Physicians’ attitudes toward home healthcare services in Turkey: A qualitative study

Aksoy, Hilal; Kahveci, Rabia; Döner, Pınar; Aksoy, İhsan; Ayhan, Duygu; Koc, Emre; Şencan, İrfan; Koçyiğit, İsmail; Özkara, Adem

doi:10.3109/13814788.2015.1096339

Cited by 7 publications

(11 citation statements)

References 18 publications

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“…1). Of these, there were two qualitative studies, 25,26 10 questionnaire surveys 12,14,[18][19][20][21][22][23][24]31 and two review articles. 5,29 Additionally, one review article 27 and one questionnaire survey 31 had only their abstracts available.…”

Section: Resultsmentioning

confidence: 99%

“…Overall, 13 articles 12,13,[18][19][20][21][22][23][24][25][26][27][28] were found to be relevant, with information regarding the attitudes of GPs towards house calls. Three other articles 5,29,30 identified from the reference lists of these articles were also found to be relevant and included.…”

Section: What Gap This Fillsmentioning

confidence: 99%

“…13 Incorporating house calls into the medical curriculum will address the issue of doctors feeling untrained to make house calls. 23,24,26 One study evaluating the exposure of family medicine residents to home visits showed that graduating residents had a confidence level of making house calls of 80%, compared to the 40% of entering residents. 30 Another study showed that graduates of programmes where faculty made house calls and programmes where residents made house calls on a longitudinal basis were significantly more likely to offer house calls in their practices.…”

Section: Attitudes Towards House Callsmentioning

confidence: 99%

“…Some have also recognised that the sustainability of existing and future home-based primary care programmes will rely on effective education in 'house call medicine'. 3,30 Pressure from patient's family 19,21,28 Important for providing good, comprehensive care 13,20,23 Elderly, homebound or bedbound patients, especially those with transport (unavailable or unaffordable) issues 5,18,19,[21][22][23]26,28,29,31 Patients who need end-of-life care 5,18,19,22,26,28,29 Rewards Doctor Job and personal satisfaction 19,23,25,26,28,29 Gathering information about patient and family, especially non-medical aspects 13,18,[20][21][22][25][26][27][28][29] Opportunity to assess patient's function and safety 5 Diversion from daily routine 25 Please and satisfy patients 13,20,25 Enhance pract...…”

Section: Attitudes Towards House Callsmentioning

confidence: 99%

“…Comfort and convenience/avoid travel 5,18,22,23,25 Reassurance (especially for elderly) 5,29 Reduce feelings of isolation for those who live alone 5 Avoiding the waiting room, 5,29 preventing hospitalisation 17 and hospital-acquired infections 26 Reducing institutionalisation of geriatric patients 29 Better compliance with medical treatment plan 5,21,22,28…”

Section: Patients and Caregiversmentioning

confidence: 99%

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Attitudes, perceptions and practice patterns of primary care practitioners towards house calls

Soh

Low

2018

J Prim Health Care

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INTRODUCTION Historically, doctors routinely delivered medical care to sick patients in their homes, with house calls accounting for 40% of all doctor–patient encounters in the 1940s. This proportion has dwindled to less than 1% today. Advantages of house calls include decreased mortality rates, admissions to long-term care in the general elderly population and increased patient appreciation. Therefore, we asked ‘Why do some primary care practitioners do house calls and what are the reasons that others do not?’. AIM This review aims to understand the attitudes, perceptions of Primary Care Practitioners (PCPs) towards house calls and their practice patterns. METHODS A search of PubMed and Embase was conducted for articles published before 31 December 2017. A total of 531 articles with 44 duplicates was generated. Of these, 13 were shortlisted along with three hand-searched articles for a total of 16 articles included in this review. RESULTS Primary care providers were aware of the role of house calls and their advantages in enabling comprehensive care for a patient. They saw making house calls as a responsibility with rewards that enhanced the doctor–patient relationship. However, opportunity cost, time, medical liability and miscellaneous reasons such as the lack of training precluded some PCPs from making more house calls. DISCUSSION Primary care practitioners recognise the importance of house calls, especially in the care of elderly patients, but there are many unaddressed issues such as opportunity cost and clinical inadequacy in the home setting that have caused a decline in house calls over the years.

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