The Value of Home-Based Primary Care: Qualitative Exploration of Homebound Participant Perspectives

Older adults’ preference to age in place and health systems’ commitment to cost-effective quality care has set the stage for a growing interest in home-based primary care (HBPC). The objective of this study was to explore what patients and caregivers value about HBPC and what modifications could imp...

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Bibliographic Details
Published in:Journal of applied gerontology 2021-11, Vol.40 (11), p.1611-1616
Main Authors: LaFave, Sarah, Drazich, Brittany, Sheehan, Orla C., Leff, Bruce, Szanton, Sarah L., Schuchman, Mattan
Format: Article
Language:English
Subjects:
Aging
Caregivers
Health care expenditures
Health services
Home health care
Older people
Patients
Primary care
Rapport
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Summary:Older adults’ preference to age in place and health systems’ commitment to cost-effective quality care has set the stage for a growing interest in home-based primary care (HBPC). The objective of this study was to explore what patients and caregivers value about HBPC and what modifications could improve its value. Semi-structured individual interviews (n = 20) were audio-recorded, transcribed, and coded for themes. Four themes emerged: (a) HBPC offers peace of mind because patients can access care without leaving the home and can reach the primary care team at all hours, (b) HBPC supports aging in place by providing in-home care, (c) HBPC supports provider rapport building because of the intimate setting and continuity of care, (d) HBPC patients and caregivers have significant nonmedical needs. Findings suggest that teams developing or expanding on HBPC programs should prioritize access to providers, rapport building with patients and families, and supporting patients’ and caregivers’ nonmedical needs.
ISSN:0733-4648
1552-4523
DOI:10.1177/0733464820967587