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Annals of Family Medicine 4:366-368 (2006)
© 2006 Annals of Family Medicine, Inc.
doi: 10.1370/afm.550
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Essay

Home Care: A Key to the Future of Family Medicine?

Steven H. Landers, MD, MPH

Department of Family Medicine, Case Western Reserve University School of Medicine and University Hospitals of Cleveland, Cleveland, Ohio

CORRESPONDING AUTHOR: Steven H. Landers, MD, MPH, 11100 Euclid Ave, Bolwell Suite 1200, Cleveland, OH 44106, Steven.landers{at}uhhs.com

ABSTRACT

This essay is about my transition from family medicine residency into house call/home-based primary care practice. Though some aspects of making home visits have been difficult and uncomfortable, I have found a higher level of satisfaction and sense of purpose than I had as a resident in a traditional outpatient clinic. This enhanced satisfaction is, in part, due to my discovery that a lower-volume, time-intensive house call practice is a more appropriate way than the brief office visit to care for older patients who have multiple morbidities. In light of the aging population, advances in portable medical technology, and changes in Medicare reimbursement, home care could become a key to the future success and ongoing relevance of family medicine.

Key Words: House calls • home visits • home care services • family practice




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TRACK Comments:

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The Holy Grail
Roy J. Gerard
Annals of Family Medicine, 27 Jul 2006 [Full text]
Doesn't Add Up
Geoffrey A Ankeney
Annals of Family Medicine, 4 Aug 2006 [Full text]
Home Visits
Ted J. Phillips
Annals of Family Medicine, 4 Aug 2006 [Full text]
Home visits in the UK and US Residency Programs
Barry V Coutinho
Annals of Family Medicine, 10 Aug 2006 [Full text]
The difference between Home Care and home visits
Stefano Alice
Annals of Family Medicine, 15 Sep 2006 [Full text]
Time of rethinking transport strategies
John N Harrison
Annals of Family Medicine, 1 Oct 2006 [Full text]

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