Abstract:
:More than 6 million adults in the United States are homebound or semi-homebound and would benefit from home-based medical care (HBMC). There is currently no nationally recognized quality of care framework for home-based medical care. We sought to capture diverse stakeholder perspectives on the essential aspects of quality HBMC and create a quality of care framework for homebound adults. A qualitative analysis of semistructured interviews from purposive sampling of key HBMC stakeholders was performed. Leaders from 12 exemplar HBMC practices (clinicians and administrators), advocacy groups (American Association of Retired Persons, National Partnership for Women and Families, Kaiser Family Foundation), and representatives from 3 key professional medical societies associated with HBMC participated in phone interviews. Semistructured interviews were based on domains of quality developed by the National Quality Forum (NQF) for individuals with multiple chronic conditions. We identified 3 categories of quality HBMC: provider and practice activities; provider characteristics; and outcomes for patients, caregivers, and providers. Within these 3 categories, we identified 10 domains and 49 standards for quality HBMC. These included 3 new domains (comprehensive assessment, patient/caregiver education, and provider competency) as well as specification and adaptation of the NQF Framework for Multiple Chronic Conditions domains for HBMC. Notably, several quality domains emanating from the NQF Framework for Multiple Chronic Conditions (transitions, access, and patient/caregiver engagement) were applicable to HBMC. This quality of care framework serves as a guide for HBMC practices seeking to improve their care quality and as a starting point for health systems and payers to ensure value from HBMC practices with whom they work.
journal_name
J Am Med Dir Assocjournal_title
Journal of the American Medical Directors Associationauthors
Ritchie CS,Leff B,Garrigues SK,Perissinotto C,Sheehan OC,Harrison KLdoi
10.1016/j.jamda.2018.05.020subject
Has Abstractpub_date
2018-10-01 00:00:00pages
818-823issue
10eissn
1525-8610issn
1538-9375pii
S1525-8610(18)30292-5journal_volume
19pub_type
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journal_title:Journal of the American Medical Directors Association
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更新日期:2018-12-01 00:00:00
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pub_type: 杂志文章,评审
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更新日期:2018-05-01 00:00:00
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更新日期:2020-11-01 00:00:00
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更新日期:2014-09-01 00:00:00
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更新日期:2017-03-01 00:00:00
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更新日期:2017-10-01 00:00:00
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更新日期:2015-12-01 00:00:00
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doi:10.1016/j.jamda.2013.02.003
更新日期:2013-08-01 00:00:00