Services provided in institutions (eg, long-term care and correctional facilities) were not included for this analysis. We used Medical Services Insurance billing database location codes HOME (patient’s home) and HMHC (acute home care) to count the number of home visits done by MAAP-NS FPs in the fiscal year corresponding with the survey data collection. Linkage to billing data was done by HDNS for FPs (not NPs) who participated in either of the MAAP-NS surveys. Survey data included FP age and sex, whether the practice was rural or not, and FPs’ self-reported anticipated retirement date. The small number of NP respondents did not allow for subgroup analyses, so all analyses were conducted for FPs only, except to separately report the proportion of NPs who indicated on the practice survey that they provided home visits. Whether providers conducted home visits as a part of their practice was drawn from a yes or no question in the provider survey.
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We therefore sought to investigate patterns of home visit provision among primary care providers in Nova Scotia (NS) using data from a census survey of FPs, NPs, and their practices linked with administrative billing data. 7 Furthermore, patterns of primary care comprehensiveness are evolving, and the effects of these changes on home visits are not known. 7 Factors associated with home visit provision included being an FP, older physician age, male sex, and being in rural, especially solo, practice. 6 An American study of 22 186 physicians providing primary care for Medicare beneficiaries found that only 5% provided home visits. 5 In addition to a low response rate (19%), the survey was limited in not collecting data on the frequency of home visits, and the overall number of visits was assumed to be low. The 2010 National Physician Survey of Canadian FPs found that 42% of respondents reported doing home visits.
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1, 2 Dedicated programs exist in some jurisdictions but are not widely available across Canada.Īlthough home visit prevalence is assumed to be waning, 3, 4 little is known about how many home visits are done by primary care providers (ie, FPs and nurse practitioners ) outside of dedicated home visit services. Home visits (also known as housecalls or domiciliary visits) by primary care providers are a vital service for vulnerable populations, including frail and house-bound older adults.
#Home visits doctors plus#
Les médecins de famille ruraux avaient fait plus de visites à domicile (nombre médian = 29 ) que leurs homologues urbains (nombre médian = 14 ) ( p <, 001). Les hommes MF avaient facturé un plus grand nombre de visites à domicile (nombre médian = 21 visites) que les femmes MF (nombre médian = 12 ) ( p <, 001). Parmi les MF qui avaient facturé des visites à domicile durant l’année à l’étude, le nombre médian de visites à domicile (intervalle interquartile ) s’élevait à 16 (2 à 42) l’intervalle était de 1 à 1265.
#Home visits doctors .exe#
Dans les analyses multivariables, l’âge plus avancé des MF, l’âge plus avancé des patients, l’emplacement rural de la pratique et le sexe masculin des MF étaient tous indépendamment associés à la prestation des visites à domicile et au nombre de ces visites (tous p <, 0001). Tant dans les données du sondage que dans celles de la facturation, les MF plus âgés étaient plus enclins à faire des visites à domicile ( p <, 01).
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Dans l’ensemble, 84,4 % des MF qui ont répondu au sondage ont signalé qu’ils faisaient des visites à domicile.