Veteran's Affairs Home Based Primary Care
Section snippets
Goals of HBPC
- 1.
Promoting the veteran's maximum level of health and independence by providing comprehensive care and optimizing physical, cognitive, and psychosocial functions.
- 2.
Reducing the need for, and providing an acceptable alternative to, hospitalization, nursing home care, and emergency department and outpatient clinic visits, through longitudinal care that provides close monitoring, early intervention, and a therapeutic safe home environment.
- 3.
Assisting in the transition from a health care facility to the
References (9)
Home-based primary care program
- et al.
The use of medicare home health care services
N Engl J Med
(1996) Tracking the care of patients with severe chronic illness
Cited by (111)
The Impact of Home-Based Primary Care on Outcomes Among Older Adults in South Korea
2023, Journal of the American Medical Directors AssociationHealth Care Utilization and Unmet Needs in Chinese Older Adults With Multimorbidity and Functional Impairment
2020, Journal of the American Medical Directors AssociationCitation Excerpt :In 2017, 19.9% of Japanese physicians made routine medical home visits, and 32.1% of Japanese hospital systems provided home-based medical care.32 In the United States, home-based primary care was established to meet the needs of individuals with multiple chronic diseases and impaired functional status.33 It has been found to deliver high-quality, cost-saving care to frail older adults and improve patient satisfaction and health outcomes.29,34–39
Using Geographic Information System Mapping in Emergency Management: Expanding the Role of Nurses in Home Based Primary Care
2020, Nursing Clinics of North AmericaDevelopment of a screening tool to identify patients likely to benefit from clinical pharmacist review in a home-based primary care population
2020, Journal of the American Pharmacists AssociationCitation Excerpt :HBPC and TSC are both valuable and unique programs as they allow providers to accurately assess patients’ living environments and adjust care based on their individual needs.2,3 Within the Veterans Affairs (VA) system, HBPC model of care, composed of a physician, pharmacist, and other ancillary health professionals, was associated with a 59% reduction in hospital bed days, 89% reduction in nursing home bed days, and a combined reduction of 78% total inpatient days for functionally impaired, medically complex patients in 2007.4 Literature suggests that HBPC programs outside the VA also positively affected homebound patients; however, pharmacists were not represented on private sector HBPC teams.5
Implementing Geographic Information Systems (GIS) into VHA Home Based Primary Care
2020, Geriatric NursingCitation Excerpt :One challenge is that HBPC programs have been limited in reach due to service area restrictions. The HBPC team is typically based at a VHA medical center or community-based outpatient clinic (CBOC), with a service area radius of 30–70 miles from the facility.4 Another challenge facing HBPC programs relates to program efficiency.