Housecall

OBJECTIVE: To assess the current landscape of home-based primary care (HBPC) or home visit training for Canadian family medicine residents. DESIGN: Online survey. SETTING: Canada's 17 family medicine residency programs. PARTICIPANTS: Family medicine residency program directors. MAIN OUTCOME MEASURES: Program characteristics, current HBPC training, barriers and enablers to training, and program directors' attitudes toward training...

OBJECTIVE: To determine the range of services and procedures offered by family physicians who define themselves as comprehensive practitioners and compare responses across 3 generations of alumni of a single family practice program. DESIGN: Cross-sectional survey. SETTING: Western University in London, Ont. PARTICIPANTS: All graduates of the family medicine program between 1985 and 2012. MAIN OUTCOME MEASURES: Self-reported provision of the following types of care: in-office care, in-hospital care, intrapartum obstetrics, housecalls, palliative care, after-hours care, nursing home care, minor surgery, emergency department care, sport medicine, and walk-in care...

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Undiagnosed chronic conditions are a common and costly problem in Medicare patients. This study examined whether a clinical home visit program was associated with an increased future detection of undiagnosed diabetes, chronic obstructive pulmonary disease (COPD), and atrial fibrillation. Members of Medicare Advantage Plans (MAP), including Chronic Special Needs Plans (C-SNP), were identified who received a comprehensive geriatric home visit under United Health Group's HouseCalls program and those who did not...

Clinical home visit programs for Medicare beneficiaries are a promising approach to supporting aging in place and avoiding high-cost institutional care. Such programs combine a comprehensive geriatric assessment by a clinician during a home visit with referrals to community providers and health plan resources to address uncovered issues. We evaluated UnitedHealth Group's HouseCalls program, which has been offered to Medicare Advantage plan members in Arkansas, Georgia, Missouri, South Carolina, and Texas since January 2008...

PROBLEM ADDRESSED: There has been a decline in family physicians providing home visits to housebound patients. OBJECTIVE OF PROGRAM: To increase family medicine residents' exposure to home visits; their comfort and skills in providing home visits; and their willingness to provide home visits after graduation. PROGRAM DESCRIPTION: Between 2000 and 2010, each family practice resident at St Joseph's Health Centre Family Medicine Teaching Unit in Toronto, Ont, was assigned at least 1 housebound patient to care for longitudinally over 2 years; the rationale for this was to increase the sense of "ownership" and responsibility among residents for their assigned homebound patients...

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No abstract text is available yet for this article.

OBJECTIVE: To determine the proportion of family physicians doing housecalls, the types of patients they think are appropriate to visit at home, whether physicians are satisfied with the number of housecalls they make, reasons family physicians list for not doing housecalls, and what they consider acceptable remuneration and travel time for housecalls. DESIGN: A 12-question paper survey was formulated specifically for this study and piloted by 6 family physicians in British Columbia...

Home visits by General Practitioners have declined in many countries. We performed a study of home visits in an inner city practice in Dublin. We noted that rates of housecalls have declined at our practice in recent years from an average of 45 per month in 2006 to an average of 35 per month in 2010. We found that 88 (88%) of the recent housecalls we undertook had a valid medical or social indication in the opinion of the visiting GP. 21 housecalls (21%) were done for solely social reasons. The vast majority of our recent housecalls i...

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The need is great for a clear picture of who the family physicians of Canada are, how they function and in what way they are changing. Ninety-nine per cent of London family physicians responded to a survey on their personal and practice characteristics. The average London family physician is 43.5 years old and has been in practice in London 10.3 years. He sees 128 patients per week in his office; on a typical day, has 2.6 patients in hospital under his care and 2.8 patients under referred care. He makes 4.7 housecalls per week...

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No abstract text is available yet for this article.

OBJECTIVE: To develop a typology of after-hours care (AHC) instructions and to examine physician and practice characteristics associated with each type of instruction. DESIGN: Cross-sectional telephone survey. Physicians' offices were called during evenings and weekends to listen to their messages regarding AHC. All messages were categorized. Thematic analysis of a subset of messages was conducted to develop a typology of AHC instructions. Logistic regression analysis was used to identify associations between physician and practice characteristics and the instructions left for patients...