Improving outcomes and lowering costs by applying advanced models of in-home care.

Cleve Clin J Med. 2013 Jan;80 Electronic Suppl 1:eS7-14. doi: 10.3949/ccjm.80.e-s1.03. Boling PA, Chandekar RV, Hungate B, Purvis M, Selby-Penczak R, Abbey LJ. Division of Geriatric Medicine, Department of Internal Medicine, Virginia Commonwealth University System, 417 N. 11th Street, Richmond, VA 23298, USA

With advances in monitoring and telemedicine, the complexity of care administered in the home to properly selected patients can approach that delivered in the hospital. The challenges include making sure that qualified personnel regularly visit the patient at home, both individually and in teams; information is accurately communicated among the caregiver teams across venues and over time; and patients understand the information communicated to them by providers. Despite these challenges, the benefits of treating chronically or terminally ill patients at home are significant. Among the most important are improved patient satisfaction and reduced cost. Numerous studies have shown that most patients prefer to spend their convalescence or their last days at home. The financial benefits of enabling patients to recover or to die at home are significant.

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