Outcomes of home-based primary care for homebound older adults: A randomized clinical trial.

ABSTRACT:

Background

Homebound older adults are medically complex and often have difficulty accessing outpatient medical care. Home-based primary care (HBPC) may improve care and outcomes for this population but data from randomized trials of HBPC in the United States are limited.

Methods

We conducted a randomized controlled trial of HBPC versus office-based primary care for adults ages ≥65 years who reported ≥1 hospitalization in the prior 12 months and met the Medicare definition of homebound. HBPC was provided by teams consisting of a physician, nurse practitioner, nurse, and social worker. Data were collected at baseline, 6- and 12-months. Outcomes were quality of life, symptoms, satisfaction with care, hospitalizations, and emergency department (ED) visits. Recruitment was termin

SUBMITTER: Federman AD 

PROVIDER: S-EPMC9939556 | biostudies-literature | 2023 Feb

REPOSITORIES: biostudies-literature