Finding the best ways to organize home-based primary care
Defining Successful Program Configurations in Home-Based Primary Care
This project learns which VA home-based primary care program setups help Veterans with complex chronic conditions spend more time living safely at home.
Quick facts
| Grant type | NIH-funded research |
|---|---|
| Study type | NIH-funded research |
| Funding institution | Portland VA Medical Center NIH-funded |
| Lab location | 1 site (Portland, United States) |
| Project ID | NIH-11193245 on NIH RePORTER |
What this research studies
You will hear about work that compares different VA Home-Based Primary Care (HBPC) programs across sites to find what combinations of staff, services, and local context support patients staying at home. The team uses a mixed-methods configurational analysis that combines program data, patient outcomes, and information from staff to identify meaningful patterns. The main patient-centered outcome is "home time," the time a Veteran can live independently at home, and the study links program features to this outcome and to hospital use. Results will be used to guide how HBPC is expanded and adapted to different communities.
Who could benefit from this research
Good fit: Veterans with complex chronic conditions who are enrolled in or eligible for VA Home-Based Primary Care are the most relevant group for this work.
Not a fit: People who are not enrolled in VA care, who do not have complex chronic conditions, or who need facility-based long-term care are unlikely to see direct benefit from this project.
Why it matters
Potential benefit: If successful, this work could help the VA expand and shape home-based care so more Veterans with chronic illness can remain living at home longer and avoid hospital stays.
How similar studies have performed: Prior VA research shows HBPC is linked to fewer hospitalizations and lower costs, but using configurational analysis to pinpoint which program combinations work best is a newer approach.
Where this research is happening
Portland, United States
- Portland VA Medical Center — Portland, United States (Active)
Researchers
- Principal investigator: Edwards, Samuel T — Portland VA Medical Center
- Study coordinator: Edwards, Samuel T
About this research
- This is an active NIH-funded research project — typically early-stage science, not a clinical trial accepting patient enrollment.
- Some NIH-funded labs run parallel clinical studies or seek volunteers for related work. To check, contact the principal investigator or institution listed above.
- For full project details, budget, and progress reports, visit the official NIH RePORTER page below.