ArticleJournal of general internal medicine2026
Evaluation of Hybrid-Virtual Home Visits for Comprehensive Geriatric Management: A Quality Improvement Project.
Article in Journal of general internal medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
What it found
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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.
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Authors and funding
10 authors.
Funding
Abstract
backgroundAlthough home visits improve outcomes among older adults, expanding the reach of geriatric home-based programs has been constrained by physical, cognitive, and technological barriers common among older persons as well as facility barriers (e.g., limited staffing).
objectivesTo evaluate the effectiveness of a hybrid-virtual home visit model (TeleGRACE).
designA quality improvement project with an observation cohort design using propensity score weighting.
participantsCommunity-dwelling older adults with a geriatric syndrome after discharge from a hospital stay or emergency department (ED) visit at one large Department of Veterans Affairs (VA) facility.
interventionA hybrid-virtual home visit involving a telehealth technician in the patient's home and geriatric clinical team members participating remotely. MAIN MEASURES: The primary outcomes were all-cause mortality, nursing home placement, inpatient readmission, and ED visits within 90 days or 1 year of enrollment. KEY
resultsTeleGRACE patients (N = 76) were more likely than usual care patients (N = 319) to receive clinical services within 90 days (e.g., assistive devices: 78.7% versus 18.9%; p < 0.001). In analysis using inverse probability weighting, the 1-year risk of nursing home placement was lower in TeleGRACE than in usual care: hazard ratio (HR) 0.20 (95% CI: 0.07-0.53). The risk of ED visits was higher among TeleGRACE patients both at 90 days (HR 1.32 [1.02-1.72]) and 1 year (HR 1.28 [1.04-1.76]). No differences between groups were identified for nursing home placement at 90 days, or hospitalizations or mortality at 90 days or 1 year.
conclusionsThe results indicate that a hybrid-virtual home visit model may improve care and outcomes for high-risk, community-dwelling older persons; future studies are needed to confirm whether this model reduces nursing home placement.
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