Evidence map›Paper›PMID 40888551›Full record

ArticleJournal of the American Geriatrics Society2026

Home-Based Primary Care in the Department of Veterans Affairs: Past, Present, and Future.

Brooke V Jespersen, Anaïs Tuepker, Elizabeth C Hulen, Senta G Wiederholt, Dorothea Murray, Samuel T Edwards

Abstract read
In one paragraph

Article in Journal of the American Geriatrics Society, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Brooke V JespersenVA Portland Health Care System, Center to Improve Veteran Involvement in Care, Portland, Oregon, USA.
Anaïs TuepkerVA Portland Health Care System, Center to Improve Veteran Involvement in Care, Portland, Oregon, USA.
Elizabeth C HulenVA Portland Health Care System, Center to Improve Veteran Involvement in Care, Portland, Oregon, USA.
Senta G WiederholtVA Portland Health Care System, Center to Improve Veteran Involvement in Care, Portland, Oregon, USA.
Dorothea MurrayDivision of General Internal Medicine and Geriatrics, Oregon Health and Science University, Portland, Oregon, USA.
Samuel T EdwardsVA Portland Health Care System, Center to Improve Veteran Involvement in Care, Portland, Oregon, USA.

Funding

HSRD VA I01 HX003650Office of Academic Affiliations, Department of Veterans AffairsVA Health Systems Research IIR-22-096
6 · The paper itself

Abstract

Launched in 1970, the Department of Veterans Affairs (VA) Home-Based Primary Care (HBPC) Program is a unique, well-resourced model that has influenced the development of HBPC practice more broadly. VA HBPC delivers team-based, comprehensive care in the homes of medically complex Veterans. As the population ages, VA is committed to supporting a continuum of age-friendly care. Expanding and improving VA HBPC is one important strategy to address the high needs of medically complex Veterans in a patient-centered, yet cost-effective manner. In this paper, we draw on the existing literature and our institutional knowledge as HBPC researchers within the VA system to present a longitudinal perspective on VA HBPC. We describe VA HBPC's early history, identify key innovations, discuss challenges to expansion and care delivery, and propose future research and practice directions. Our goal is to inform the provision of high-quality, cost-effective, home-based care for medically complex patients within VA and beyond.

Indexed as

Home Care ServicesPrimary Health CareUnited States Department of Veterans AffairsVeterans Health ServicesAgedHumansPatient-Centered CareUnited StatesVeteranshistory of geriatricshome‐based primary careVeterans Health Administration

Identifiers

PMID40888551
PMCPMC12774302

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

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.