2019-08-222019-08-221999-05-012013-05-16https://hdl.handle.net/20.500.12503/26680Johs, Jennifer L. An Evaluation of an Interdisciplinary House Calls Program For the Frail Homebound Elderly. Master of Public Health (Biomedical Sciences), May, 1999, 57 pp., 4 tables, references, 66 titles. The current study compared utilization markers of 87 frail elderly homebound patients prior to and subsequent to enrollment in an interdisciplinary, physician-led house calls program, as well as measured efforts to increase documentation of advance directives. After enrollment in the program the number of hospital admissions (p=0.047) and emergency department visits (p=0.030) were significantly decreased. The number of admissions to skilled nursing facilities (p=0.023) was also reduced, as was length of stay in skilled nursing facilities (p=0.018). The prevalence of advance directives increased from 26% to 74% (p [less than] 0.001) subsequent to enrollment. Patients who died were more likely to die at home (19) than in the hospital (6). All patients who died at home had documented advance directives.application/pdfenClinical and Medical Social WorkCommunity Health and Preventive MedicineHealth Services AdministrationHealth Services ResearchMedical SpecialtiesMedicine and Health SciencesOther Medical SpecialtiesPrimary Careelderly homebound patientshouse callsemergency department visitsadvancementsThesis