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. Author manuscript; available in PMC: 2017 Aug 1.
Published in final edited form as: J Am Geriatr Soc. 2016 Jul 7;64(8):1622–1627. doi: 10.1111/jgs.14244

Table 2. Patient and Caregiver Views of Home-Based Primary Care.

Theme Example

Access You know, and it's just so much easier to not have to take him to the doctor's office. Because, you know, he's getting so less mobile that – even with one of his caregivers with him, it's really hard to take him downstairs, get him into the car. And it just takes so much out of him. Even with it being on the ground floor, it was so hard on him, just terrible. He couldn't even – then when he's in the waiting room, he had trouble getting out of the chair, and so he'd just be kind of – I'd be exhausted, too, but he'd really be exhausted. - Caregiver
They also come on a regular basis every month to actually check on her and they call to find out how she's doing and every time she falls ill they always do a follow up visit. They check the blood pressure, the oxygen, they check the whole body to find out. - Caregiver
It's a 24 hour thing, so for instance they're already off there's always a doctor on call that is wonderful because even in the middle of the night I can give them a call. They're very, very fast at responding, I was very surprised. - Patient

Affordability Yeah, not having to – excuse me – provide transportation to and from the doctor's office has been tremendous. ‘Cause the one time we had to go, we had to call an ambulance, and it was like 900 bucks. Shoot, I coulda bought me a old ambulance.” But we needed those youngsters to get her up the stairs. - Caregiver
Well, I guess this is all covered with – by insurance. And so, you know, that's – if I had gone with one of the concierge ones, I'd have to – they – since they don't cover it, we would have had to pay out of pocket. – Patient
These other doctors…would not accept Medicare or MediCal. They said that I had to pay for the visit. And the visit was like $200 something per visit. And I said, ‘No, impossible. We cannot afford that.’ These doctors accept the Medicare and MediCal that my mother has so it's really, I guess really perfect - Caregiver

Provider competency They're pretty thorough. Again, the same thing that he really appreciated, they seem to be very kind and respectful. I don't feel rushed, so that's a nice thing. I really feel like they take a lot of time with him, which, you know, is unusual in this day and age. - Caregiver
You know what I think for a medical person you need knowledge. You need knowledge without knowledge that wouldn't work, because other people are also nice. But if both together that's what I appreciate. - Patient
They've been very prompt about coming here. They've taken a lot of time with him. They seem very knowledgeable about the needs of elderly people. Good bedside manner. Very kind and respectful towards him and towards me as well. So, that's – I appreciate that. - Caregiver

Care coordination She coordinates the medical care. So, that's huge. So, I don't have to go find a doctor, locate somebody if he has another kinda problem; she does it. - Caregiver
Well, I mean they're in constant touch with the staff [at the assisted living facility]. So, they're informing him what they have to do and what the needs – you know, what his – you know, if his condition changes and they have to monitor him more closely; or things are just going fine, and they don't have to monitor him. - Caregiver

Goal attainment Usually I'm here, but she sometimes will try to get him alone, and she makes it a point to let him now that he can talk to her and tell her if he feels he's just so fed up that he does not want to continue dialysis. So, she lets him know that he can let her know that, even if he doesn't want to tell me. - Caregiver
They accept the patient where they're at, and they want to give the patient whatever quality of life that they express they feel they have or want to have, and they're not pushing their own agenda. - Patient