Emergency Medical Technician-Facilitated Telehealth Visits: A New Model to Expand Home-Based Primary Care for Homebound Seniors









  1. Ornstein KA, Leff B, Covinsky KE, et al. Epidemiology of the homebound population in the United States. JAMA Intern Med. 2015;175(7):1180–6. https://doi.org/10.1001/jamainternmed.2015.1849
  2. Mather M, Kilduff L, Scommegna P. Fact sheet: Aging in the United States [Internet]. Population Reference Bureau; 2019 [cited 2020 Apr 8]. Available from: https://www.prb.org/aging-unitedstates-fact-sheet/.
  3. West LA, Cole S, Goodkind D, He W. 65 in the United States: 2010 special studies current population reports [Internet]. US Dept of Health and Human Services, US Dept of Commerce; 2014 [cited 2020 Apr 8]. Available from: https://www.census.gov/content/dam/Census/library/publications/2014/demo/p23-212.pdf.
  4. Soones T, Federman A, Leff B, Siu AL, Ornstein K. Two-year mortality in homebound older adults: An analysis of the National Health and Aging Trends Study. J Am Geriatr Soc. 2016;65(1):123–9. https://doi.org/10.1111/jgs.14467
  5. Abrashkin KA, Poku A, Ramjit A, et al. Community paramedics treat high acuity conditions in the home: A prospective observational study. BMJ Support Palliat Care. 2019. https://doi.org/10.1136/bmjspcare-2018-001746
  6. Stall N, Nowaczynski M, Sinha SK. Systematic review of outcomes from home-based primary care programs for homebound older adults. J Am Geriatr Soc. 2014;62(12):2243–51. https://doi.org/10.1111/jgs.13088
  7. Edes T, Kinosian B, Vuckovic NH, Nichols LO, Becker MM, Hossain M. Better access, quality, and cost for clinically complex veterans with home-based primary care. J Am Geriatr Soc. 2014;62(10):1954–61. https://doi.org/10.1111/jgs.13030
  8. Yao N, Ritchie C, Camacho F, Leff B. Geographic concentration of home-based medical care providers. Health Affairs. 2016;35(8):1404–9. https://doi.org/10.1377/hlthaff.2015.1437
  9. Langabeer JR, Champagne-Langabeer T, Alqusairi D, et al. Cost-benefit analysis of telehealth in pre-hospital care. J Telemed Telecare. 2016;23(8):747–51. https://doi.org/10.1177/1357633X16680541
  10. Majors-Foley K. Telemedicine in prehospital stroke evaluation and thrombolysis: Taking stroke treatment to the doorstep. J Emerg Med. 2016;51(1):93–4. https://doi.org/10.1016/j.jemermed.2016.06.024
  11. Winburn AS, Brixey JJ, Langabeer J, Champagne-Langabeer T. A systematic review of prehospital telehealth utilization. J Telemed Telecare. 2017;24(7):473–81. https://doi.org/10.1177/1357633X17713140
  12. Champagne-Langabeer T, Langabeer JR, Roberts KE, et al. Telehealth impact on primary care related ambulance transports. Prehosp Emerg Care. 2019;23(5):712–7. https://doi.org/10.1080/10903127.2019.1568650
  13. Dang S, Olsan T, Karuza J, et al. Telehealth in home-based primary care: Factors and challenges associated with integration into veteran care. J Am Geriatr Soc. 2019;67(9):1928–33. https://doi.org/10.1111/jgs.16045
  14. Latus-Olaifa O, Norman GJ, Kurliand M, et al. Not yet ready for prime time: Video visits in a home-based primary care program. J Am Geriatr Soc. 2019;67(10):2202–4. https://doi.org/10.1111/jgs.16064
  15. De Cola MCD, Maresca G, D’Aleo G, et al. Teleassistance for frail elderly people: A usability and customer satisfaction study. Geriatr Nurs. 2020. https://doi.org/10.1016/j.gerinurse.2020.01.019




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