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In the early 1960s, house calls by doctors were 40% of doctor-patient meetings. By 1980, they were 0.6%. Reasons include increased specialization and technology. In the 1990s, team home care, including physician visits, was a small but growing field in health care, for frail older people with chronic illnesses, until the Balanced Budget Amendment. Two thousand home health agencies went out of business. Although physicians romanticize the house call, an audience of homecare workers broke into uproarious laughter at the mention of physician involvement in home care. The reasons for fewer house calls include lack of physician education, concerns about providing low-quality care in the home, time inefficiency, inconvenience, and lower pay. Yet, there are an increasing number of doctors who like the idea of no office overhead. One "worth" of homecare is that it can provide safe access to care by people who are ill.
Some are finding physician house calls a worthwhile practice again in the United States. Large companies like Visiting Physicians Association (VPA), founded 1993, are now serving 50,000+ people in 10 states. Smaller physician owned companies like Visiting Medical Specialists of Ohio  are also sprouting up to serve the needs of the home-bound. House calls are provided by nurse practitioners as well, for example, Holy Cross Hospital's House Calls Program in Silver Spring, Maryland, USA, Metro Medical Direct in New York, New York, and Advanced Clinical Consultants in New Orleans, Louisiana, USA.
Current Physician House Call Providers in the United States
- Visiting Physicians Association (VPA)
- Visiting Medical Specialists of Ohio
- Encarta ® World English Dictionary © & (P) 1998-2004 Microsoft Corporation. All rights reserved.
- Twain, Mark. (1905 & editor commentary 2010 & 2001) Autobiography of Mark Twain, The Complete and Authoritative Edition, Volume 1. Berkeley, CA: University of California Press. ISBN 9780520267190
- Leff, Bruce, MD; Burton, John R. (2001) The Future History of Home Care and Physician House Calls in the United States. The Gerontological Society of America: Journal of Gerontology: MEDICAL SCIENCES 2001, Vol. 56A, No. 10, M603–M608 Oxford University
- consumer pamphlet: "Visiting Medical Specialists of Ohio
- Holy Cross Health
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