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The program aims to optimize health while reducing hospital, emergency, and nursing home use. Favorable outcomes include lower utilization, high patient and caregiver satisfaction, and reduced health care costs. With population aging, more older adults with complex medical needs lack access to HBPC, requiring VA and non-VA systems to expand and improve it. This presentation reviews 55 years of lessons, innovations, challenges, and proposed next steps for research and practice.",{"@graph":69,"@context":122},[70,84,105],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/home-based-primary-care-in-the-department-of-veterans-affairs-history-lessons-learned-and-next-steps/427723/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/home-based-primary-care-in-the-department-of-veterans-affairs-history-lessons-learned-and-next-steps/427723.png","ImageObject",300,407,{"name":92,"@type":93},"WPS_1786070896","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-10-20","2026-09-29",true,{"@type":102,"interactionType":103,"userInteractionCount":34},"InteractionCounter",{"@type":104},"ViewAction",{"@type":106,"mainEntity":107},"FAQPage",[108,114,118],{"name":109,"@type":110,"acceptedAnswer":111},"What is the goal of the VA Home-Based Primary Care program?","Question",{"text":112,"@type":113},"To promote optimum health while reducing the need for hospital, emergency room, and nursing home care.","Answer",{"name":115,"@type":110,"acceptedAnswer":116},"What outcomes has VA HBPC produced over time?",{"text":117,"@type":113},"It has shown favorable results such as reduced hospital, emergency, and nursing home utilization, high patient and caregiver satisfaction, and lower health care costs.",{"name":119,"@type":110,"acceptedAnswer":120},"Why is expanding HBPC important in the context of population aging?",{"text":121,"@type":113},"Population aging will increase the number of medically complex older people who could benefit from home-based care, yet many do not have access to an HBPC program.","https://schema.org",{"og:url":83,"og:type":124,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":126,"canonical":83},"index,follow",{"doc_id":128,"site_id":62},427723,1790759701,{"code":4,"msg":5,"data":131},{"doc_id":128,"user_id":132,"nickname":92,"user_avatar":133,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":134,"file_id":135,"file_url":136,"file_type":137,"file_size":138,"view_count":34,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":8,"language":139,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":140,"faqs":141,"seo_title":142,"seo_description":67,"update_tm":143,"read_time":81},549768072016,"https://ap-avatar.wpscdn.com/davatar_155a257f0dc6eb9ab79c44ca47cae57d","Innovation in Aging, 2025, Vol. 9, No. S2 717  \nAbstract citation ID: igaf122.2441  \nHOME-BASED PRIMARY CARE IN THE DEPARTMENT  \nOF VETERANS AFFAIRS: HISTORY, LESSONS  \nLEARNED, AND NEXT STEPS  \nBrooke Jespersen1, Anaïs Tuepker1, Elizabeth Hulen1, Senta Wiederholt1, Dorothea Murray2, and Samuel Edwards1, 1. VA Portland Health Care System, Portland, Oregon, United States, 2. Oregon Health & Science University, Portland, Oregon, United States  \nLaunched in 1970, the Department of Veterans Affairs (VA) Home-Based Primary Care (HBPC) Program is a distinctive, well-resourced home care model that has broadly influenced the development of HBPC practice. VA HBPC delivers team-based, comprehensive, longitudinal primary care in the homes of Veterans who are unable to access or have great difficulty accessing clinic-based care. The program’s goal is to promote optimum health, while reducing the need for hospital, emergency room, and nursing home care. Overall, VA HBPC has produced favorable outcomes (e.g. reduced hospital, emergency, and nursing home utilization; high patient and caregiver satisfaction) and has lowered health care costs. Given population aging, there will be more medically complex older people who would benefit from home-based care; yet most do not have access to an HBPC program. It is critical that VA and non-VA health systems expand and improve HBPC to meet the high needs of this patient sector in a patient-centered, yet cost-effective manner. VA HBPC’s fifty-five-year history contains important lessons about the provision of home-based medical care for high risk, high needs patients. In this presentation, we draw on the literature and our institutional knowledge as VA HBPC researchers to provide a narrative history of VA HBPC. We highlight key innovations, identify challenges to program expansion and care delivery, and propose next steps for research and practice, with the goal of informing home-based medical care in VA and beyond.","cbCaibyz3d0NlEq5","https://ap.wps.com/l/cbCaibyz3d0NlEq5","pdf",651811,"English","# Abstract\n## Program history and rationale\n## Care model and outcomes\n## Gaps in access and future needs\n## Innovations, challenges, and next steps","[{\"question\":\"What is the goal of the VA Home-Based Primary Care program?\",\"answer\":\"To promote optimum health while reducing the need for hospital, emergency room, and nursing home care.\"},{\"question\":\"What outcomes has VA HBPC produced over time?\",\"answer\":\"It has shown favorable results such as reduced hospital, emergency, and nursing home utilization, high patient and caregiver satisfaction, and lower health care costs.\"},{\"question\":\"Why is expanding HBPC important in the context of population aging?\",\"answer\":\"Population aging will increase the number of medically complex older people who could benefit from home-based care, yet many do not have access to an HBPC program.\"}]","Home-Based Primary Care in the Department of Veterans Affairs - History, Lessons Learned, and Next Steps | PDF",1790644679]