Home-Based Primary Care (HBPC) | Home Care (HC) |
---|---|
Service description | |
Longitudinal primary care by physician and nurse practitioners through regular house calls | “Usual” primary care, physician may or may not make house calls |
Integrated team of registered nurses, and allieda health professional working with family physicians and nurse practitioners | Home care nursing and alliedahealth professional services delivered through separate home health services program, communicating with family physician as needed |
Regular team face to face meetings between physicians, nurse practitioners, and other team members, easy ad hoc communication amongst team members | No regular team meetings between physicians and HC team by fax or phone call |
Team shares common electronic medical record across disciplines | Separate electronic record for physician and HC team with no interoperability |
Dedicated 24/7 physician/nurse practitioner and capacity for responsive same-day/night care | Variation in 24/7 physician coverage, no capacity for responsive same-day/night care |
Home support delivered by contracted out service through home and community care system | Home support delivered by contracted out service through home and community care system |
Population Service Use Characteristics and Eligibility Criteria | |
Already requiring and receiving regular assistance for personal care (HC services) | New onset of need for regular assistance for personal care (washing, meal preparation, feeding, medication management) |
Unable to access usual primary care due to advanced frailty (homebound) | Able to access usual primary care |
Referral sourceb | |
Usual family physician, case manager at health unit of geographic catchment in which patient resides | Self-referral, physician, hospital |