ReviewGeriatrics (Basel, Switzerland)2018
The Resurgence of Home-Based Primary Care Models in the United States.
Review in Geriatrics (Basel, Switzerland), 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
36 citing papers in PubMed, 1 synthesis or guideline pooled it.
- The outcomes of nurse practitioner (NP)-Provided home visits: A systematic review.Geriatric nursing (New York, N.Y.)Pooled it
- Practice Acquisitions in Home-Based Medical Care in the United States.Journal of the American Geriatrics Society · 2026Article
- A structured support process for social reintegration of a patient with long-term hikikomori: A case report.PCN reports : psychiatry and clinical neurosciences · 2026Article
- Evidence on the preparedness and practice needs of the home care workforce to support older LGBTQ+ people: a rapid review protocol.BMJ open · 2026Article
- Impact of Incentive Reform and COVID-19 on Primary Care Home Visits in Ontario: A Population-Based Interrupted Time Series Analysis.Annals of family medicine · 2026Article
- Potentially Inappropriate Medication in Homebound Older Adults Receiving Home Medical Care.Annals of geriatric medicine and research · 2025Article
- Article
- Defining and Validating Criteria to Identify Populations Who May Benefit From Home-Based Primary Care.Medical care · 2025Article
- Impact of the COVID-19 Pandemic on Home Medical Care Utilization in Japan: An Interrupted Time Series Analysis.Journal of general internal medicine · 2024Article
- The outcomes of treatment for homebound adults with complex medical conditions in a hospital-at-home unit in the southern district of Israel.Israel journal of health policy research · 2024Article
- What are the home care needs of Chinese healthcare workers: a latent class analysis.Frontiers in public health · 2024Article
- Impact of the Home-Based Medical Integrated Program on Health Outcomes and Medical Resource Utilization in Home Healthcare Patients in Taiwan.Clinical interventions in aging · 2024Article
- If You Give Them Away, It Still May Not Work: Challenges to Video Telehealth Device Use Among the Urban Homebound.Journal of applied gerontology : the official journal of the Southern Gerontological Society · 2023Article
- A photo-based communication intervention to promote diet-related discussions among older adults with multi-morbidity.Journal of the American Geriatrics Society · 2023Article
- Targeted Telehealth Education Increases Interest in Using Telehealth among a Diverse Group of Low-Income Older Adults.International journal of environmental research and public health · 2022Article
- Growth of Fee-for-Service Medicare Home-Based Medical Care Within Private Residences and Domiciliary Care Settings in the U.S., 2012-2019.Journal of the American Medical Directors Association · 2022Article
- National Cohort Study of Homebound Persons Living With Dementia: Antibiotic Prescribing Trends and Opportunities for Antibiotic Stewardship.Open forum infectious diseases · 2022Article
- Frontline provider perceptions of implementing home-based palliative care covered by an insurer.Health services research · 2022Article
- Medical Training in Home Care Medicine: The Time is Now.Journal of general internal medicine · 2022Article
- Home-based primary care visits by nurse practitioners.Journal of the American Association of Nurse Practitioners · 2022Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
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.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.