Abstract
Historically, house calls played an important role in mainstream medical practice, but since the early part of the 20th century, medical care has been increasingly focused on the acute care hospital. This focus appears to have contributed to increasing physician frustration, patient alienation, and a growing public dissatisfaction with service. The geriatric population, and in particular the frail elderly, are a unique and growing proportion of the general population, and they are also the major consumers of health care resources. Patient-oriented and professional factors point to a need for physicians to return to making more house calls. Active participation by primary care physicians in developing standards and conducting research in this area of practice is necessary.
Keywords: family medicine, geriatrics, home care, house calls, medical politics
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Selected References
These references are in PubMed. This may not be the complete list of references from this article.
- Barry P. P., Crescenzi C. A., Radovsky L., Kern D. C., Steel K. Why elderly patients refuse hospitalization. J Am Geriatr Soc. 1988 May;36(5):419–424. doi: 10.1111/j.1532-5415.1988.tb02380.x. [DOI] [PubMed] [Google Scholar]
- Garber A. M. Cost-containment and financing the long-term care of the elderly. J Am Geriatr Soc. 1988 Apr;36(4):355–361. doi: 10.1111/j.1532-5415.1988.tb02364.x. [DOI] [PubMed] [Google Scholar]
- Koren M. J. Home care--who cares? N Engl J Med. 1986 Apr 3;314(14):917–920. doi: 10.1056/NEJM198604033141410. [DOI] [PubMed] [Google Scholar]
- Ramsdell J. W., Swart J. A., Jackson J. E., Renvall M. The yield of a home visit in the assessment of geriatric patients. J Am Geriatr Soc. 1989 Jan;37(1):17–24. doi: 10.1111/j.1532-5415.1989.tb01563.x. [DOI] [PubMed] [Google Scholar]
- Reilly P. C., Jr, Reilly M. C. The cost of outpatient physicians' services at a Veterans Administration hospital. Ann Intern Med. 1980 Jul;93(1):128–132. doi: 10.7326/0003-4819-93-1-128. [DOI] [PubMed] [Google Scholar]
- Rossman I. The geriatrician and the homebound patient. J Am Geriatr Soc. 1988 Apr;36(4):348–354. doi: 10.1111/j.1532-5415.1988.tb02363.x. [DOI] [PubMed] [Google Scholar]
- Steel K., Markson E., Crescenzi C., Hoffman S., Bissonnette A. An analysis of types and costs of health care services provided to an elderly inner-city population. Med Care. 1982 Nov;20(11):1090–1100. doi: 10.1097/00005650-198211000-00004. [DOI] [PubMed] [Google Scholar]
- Steel K. Physician-directed long-term home health care for the elderly--a century-long experience. J Am Geriatr Soc. 1987 Mar;35(3):264–268. doi: 10.1111/j.1532-5415.1987.tb02322.x. [DOI] [PubMed] [Google Scholar]
