Demographics of a University Based Geratric Medicine House Call Program

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dc.creatorDunn, Leslie K.
dc.date.accessioned2019-08-22T21:33:38Z
dc.date.available2019-08-22T21:33:38Z
dc.date.issued1999-05-01
dc.date.submitted2014-01-14T06:24:04-08:00
dc.description.abstractThere has been a steady decline in the frequency of house calls by physicians during the 20th century. The reasons most commonly given for not making house calls are time constraints and poor reimbursements for the amount of time spent (1). Unlike younger age groups, those 65 and older tend to have physical limitations that prohibit routine visits to clinics (2). In a university based geriatric practice, there is a subgroup of individuals who are unable to access health care or see a physician without considerable expense and effort via ambulance transportation services. Without a physician house call visit, these older adults would not have routine access to health care (3). The Gerontology Assessment and Planning Program (GAP) at the University of North Texas Health Science Center at Fort Worth (UNTHSC) is involved in providing a physician directed house call program. By 2030, it is estimated that the older adults will comprise 25% of the total population (4). Encouraging independent living supported by community-based services will result in a greater number of homebound older adults requiring house calls by physicians (5). The challenge is to determine those likely to require house call services and the medical conditions and physical disabilities leading to the need for in home services. To understand the conditions and needs of these geriatric patients, a retrospective chart review was conducted. The study reviewed the demographic characteristics of the patients seen through the house call program, prevalent sources of referrals, health assessment at the point of admission into the house call program, profile of primary care givers and factors in the decision making process that physicians used to place patients on the service. Outcome data are presented including hospital admissions and deaths while on the house call program.
dc.format.mimetypeapplication/pdf
dc.identifier.urihttps://hdl.handle.net/20.500.12503/29423
dc.language.isoen
dc.provenance.legacyDownloads0
dc.subjectClinical Epidemiology
dc.subjectCommunity Health and Preventive Medicine
dc.subjectGeriatrics
dc.subjectHealth Services Administration
dc.subjectHealth Services Research
dc.subjectMedicine and Health Sciences
dc.subjectOther Public Health
dc.subjectPublic Health
dc.subjectSocial Welfare
dc.subjectHouse calls
dc.subjecttime constraints
dc.subjectreimbursements
dc.subjectgeriatrics
dc.subjectGerontology Assessment and Planning Program
dc.subjectUniversity of North Texas Health Science Center at Fort Worth
dc.subjectphysician directed house call program
dc.subjectdemographic characteristics
dc.subjectreferrals
dc.subjecthealth assessment
dc.subjectadmission
dc.subjectprimary care givers
dc.subjectpatients
dc.subjecthospital admissions
dc.subjectdeaths
dc.titleDemographics of a University Based Geratric Medicine House Call Program
dc.typeProfessional Report
dc.type.materialtext
thesis.degree.departmentSchool of Public Health
thesis.degree.grantorUniversity of North Texas Health Science Center at Fort Worth
thesis.degree.nameMaster of Public Health

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