion, HBPC has been shown to improve the quality of life of home-limited patients and their caregivers while reducing health care costs. |
| format | Article |
| id | doaj-art-7db2ffccc8ee4f1ba990da69ef0f7382 |
| institution | Directory of Open Access Journals |
| issn | 2308-3417 |
| language | English |
| publishDate | 2018-07-01 |
| publisher | MDPI AG |
| record_format | Article |
| spelling | doaj-art-7db2ffccc8ee4f1ba990da69ef0f73822025-08-19T20:46:21ZengMDPI AGGeriatrics2308-34172018-07-01334110.3390/geriatrics3030041geriatrics3030041The Resurgence of Home-Based Primary Care Models in the United StatesMattan Schuchman0Mindy Fain1Thomas Cornwell2Division of Geriatric Medicine and Gerontology, The Johns Hopkins School of Medicine, Baltimore, MD 21205, USADivision of Geriatrics, General Internal Medicine and Palliative Medicine, Arizona Center on Aging, Arizona Geriatric Workforce Enhancement Program, University of Arizona College of Medicine, Tucson, AZ 85724, USAHome Centered Care Institute, Schaumburg, IL 60173, USAThis article describes the forces behind the resurgence of home-based primary care (HBPC) in the United States and then details different HBPC models. Factors leading to the resurgence include an aging society, improved technology, an increased emphasis on home and community services, higher fee-for-service payments, and health care reform that rewards value over volume. The cost savings come principally from reduced institutional care in hospitals and skilled nursing facilities. HBPC targets the most complex and costliest patients in society. An interdisciplinary team best serves this high-need population. This remarkable care model provides immense provider satisfaction. HBPC models differ based on their mission, target population, geography, and revenue structure. Different missions include improved care, reduced costs, reduced readmissions, and teaching. Various payment structures include fee-for-service and value-based contracts such as Medicare Shared Savings Programs, Medicare capitation programs, or at-risk contracts. Future directions include home-based services such as hospital at home and the expansion of the home-based workforce. HBPC is an area that will continue to expand. In conclusion, HBPC has been shown to improve the quality of life of home-limited patients and their caregivers while reducing health care costs.http://www.mdpi.com/2308-3417/3/3/41home-based primary carehome healthhouse callhome care medicinehome based medical care |
| spellingShingle | Mattan Schuchman Mindy Fain Thomas Cornwell The Resurgence of Home-Based Primary Care Models in the United States home-based primary care home health house call home care medicine home based medical care |
| title | The Resurgence of Home-Based Primary Care Models in the United States |
| title_full | The Resurgence of Home-Based Primary Care Models in the United States |
| title_fullStr | The Resurgence of Home-Based Primary Care Models in the United States |
| title_full_unstemmed | The Resurgence of Home-Based Primary Care Models in the United States |
| title_short | The Resurgence of Home-Based Primary Care Models in the United States |
| title_sort | resurgence of home based primary care models in the united states |
| topic | home-based primary care home health house call home care medicine home based medical care |
| url | http://www.mdpi.com/2308-3417/3/3/41 |
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