Health Care Utilization Before and After Enrollment in Home-Based Primary Care
Author Information
Author(s): Rizzo Samantha, Wahl Anne, Chameli Thomas, Ayers Lindsay, Mahmoudi Parsa, Kim Yijung, Bangerter Lauren, De Jonge Karl
Primary Institution: MedStar Washington Hospital Center
Hypothesis
Does enrollment in a home-based primary care model reduce emergency department visits and hospital admissions for homebound older adults?
Conclusion
Enrollment in a home-based primary care model significantly reduces the rate of emergency department visits and hospital admissions among homebound older adults.
Supporting Evidence
- The study included 530 patients enrolled in the home-based primary care program.
- Over 40% of the patients were living with dementia.
- Patients with coronary artery disease, chronic kidney disease, or COPD were more likely to visit the ED or be admitted to the hospital.
Takeaway
This study shows that older adults who get medical care at home visit the emergency room and get admitted to the hospital less often.
Methodology
Data were collected from electronic medical records for 12 months before and after enrollment in the home-based primary care program.
Participant Demographics
Most participants were female (76.4%) and African American (80.8%), with an average age of 84.3 years.
Statistical Information
P-Value
p < 0.001
Statistical Significance
p < 0.001
Digital Object Identifier (DOI)
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