Tuesday, January 13, 2009
The patient-centered medical home--at home
Sometimes medicine is cyclical. Leeches went thoroughly out of style, and then it turned out that bleeding patients really was the best treatment for conditions like hemachromatosis.
Now an internist writing in the New York Times is arguing that house calls--rather than hospitalization--are the most cost-effective and high-quality means of care for many patients. Keeping patients at home protects them from hospital-acquired infections, dementia, bedsores (not to mention simplifying discharge!), Dr. Jack Resnick says. But he has a list of complaints about how the system makes home care more difficult that it needs to be and he admits that running from door to door is tough on docs.
So is it worth it? Would you trade hospital rounds for a drive around town?
Labels: practice management
posted by Stacey Butterfield at
8:00 AM
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