Home Care Coordination

Over the past century, physician care has moved from the home into the office, nursing home, and acute care hospital. For many of the 2 million homebound persons in the United States today, this has resulted in fragmented care at best, and has imposed an excessive burden on the patients and their caregivers to maintain continuity of care. This problem is compounded by the fact that the homebound persons typically have a myriad of physical, psychological, and social problems that make their need for good access to healthcare even more imperative. One solution to this problem is the reintroduction of physician home visits as a routine component of comprehensive ambulatory care for homebound persons.

Mount Sinai Visiting Doctors represents a collaboration between the Departments of Medicine and Geriatrics, whose aim is to provide primary care services to homebound persons in Manhattan via the use of physician and nurse practitioner home visits.