JAMDA
Volume 10, Issue 2 , Pages 133-137 , February 2009

Impact of a Home-Based Primary Care Program in an Urban Veterans Affairs Medical Center

  • Christine Chang, MD

      Affiliations

    • Veterans Affairs Medical Center, Division of Geriatric and Extended Care, Washington, DC
    • George Washington University Medical Center, Washington, DC
    • Corresponding Author InformationAddress correspondence to Christine Chang, MD, Mount Sinai Medical Center, One Gustave L. Levy Place, Annenberg Building, Box 1070, Room 10-20, New York, NY 10029-6574
    • ,
  • Susan S. Jackson, MSN, RN

      Affiliations

    • Veterans Affairs Medical Center, Division of Geriatric and Extended Care, Washington, DC
    • The Catholic University of America, Washington, DC
    • ,
  • Tim A. Bullman, MS

      Affiliations

    • Veterans Affairs Medical Center, War-Related Illness and Injury Study Center, Washington, DC
    • ,
  • Elizabeth L. Cobbs, MD

      Affiliations

    • Veterans Affairs Medical Center, Division of Geriatric and Extended Care, Washington, DC
    • George Washington University Medical Center, Washington, DC

References 

  1. American Association for Retired Persons (AARP) and the Administration of Aging (AoA) (A Profile of Older Americans: 1997). Washington, DC: AARP and AoA; 1997;PF3049
  2. Min De Parle N. Letter to Congress from the Administrator of Health Care Financing Administration, US Department of Health and Human Services. 1998;Feb. 13
  3. Smith D. Addressing Fraud and Abuse in Health Care. American Association of Retired Persons fact sheet no. 57 In: Washington, DC: AARP; December 1996;p. 3
  4. Meyer GS, Gibbons RV. House calls to the elderly—A vanishing practice among physicians. N Engl J Med. 1997;337:1815–1820
  5. Stuck AE, Siu AL, Wieldand GD, et al. Comprehensive geriatric assessment: A meta-analysis of controlled trials. Lancet. 1993;342:1032–1036
  6. Kubal JD, Weaver FM, Hughes SL, et al. VA's Home-Based Primary Care Program. Federal Practitioner. 1997;14:19–27
  7. Gammel JD. Medical House Call Program: Extending frail elderly medical care into the home. J Oncol Manag. 2005;14:39–46
  8. Levine SA, Boal J, Boling PA. Home care. JAMA. 2003;290:1203–1207
  9. Sobel RK. The house call redux. U.S. News and World Report. May 30 2005;volume 138, Issue 20: 47
  10. Stuck AE, Egger M, Hammer A, et al. Home visits to prevent nursing home admission and functional decline in elderly people. JAMA. 2002;287:1022–1028
  11. McWilliam CL, Godfrey B, Stewart M, et al. Evolving the delivery of acute care services in the home. Home Health Care Serv Q. 2003;22:55–74
  12. Yaggy SD, Muchener JL, Yaggy D, et al. Just for us: An academic medical center community partnership to maintain the health of a frail low-income senior population. Gerontologist. 2006;46:271–276
  13. Cummings J, Hughes SL, Weaver FM, et al. Cost-effectiveness of VA hospital-based home care. Arch Intern Med. 1990;150:1274–1280
  14. Hughes SL, Cummings J, Weaver FM, et al. A randomized trial of Veterans Administration home care for severely disabled veterans. Med Care. 1990;28:135–145
  15. Hughes SL, Cummings J, Weaver FM, et al. A randomized trial of the cost-effectiveness of VA Hospital-based Home Care for the terminally ill. Health Serv Res. 1992;26:801–817
  16. Welch HG, Wennberg DE, Welch WP. The use of Medicare home health services. N Engl J Med. 1996;335:324–329
  17. Hughes SL, Weaver FM, Giobbie-Hurder A, et al. Effectiveness of team-managed home-based primary care: A randomized multicenter trial. JAMA. 2000;284:2877–2885
  18. Elkan R, Kendrick D, Dewey M, et al. Effectiveness of home-based support for older people: Systematic review and meta-analysis. BMJ. 2001;323:719–724
  19. Van Haastregt JCM, Diederiks JPM, Van Rossum E, et al. Effects of preventative home visit to elderly people living in the community: a systematic review. BMJ. 2000;320:754–758
  20. Stuck AE, Aronow HU, Steiner A, et al. A trial of annual in-home comprehensive geriatric assessments for elderly people living in the community. N Engl J Med. 1995;333:1184–1189
  21. Ritchie CA, Thomas DR. Home-based primary care in the VA setting, with a focus on Birmingham, Alabama. Long Term Home Health Care. 1998;17:18–25
  22. Smith KL, Ornstein K, Soriano T, et al. A multidisciplinary program for delivering primary care to the underserved urban homebound: looking back, moving forward. J Am Geriatr Soc. 2006;54:1283–1289
  23. Edes TE, Kendall S. Longitudinal home care for chronic disease. J Am Geriatr Soc. 2005;S207:53
  24. Weinberger M, Oddone EZ, Henderson WG. Does increased access to primary care reduce hospital admissions? (Veterans Affairs Cooperative Study Group on Primary Care and Hospital Readmission). N Engl J Med. 1996;334:1441–1447
  25. Folstein MF, Folstein SE, McHugh PR. “Mini-mental state”: A practical method for grading the cognitive state of patients for the clinician. J. Psychiatr Res. 1975;12:189–198
  26. Sheikh JI, Yesavage JA. Geriatric Depression Scale: Recent evidence and development of a shorter version. Clin Gerontol. 1986;5:165–172
  27. Yesavage JA, Brink TL, Rose TL, et al. Development and validation of a geriatric depression scale: a preliminary report. J Psychiatr Res. 1983;17:27
  28. Katz S, Ford AB, Moskowitz RW, et al. Studies of illness in the aged: The index of ADL—a standardized measure of biological and psychosocial function. JAMA. 1963;185:914–919
  29. Edes T. “Care Coordination Across the Continuum,” 2005 White House Conference on Aging. 2005;July 19
  30. Naylor MD, Brooten D, Campbell R, et al. Comprehensive discharge planning and home follow-up of hospitalized elders. JAMA. 1999;281:613–620
  31. US Census Bureau 2002. The 65 years and over population: 2000. http://www.census.gov/prod/2001pubs/czkbr01-10.pdf

 No conflict of interest. The authors have no relevant financial information to disclose, but acknowledge the following: Dr. Chang's work was conducted during her employment as Medical Director of the Home-Based Primary Care Program at the Washington, DC, Veterans Affairs Medical Center. She is currently a member of the Department of Geriatrics at the Mount Sinai Medical Center in Manhattan. Susan Jackson continues to be employed as a nurse at the Washington, DC, Veterans Affairs Medical Center where she currently is the Program Director for Care Coordination and Home Telehealth.

PII: S1525-8610(08)00268-5

doi: 10.1016/j.jamda.2008.08.002

JAMDA
Volume 10, Issue 2 , Pages 133-137 , February 2009

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