Physician collaboration in home health care

Abstract

To better understand physician participation in home care, leaders of the American Academy of Home Care Physicians determined current physician home care attitudes and activities (house calls and agency referrals). Physicians who directly get involved with home care and make house calls have a greater likelihood to work with home health agencies. The key to success in physician collaboration is understanding what physicians need and providing services they have had a role in planning, implementing, and evaluating. Major educational initiatives will be required to prepare physicians for their collaborative role. Key words: home health care; physi cian home health attitudes, practices, and activities; physician home health agency referrals; physician house calls

Get full access to this article

View all access options for this article.

References

Cauthen DB The house call in current medical practice. J Fam Pract. 1981;13:209-213.

Siwek J. House calls: current status and rationale. Am Fam Physician. 1985;31:169-174.

Goldsmith SB House calls: anachronism or advent ? Public Health Rep. 1979;94:299-304.

Keenan JM , Bland CJ, Webster L, Myers S. The home care practice and attitudes of Minnesota family physicians. J Am Geriatr Soc. 1991; 39(11):1,100-1,104.

Boling PA , Retchin SM , Ellis J. , et al. Factors associated with the frequency of house calls by primary care physicians. J Gen Intern Med. 1991;6:335-340.

Health Policy Group. Part I. The home health care system. In: Physician Guide to Home Health Care. Chicago, III: American Medical Association; 1989.

Long-term Care for the Elderly: Issues of Need, Access, and Cost. Washington, DC: US General Accounting Office; November 1988. GAO/ HRD-89-5.

The Pepper Commission , The US Bipartisan Commission on Comprehensive Health Care. Factsheet distributed by the Pepper Commission. Washington, DC: 1990.

Keenan JM , Fanale JE Home care: past and present, problems and potential. J Am Geriatr Soc. 1989;37:1,076-1,083.

10.

American Medical Association Council on Scientific Affairs. Educating physicians in home health care. JAMA. 1990;265:769-771.

11.

American Geriatrics Society Public Policy Committee. Home care and home care reimbursement. J Am Geriatr Soc. 1989;37:1,065-1,066.

12.

American College of Physicians Health and Public Policy Committee. Home health care. Ann Intern Med. 1986;105:454-460.

13.

American Medical Association Panel on Home Care. Physicians and Home Care: Guidelines for the Medical Management of the Home Care Patient. Chicago, Ill: American Medical Association ; 1992.

14.

Keenan JM , Boling PA , Schwartzberg JG , et al. A national survey of the home visiting practice and attitudes of family physicians and internists. Arch Intern Med. 1992;152:2,025-2,032.

15.

Boling PA , Keenan JM , Schwartzberg JG, Retchin SM, Olson L. Home health agency referrals by internists and family physicians. J Am Geriatr Soc. 1992;40:1,241-1,249.

16.

Position statements. American Academy of Home Care Physicians

Newsletter. 1990;2(3): 1,4-7.

17.

Significant increase in reimbursement by Medicare for physician house calls. American Academy of Home Care Physicians Newsletter . 1992;4(1):1,3.

18.

Schwartzberg JG President's message. American Academy of Home Care Physicians Newsletter. 1993;5(1):1,4.

19.

American Medical Association Council on Scientific Affairs. Educating physicians in home health care. JAMA. 1991;265(6):769-771.