Abstract
A Physician Home Visit Program for patients with human immunodeficiency virus infection was established to test its impact on patient care. A total of 113 patients with human immunodeficiency virus infection were seen for a total of 2170 visits over a three-year period. Visits were categorized as post-hospital discharge monitoring, acute home care, debilitated patient support, terminal care, and outreach. Outcomes were assessed for care that would have otherwise required an outpatient hospital visit, emergency room (ER) visit, or hospitalization. Also, frequency of ER visits and hospitalizations were measured for the six months before and after entry into the program. The program prevented an estimated 54 hospitalizations over three years, saving approximately $1,400,000. Program patients experienced a 17% reduction in ER visits and 24% in hospitalizations. The Home Visit Program reduced the frequency of hospital visits, while still allowing patients with complicated advanced medical conditions to receive quality care.
Published Version
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