Geographic Concentration Of Home-Based Medical Care Providers

Health Aff (Millwood). 2016 Aug 1;35(8):1404-9. doi: 10.1377/hlthaff.2015.1437.

Abstract

The United States faces a shortage of providers who care for homebound patients. About 5,000 primary care providers made 1.7 million home visits to Medicare fee-for-service beneficiaries in 2013, accounting for 70 percent of all home-based medical visits. Nine percent of these providers performed 44 percent of visits. However, most homebound people live more than thirty miles from a high-volume provider.

Keywords: Aging; Home Care; Home-Based Medical Care; Homebound; Workforce Issues.

MeSH terms

  • Aged
  • Aged, 80 and over
  • Databases, Factual
  • Female
  • Geography
  • Geriatric Assessment
  • Health Care Costs*
  • Health Personnel / economics*
  • Home Care Services / economics
  • Home Care Services / statistics & numerical data*
  • Homebound Persons / statistics & numerical data*
  • House Calls / economics
  • House Calls / statistics & numerical data
  • Humans
  • Male
  • Medicare / economics*
  • Medicare / statistics & numerical data
  • Retrospective Studies
  • United States