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. 2018 Jun 30;22(2):62–72. doi: 10.4235/agmr.2018.22.2.62

Table 5.

List of program components to support home-based primary care (HBPC) operation

Contents Detailed program components
Healthcare services

  • Specialist for medical treatment (e.g., geriatric care unit)

  • Therapeutic therapy (e.g., physical/occupational therapy, nutritional counseling)

  • Pharmacist for drug management

  • Mental health support

  • Wound management

  • Patient and family education

  • Interpretation for foreigner
Community services

  • Home-delivered meal service

  • Pharmacy

  • Transportation (e.g., free shuttle bus for the disabled, taxi for the disabled)

  • Linkage to home care, hospitals, and Emergency Department

  • Adult protective services (e.g., welfare center for the elderly)
Standard of care

  • Guideline and protocol development

  • Quality and safety management

  • Regulatory requirements

  • Practice evaluation

  • Training program for HBPC workforce
Communication

  • Medical record system (e.g., electronic or paper chart)

  • Clinical information system

  • Team meeting

  • Messenger system

  • Community network (e.g., partnership with local service providers)
Coordination and coverage

  • Assess patients’ eligibility and enrollment

  • Scheduling home visits

  • Telephone triage

  • On-call and emergency coverage (e.g., 24-hour urgent telephone counseling)
Workforce management

  • Staff scheduling

  • Workload assessment

  • Recruiting

  • Licensure

  • Program marketing
Equipment and supply

  • Home visit bag supplies (e.g., stethoscope, dressing set, injectables)

  • Car supplies (i.e., suture kits, catheter, and insertion kits)

  • Durable medical equipment
Financial and legal support

  • Optimizing practice performance

  • Coding, billing (e.g., National Health Insurance Corporation, out-of-pocket payment)

  • Contracting

  • Malpractice

  • Regulatory review
Technical support

  • Diagnostic equipment (e.g., electrocardiogram, ultrasound scan, mobile x-ray)

  • Lab testing (e.g., blood test, urinalysis)

  • Telemedicine home monitoring
Sustainability

  • Political advocacy

  • Community engagement (e.g., local private clinics)

  • Meeting with sponsors/stakeholders (e.g., parent organization)

  • Grants and research

Adapted from Olsan et al. J Am Med Dir Assoc 2009;10:304–13, with permission of Elsevier.22)