I found the research of Stewart and colleagues on integrating physician services in the home1 to be interesting and encouraging. There is always more than 1 way (and sometimes a better way) of doing things. We are looking for a better way of caring for our adults with developmental disabilities, especially the ones who have difficulty transitioning to adult care because of the complexity of their health issues.
I was very encouraged by the program that the authors were able to develop. The outstanding features were the interest shown by the family doctors in the community, the support offered by the specialist, and the funding obtained for the nurse practitioner and medical coordinator. These are all challenges we are currently facing. I would be interested if the authors or others with similar successes have any practical advice on how such challenges can be tackled.
Reference
- 1.Stewart M, Sangster JF, Ryan BL, Hoch JS, Cohen I, McWilliam CL, et al. Integrating Physician Services in the Home. Evaluation of an innovative program. Can Fam Physician. 2010;56:1166–74. [PMC free article] [PubMed] [Google Scholar]