National Quality-of-Care Standards in Home-Based Primary Care
Authors: Steven H. Landers
Journal: Annals of Internal Medicine (2007)

Letters18 September 2007National Quality-of-Care Standards in Home-Based Primary CareSteven H. Landers, MD, MPHSteven H. Landers, MD, MPHFrom Case Western Reserve University School of Medicine, Cleveland, OH 44106.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-147-6-200709180-00018 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail TO THE EDITOR:Smith and colleagues (1) should be commended for their efforts to introduce quality standards for home-based primary care. Unfortunately, their selection process and choice of indicators overlooked important qualities of elderly patients with chronic illness and the role of home-based primary care. They have exaggerated the importance of narrow, condition-specific guidelines and have shortchanged the value of measuring patient-centered aspects of care. Following these guidelines could lead to lower-quality care as clinician attention is diverted from meeting patient and family goals to focusing on irrelevant checklists.Home-based primary care has tremendous potential to improve the care of ...References1. Smith KL, Soriano TA, Boal J. Brief communication: National quality-of-care standards in home-based primary care. Ann Intern Med. 2007;146:188-92. [PMID: 17283350] LinkGoogle Scholar2. Partnership for Solutions: Better Lives for People with Chronic Conditions. Accessed at www.partnershipforsolutions.org on 30 September 2006. Google Scholar3. Boyd CM, Darer J, Boult C, Fried LP, Boult L, Wu AW. Clinical practice guidelines and quality of care for older patients with multiple comorbid diseases: implications for pay for performance. JAMA. 2005;294:716-24. [PMID: 16091574] CrossrefMedlineGoogle Scholar4. Wenger NS, Solomon DH, Roth CP, MacLean CH, Saliba D, Kamberg CJ, et al. The quality of medical care provided to vulnerable community-dwelling older patients. Ann Intern Med. 2003;139:740-7. [PMID: 14597458] LinkGoogle Scholar5. Smith KL, Ornstein K, Soriano T, Muller D, Boal J. A multidisciplinary program for delivering primary care to the underserved urban homebound: looking back, moving forward. J Am Geriatr Soc. 2006;54:1283-9. [PMID: 16914000] CrossrefMedlineGoogle Scholar Author, Article, and Disclosure InformationAuthors: Steven H. Landers, MD, MPHAffiliations: From Case Western Reserve University School of Medicine, Cleveland, OH 44106.Disclosures: None disclosed. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetailsSee AlsoThe Quality of Medical Care Provided to Vulnerable Community-Dwelling Older Patients Neil S. Wenger , David H. Solomon , Carol P. Roth , Catherine H. MacLean , Debra Saliba , Caren J. Kamberg , Laurence Z. Rubenstein , Roy T. Young , Elizabeth M. Sloss , Rachel Louie , John Adams , John T. Chang , Patricia J. Venus , John F. Schnelle , and Paul G. Shekelle Brief Communication: National Quality-of-Care Standards in Home-Based Primary Care Kristofer L. Smith , Theresa A. Soriano , and Jeremy Boal National Quality-of-Care Standards in Home-Based Primary Care Kristofer L. Smith , Theresa A. Soriano , and Jeremy Boal Metrics Cited byDevelopment of an Interdisciplinary Team Communication Framework and Quality Metrics for Home-Based Medical Care Practices 18 September 2007Volume 147, Issue 6Page: 432KeywordsActivities of daily livingCaregiversConflicts of interestDeath ratesDementiaElderlyHeart failureMedicarePatients ePublished: 18 September 2007 Issue Published: 18 September 2007 Copyright & PermissionsCopyright © 2007 by American College of Physicians. All Rights Reserved.PDF downloadLoading ...