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Home-based primary care (HBPC) refers to interdisciplinary provision of extensive medical and social services in the home. HBPC is longitudinal and comprehensive, unlike the time-limited and piecemeal “home-health” visits by nurses or physical therapists that sometimes follow hospitalizations or house calls by single physicians. In two reports, researchers describe healthcare-use outcomes with HBPC.
An HBPC program in Washington, DC, was implemented by a team of physicians, nurses, social workers, and mental health providers; the same physicians who saw patients in their homes cared for them if they were hospitalized. Round-the-clock on-call telephone coverage was provided. In a case-control analysis, 722 chronically ill HBPC patients (mean …