Understanding and Improving the Burden and Unmet Needs of Informal Caregivers of Homebound Patients Enrolled in a Home-Based Primary Care Program.

The growing homebound population is heavily reliant on informal caregivers, who are increasingly burdened by their roles. This study describes informal caregivers of the homebound who remain caregivers at a 9-month follow-up and examines the impact of a home-based primary care (HBPC) program on caregiver burden and unmet needs using a prospective design with a pre-post intervention assessment. Informal caregivers of the urban homebound are similar to caregivers of other populations and have a broad range of unmet needs.

The positive financial contribution of home-based primary care programs: the case of the Mount Sinai Visiting Doctors.

The coming decade will see a rise in the number of homebound seniors. These vulnerable patients have great difficulty accessing primary care. Home-based primary care (HBPC) can fill this healthcare need.

Brief communication: National quality-of-care standards in home-based primary care.

Background: Home-based primary care for homebound seniors is complex, and practice constraints are unique. No quality-of-care standards exist.

Objective: To identify process quality indicators that are essential to high-quality, home-based primary care.

A multidisciplinary program for delivering primary care to the underserved urban homebound: looking back, moving forward.

The coming decades will see a dramatic rise in the number of homebound adults. These individuals will have multiple medical conditions requiring a team of caregivers to provide adequate care. Home-based primary care (HBPC) programs can coordinate and provide such multidisciplinary care.

Medication utilization in an urban homebound population.

Background: The number of medically homebound adults has grown with the aging of the U.S. population, yet little is known about their health care utilization.

Home care of the frail elderly.

Statistics indicate that as the population ages, there will be an increased need for home care. Despite this increased need and the legal, clinical, and ethical obligations for physicians to participate, little training is available to physicians in the area of home care. This article provides physicians with an understanding of home care and how to incorporate it into clinical practice.

Using focus groups to identify asthma care and education issues for elderly urban-dwelling minority individuals.

A growing number of older adults are afflicted with asthma; these older asthmatic individuals suffer more deleterious consequences as compared with younger asthmatic individuals. Asthma is a chronic condition requiring the person's ability to self-manage symptoms. Few educational programs have focused on older asthmatic adults' learning needs and even fewer on those of older minority individuals with this disease.

The determinants of attitudinal change among medical students participating in home care training: a multi-center study.

Purpose: To report attitudinal changes of medical students from five medical schools rotating through a home care program, and to determine which of the program characteristics influenced attitudes the most.

Method: A survey instrument covering four home care domains (general attitudes, home-based therapies, home care training, and time and reimbursement) was designed and validated by the five schools involved. Using pre- and post-rotation scores, analyses were done to evaluate for attitudinal changes within and among schools.