An Education In Meeting Patients Where They Live

The common room on the ground floor of Dominion Place, an independent living community in downtown Richmond, Virginia, has an ambling, street-corner feel of a mild summer evening. Some tenants sit side by side, talking at each other, jocular, relaxed. Others are mostly silent, speaking only when the...

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Bibliographic Details
Published in:Health Affairs 2019-04, Vol.38 (4), p.520-525
Main Author: Goldman, T. R.
Format: Article
Language:English
Subjects:
Adults
Affordable housing
African Americans
Alliances
Apartments
Bleeding
Blood pressure
Cities
Clinical outcomes
Cooperation
Health care
Health care expenditures
Health care policy
Health promotion
Hospitals
Housing
Housing authorities
Independent living
Interdisciplinary aspects
Internet
Life expectancy
Life span
Medicine
Mental health
Money
Neighborhoods
Nonsteroidal anti-inflammatory drugs
Nursing homes
Older people
Patients
People with disabilities
Physicians
Postal services
Primary care
Public housing
Redevelopment
Residents
Rules
Schools
Students
Talking
Teams
Tenants
Training
Urban development
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Summary:The common room on the ground floor of Dominion Place, an independent living community in downtown Richmond, Virginia, has an ambling, street-corner feel of a mild summer evening. Some tenants sit side by side, talking at each other, jocular, relaxed. Others are mostly silent, speaking only when they have something to say.Almost all of the building's 250 residents live in identical, 452-square-foot one-bedroom apartments (two dozen apartments have been modified to make them accessible to people with disabilities), with the rent subsidized by the Department of Housing and Urban Development (HUD). The structure's bunker-style concrete façade was popular at the time the building was constructed in 1977.In a health care system that costs more money-US per capita spending on health care was over two and a halftimes the average for countries in the Organization for Economic Cooperation and Development in 2017 - yet whose outcomes are consistently worse than those in other large and wealthy countries, change is essential. The interprofessional group of health care students and faculty members who show up here every Thursday as part of the Richmond Health and Wellness Program (RHWP), setting up shop in the drab but comfortable community room, may represent one of the best ways to improve those metrics.
ISSN:0278-2715
1544-5208
DOI:10.1377/hlthaff.2019.00225