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What's it called when a doctor goes to your house? The return of the house call

3 min read

In the 1930s, physician house calls accounted for approximately 40% of patient encounters, a practice that nearly vanished but is now experiencing a modern resurgence. This revival of the practice known as a house call is driven by a focus on patient-centered care, convenience, and technology.

Quick Summary

A doctor visiting a patient at their home is known as a house call, a traditional practice that is now making a modern comeback. The concept has evolved beyond simple one-off visits, encompassing various mobile and in-home medical services aimed at providing personalized, convenient, and accessible healthcare to patients, particularly the elderly and those with mobility challenges.

Key Points

  • House Call: The traditional and modern term for a doctor visiting a patient at home for medical care.

  • Convenience: Modern house calls eliminate the need for travel, offering great convenience for busy individuals and those with mobility issues.

  • Patient-Centered Care: At-home visits provide more personalized, unhurried attention, fostering a deeper doctor-patient relationship.

  • Increased Access: These services improve healthcare access for homebound individuals, seniors, and those in remote areas.

  • Finding a Provider: Resources like the American Academy of Home Care Medicine directory and various mobile medical apps can help locate a visiting physician.

  • Beyond House Calls: Today's options include visiting physician programs, concierge medicine, and mobile medical services, which often utilize modern, portable technology.

In This Article

The Classic House Call and Modern Mobile Medicine

The classic "house call" is the most direct answer, referring to a physician visiting a patient at their residence to provide medical care. While this practice was common before the mid-20th century, it became less frequent due to the rise of specialized hospital care and advanced medical technology. Today, the concept is experiencing a renaissance, driven by patient demand for convenience, personalized care, and accessibility. Modern house calls are often facilitated by specialized visiting physician services, concierge medical practices, and even on-demand mobile medical companies.

Benefits of In-Home Medical Care

Receiving medical care at home offers numerous benefits for patients and their families. For elderly or homebound individuals, a house call eliminates the difficulty and stress of traveling to a doctor's office. This personalized, one-on-one attention can lead to a deeper doctor-patient relationship and a more thorough understanding of the patient's living conditions and overall health.

Other key advantages include:

  • Reduced exposure to germs: Patients, especially those with compromised immune systems, can avoid waiting rooms filled with other sick individuals.
  • Increased safety and independence: For seniors, a physician visiting the home can assess safety risks and help manage chronic conditions more effectively, promoting independence.
  • Cost-effectiveness: By helping prevent unnecessary hospitalizations or emergency room visits, at-home care can be more cost-effective in the long run.
  • Enhanced family involvement: Family members and caregivers can easily participate in the appointment and care planning.

Who is a good candidate for in-home medical visits?

While anyone can benefit from the convenience of an at-home medical visit, certain individuals are particularly well-suited for this model of care. These include:

  1. Seniors and homebound patients: Those with limited mobility, chronic conditions, or complex medical needs who find travel difficult.
  2. Patients with busy schedules: Professionals or busy parents who need care for minor issues without taking significant time off work or managing transportation for multiple family members.
  3. Post-hospitalization patients: Individuals recovering from an illness or surgery who need consistent follow-up care in a familiar, comfortable setting.
  4. People seeking a personalized approach: Those who desire more one-on-one time with their physician and a less rushed experience.

Comparing Modern Medical House Calls to Traditional Care

Feature Modern Medical House Calls Traditional Office Visit Telemedicine
Location Patient's home, office, or hotel Doctor's office or clinic Remote (video, phone, text)
Physical Exam Comprehensive, in-person exam possible Standard, in-person exam Limited to visual assessment
Equipment Often includes portable lab tests, EKGs, etc. Full diagnostic equipment available Requires patient-owned devices (e.g., blood pressure cuff)
Convenience High; eliminates travel and waiting rooms Low to moderate; requires travel Very high; instant access from anywhere
Patient Focus Personalized, unhurried, one-on-one Often time-constrained; shorter appointments Effective for quick questions, but less personal
Cost Varies; may be higher per visit but can reduce overall costs Varies by insurance and co-pay Often lower than in-person care; varies by plan

How to Find a Doctor Who Does House Calls

Finding a doctor who makes house calls is easier now than it has been in decades. Several resources can help connect you with mobile medical providers:

  • Start with your primary care physician (PCP): Your current doctor may offer this service or be able to refer you to a reputable network of visiting physicians.
  • Use online directories: Websites like the American Academy of Home Care Medicine (AAHCM) provide a nationwide directory for locating house call providers.
  • Contact home health agencies: These agencies often have lists of visiting physicians and other healthcare professionals who provide in-home services.
  • Check with concierge medicine practices: Concierge doctors often offer house calls as part of their membership services.
  • Search for on-demand medical services: Several apps and online platforms now specialize in connecting patients with doctors who can come to their home for both urgent and primary care needs.

For more detailed guidance on finding quality home-based care, you can explore resources from the American Academy of Home Care Medicine: www.aahcm.org.

Conclusion

While a doctor visiting your house is traditionally called a house call, the modern practice has expanded into a range of mobile medical services designed to provide convenient, personalized, and accessible healthcare in the comfort of your home. This revival of an old tradition is not just a novelty; it's a valuable option, especially for the elderly, homebound, and those seeking a more patient-centered approach to their health. By understanding the available resources, you can find a provider who brings quality medical care directly to you.

Frequently Asked Questions

A house call is an in-person, physical visit by a doctor to a patient's home, allowing for a comprehensive physical exam. Telemedicine, on the other hand, is a remote consultation via video, phone, or message, which does not involve a physical visit and is limited in diagnostic scope.

Coverage varies depending on your insurance plan and the provider. Some services, particularly those for eligible homebound patients, may be covered by Medicare, while others from concierge services may require an upfront fee. It is best to check with your provider and insurance company.

House calls declined significantly after the mid-20th century due to several factors, including the growth of hospital-based medicine, increased specialization among physicians, technological advancements requiring office-based equipment, and insurance reimbursement policies that favored office visits.

Modern house call doctors can treat a wide range of acute illnesses, manage chronic conditions like diabetes and hypertension, provide routine check-ups and vaccinations, and offer post-hospitalization care. Thanks to portable technology, they can often perform labs and basic diagnostic tests on-site.

No, house calls are not for medical emergencies. In a life-threatening situation, you should immediately call emergency services or go to the nearest emergency room. House call services are best for non-emergency primary and urgent care needs.

A visiting physician service is a modern medical practice or program that employs doctors, nurse practitioners, and other healthcare professionals to provide care directly in a patient's home. These services are often geared toward homebound seniors and those with chronic illnesses.

While most house call providers are general practitioners, some specialized services exist, especially through certain home health agencies or concierge medical programs. The feasibility depends on your location and the type of specialty needed.

References

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Medical Disclaimer

This content is for informational purposes only and should not replace professional medical advice.