Date of Award
Open Access Thesis
MS in Physician Assistant Studies (PA)
Physician Assistant Studies
Over the past century, the role of medical home visits in patient care has undergone significant changes. Historically, physicians routinely delivered medical care to sick patients in their own homes. In 1930, for example, such calls represented 40% of physician-patient encounters. As healthcare providers developed an increasing reliance on technology and as payment models began to prioritize volumes and efficiency, the provision of health care shifted to hospitals and office-based settings. An analysis of house calls in 1972 found that the number of in-home visits amounted to a mere 5% of physician-patient encounters and these rates continued to decrease to less than 1% by 1980. The seemingly antiquated practice, however, is undergoing a revival as an increasing amount of evidence is demonstrating the benefits associated with delivering home-based primary care (HBPC).
Pierre, Isaac, "An Evaluation of Home-based Primary Care (HBPC): Impact on Cost and Outcomes and Patient Satisfaction in the United States and Abroad" (2019). Theses and Graduate Projects. 944.