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Older adults are living longer with more chronic disease and functional impairment than at any other time in history. Office-based practice is inadequate to meet the needs of patients who have difficulty leaving their homes for routine or urgent visits, and health care clinicians must choose between trying to manage their problems via telehealth or sending them to the emergency room via ambulance. Indeed, many clinicians receive little or no training in home-based medical care and are unable to consider a home visit that might avert a health crisis or an emergency room visit. Other clinicians know that house calls are possible but may not know how to work them into day-to-day practice.
In recent years, a growing number of clinicians have focused their practice on home-based medical care to meet the rising need. In fact, there has been a substantial increase in house calls provided to Medicare beneficiaries. In 2023, over 750,000 traditional Medicare beneficiaries, and in 2022, over 680,000 Medicare Advantage beneficiaries received longitudinal home-based medical care. While the number of house calls has increased rapidly, the number of clinicians providing those visits has markedly decreased, suggesting that clinicians who are providing such care are making it the sole focus of their practice.
This book is intended to be a practical reference for any clinician who has struggled to care for an older adult who has difficulty getting to the office. By describing fundamental principles of geriatric house call medicine and application to specific diseases and conditions, we hope to provide clinicians with the tools they need to provide timely, compassionate, and high-quality care for their older adult patients. The second edition has been updated to reflect changes in the healthcare system and approaches to care since the publication of the first edition.
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Dr. Colburn is a primary care geriatrician and clinician educator in the Division of Geriatric Medicine & Gerontology at the Johns Hopkins University School of Medicine. She is the Johns Hopkins Geriatrics Fellowship Program Director and Director of the Johns Hopkins Geriatrics Workforce Enhancement Program (GWEP), which is funded to improve primary care of older adults living in the community. She educates primary care clinicians, geriatric fellows, residents, and interprofessional trainees on primary care and home-based care of older adults.
Dr.Leff is a primary care geriatrician and health services researcher in the Division of Geriatric Medicine & Gerontology at the Johns Hopkins University School of Medicine. His research interests focus on innovative models of service delivery for older adults including home-based primary care. He co-leads the National Home-Based Primary Care Learning Network and is Past-President of the American Academy of Home Care Medicine.
Dr. Robertson is a home-based medicine physician and primary care clinician educator in the Division of Geriatric Medicine & Gerontology at the Johns Hopkins University School of Medicine. She is the Director of Education for the Johns Hopkins Home-Based Medicine (JHOME) program and the Geriatrics Fellowship Associate Program Director.
Dr. Schuchman is the Director of the Johns Hopkins Home-Based Medicine (JHOME) program which provides home-based medical care to older adults in Baltimore City, Baltimore County, Howard County, and Anne Arundel County, Maryland. He also is on the faculty in the Division of Geriatric Medicine & Gerontology at the Johns Hopkins School of Medicine and educates medical students, residents, and fellows in home-based medicine.
