Table of Contents

INTRODUCTION 1
Figure 1: Overview of different types of home-based medical care 2
BENEFITS OF HOME-BASED CARE 4
HEALTHCARE PROFESSIONAL EDUCATION AND HOME-BASED CARE 9
BURNOUT AND GRADUATE MEDICAL EDUCATION 12
CONCLUSION AND NEXT STEPS 13
PURPOSE 15
METHODS 16
SETTING AND PARTICIPANTS 16
PROGRAM DESCRIPTION 16
QUALITATIVE DESIGN 18
INSTRUMENTS 18
Table 1: Overview of topics included in interview guides 19
COLLECTION 20
ANALYSIS 21
RESULTS 21
HOME VISIT PATIENT DEMOGRAPHICS AND COMPARISON WITH CONTROLS 21
Table 2: Descriptive statistics of patients chosen for home visits and assigned controls 22
Figure 2: Healthcare utilization and co-morbidity scores of patients chosen by residents for home visits compared to controls 23
QUALITATIVE RESULTS 23
Table 3: Themes and sub-themes identified from interviews 24
RESIDENTS 24
Table 4: Provider themes and representational quotes from interviews. 30
PATIENTS 30
Table 5: Patient themes and representational quotes from interviews. 34
CONCEPT MAP 34
Figure 3: Deep dive into factors mediating relationship between home visits and identified themes 35
Figure 4: Concept map depicting connection between home visits and end outcomes identified through interviews 36
DISCUSSION 36
LIMITATIONS 41
Figure 5: Neighborhood information worksheet completed by PGY-1s and medical/pharmacy
students prior to each home visit 44
Figure 6: Reflection exercise completed by PGY-1s and medical/pharmacy students after home visits 44
NEXT STEPS 45
CONCLUSION 46