Following are summaries of peer-reviewed research, evaluations, and reports on home-based primary care programs. Many of these programs have demonstrated positive results, such as improved health and quality of life for patients and their caregivers, and reduced acute care use and costs across different populations and settings.
Home-Based Primary Care Visits by Nurse Practitioners
Home-based primary care nurse practitioners improve health outcomes for homebound older adults.
Outcomes of Home-Based Primary Care for Homebound Older Adults: A Randomized Clinical Trial
A home-based primary care program reduced hospitalization rates and improved satisfaction of care for homebound older adults.
Provision of Home-Based Primary Care to Individuals with Intellectual and/or Developmental Disability Is Associated with a Lower Hospitalization Rate Than a Traditional Primary Care Model
A home-based primary care program reduced hospitalizations for adults with intellectual and developmental disabilities in Ohio.
A Mixed-Methods Evaluation of Home-Based Primary Care in Dementia within an Integrated System
Home-based primary care did not decrease hospitalizations for people with dementia, but it did result in more patient- and family-centered end-of-life care.
Home-Based Primary Care: A Systematic Review of the Literature, 2010-2020
Literature review of nearly 90 articles on home-based primary care identifies themes for enhancing care quality.
“Eyes in the Home”: Addressing Social Complexity in Veterans Affairs Home-Based Primary Care
Home-based primary care programs enable care teams to gain insights on a variety of social factors that impact older adults’ health, which allows them to better tailor care to meet patient needs.
Home-Based Primary and Palliative Care in the Medicaid Program: Systematic Review of the Literature
Systematic review highlights cost savings and improvement in acute care utilization for Medicaid members and dually eligible individuals receiving home-based medical care.
Evaluation of the Independence at Home Demonstration: An Examination of the First Five Years
Federal home-based primary care demonstration showed mixed results on measures related to Medicare savings, care quality, and utilization for Medicare-only and dually eligible beneficiaries.
