Home-Based Primary Care: A Needed Primary-Care Model for Vulnerable Populations

Home-based primary care has a long history in American medicine, and its prevalence is again increasing slowly in the United States in response to a changing demographic, societal, and health-policy climate. There are many models of home-based primary care, including private practice, academic, Veterans Affairsassociated, and concierge practices. There is a growing body of literature supporting the effectiveness of the medical house-call model. New healthcare reform initiatives could further impact the number and size of home-based primary-care practices, including the Independence at Home and the Accountable Care Organization demonstration projects. Mt Sinai J Med 79:425432, 2012 (c) 2012 Mount Sinai School of Medicine