Official websites use. Share sensitive information only on official, secure websites. Home-based primary care HBPC refers to the type of home care services which provide interdisciplinary primary care services with a comprehensive and continuous manner. Currently, it is getting much attention due to possess potential of converting primary care services from outpatient clinic to home, especially for those who are medically isolated including homebound older adults.
This study examined a number of HBPCs introduced in the literature since s, and summarizes the key factors with the analytic framework of 5Ps: purpose, patients, people, process, patterns. The results of this study emphasize that contents of primary care for older population should be different from those of the general population.
Primary care refers to healthcare service which is provided by a physician of the first or the most frequently contact. However, in countries where the most medical services are offered by private sector with competitive manner, the realistic meaning of primary care might be rather different. For example, in South Korea, it is widely accepted that primary care is the almost same terminology of local private local private clinics, because the proportion of the proportion of the private sector to total number of healthcare institutions which provide medical services is However, when we narrow our focus to the target population as older adults, we may doubt whether the current local clinics in Korea are appropriate for central roles of primary care.
In fact, the United States and some other countries of the Organisation for Economic Co-operation and Development OECD countries are moving to reform the primary healthcare system based on this recognition. This study emphasizes that the primary care for older adults should be different from that of the general population.
The most advanced medical care needed in 21st century is not in the highly technological services, paradoxically, but in the most analogue services of home care. Specifically, 2 questions are focused: 1 What is the core contents of HBPC which are commonly described in literatures? Since then, with the development of hospitals, the number of home visits has declined sharply, and a hospital-centered medical system has been formed in most countries after the midth century.
