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The program provides team-based, comprehensive care for medically complex Veterans in their homes. With population aging, VA aims to support age-friendly care by expanding and improving HBPC in a patient-centered, cost-effective manner. The paper reviews literature and institutional experience and offers a longitudinal perspective, covering early history, innovations, expansion challenges, and future research and practice directions.",{"@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-past-present-and-future/445033/",{"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-past-present-and-future/445033.png","ImageObject",300,407,{"name":92,"@type":93},"PakDamar76","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-10-30","2026-09-29",true,{"@type":102,"interactionType":103,"userInteractionCount":52},"InteractionCounter",{"@type":104},"ViewAction",{"@type":106,"mainEntity":107},"FAQPage",[108,114,118],{"name":109,"@type":110,"acceptedAnswer":111},"What is the VA Home-Based Primary Care (HBPC) program, and when was it launched?","Question",{"text":112,"@type":113},"The VA HBPC program is a team-based, comprehensive home care model. 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Jespersen1 | Anaïs Tuepker1,2 | Elizabeth C. Hulen1,3,4 | Senta G. Wiederholt1 | Dorothea Murray4 | Samuel T. Edwards1,4  \n1VA Portland Health Care System, Center to Improve Veteran Involvement in Care, Portland, Oregon, USA | 2Department of Family Medicine, Oregon Health & Science University, Portland, Oregon, USA | 3VA Office of Rural Health, Veterans Rural Health Resource Center, Portland, Oregon, USA | 4Division of General Internal Medicine and Geriatrics, Oregon Health and Science University, Portland, Oregon, USA  \nCorrespondence: Brooke V. Jespersen ([brooke.jespersen@va.gov](brooke.jespersen@va.gov))  \nReceived: 3 January 2025 | Revised: 3 July 2025 | Accepted: 26 July 2025  \nFunding: This work was supported by VA Health Systems Research, grant IIR-22-096 (PI: Edwards) and by a VA Office of Academic Affiliations Advanced Fellowship.  \nKeywords: history of geriatrics | home-based primary care | Veterans Health Administration  \nABSTRACT  \nLaunched in 1970, the Department of Veterans Affairs (VA) Home-Based Primary Care (HBPC) Program is a unique, wellresourced model that has influenced the development of HBPC practice more broadly. VA HBPC delivers team-based, comprehensive care in the homes of medically complex Veterans. As the population ages, VA is committed to supporting a continuum of age-friendly care. Expanding and improving VA HBPC is one important strategy to address the high needs of medically complex Veterans in a patient-centered, yet cost-effective manner. In this paper, we draw on the existing literature and our institutional knowledge as HBPC researchers within the VA system to present a longitudinal perspective on VA HBPC. We describe VA HBPC's early history, identify key innovations, discuss challenges to expansion and care delivery, and propose future research and practice directions. Our goal is to inform the provision of high-quality, cost-effective, home-based care for medically complex patients within VA and beyond.  \n1 | Introduction  \nThe Department of Veterans Affairs (VA) Home-Based Primary Care (HBPC) Program is a unique, well-resourced model that has influenced the development of HBPC practice inside and outside of the VA over the last 55 years. Launched in 1970, VA HBPC delivers team-based, comprehensive care in the homes of medically complex Veterans. The program's goals are to reduce hospitalization and institutionalization, maximize or maintain function, and maintain quality of life. Since its inception, VA HBPC has expanded to more than 400 sites based at 139 VA Medical Centers (VAMCs), serving over 50,000 Veterans [1], and is on track to add 75 HBPC teams by the end ofFY2026 [2] .  \nAs the population ages, VA is committed to supporting a continuum of age-friendly care [3] . Expanding and improving VA HBPC is one important strategy to address the high needs of medically complex older Veterans in a patient-centered, yet cost-effective manner. In this paper, we draw on the existing literature and our institutional knowledge as HBPC researchers within the VA system to present a longitudinal perspective on VA HBPC. Specifically, we describe VA HBPC's early history, identify key innovations, discuss challenges to expansion and care delivery, and propose future research and practice directions. Our goal is to inform the provision of high-quality, cost-effective, home-based care for medically complex patients within VA and beyond.  \nThis is an open access article under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non-commercial and no modifications or adaptations are made.  \nPublished 2025. This article is a U.S. Government work and is ","cbCaivlF7GmnlJqO","https://ap.wps.com/l/cbCaivlF7GmnlJqO","pdf",973033,11,"English","# Introduction\n## VA HBPC goals and growth\n# VA HBPC Patients and Outcomes\n## Patient needs and interdisciplinary teams\n## Care services and outcomes","[{\"question\":\"What is the VA Home-Based Primary Care (HBPC) program, and when was it launched?\",\"answer\":\"The VA HBPC program is a team-based, comprehensive home care model. It was launched in 1970 and delivers care for medically complex Veterans.\"},{\"question\":\"How does VA HBPC work to improve patient outcomes?\",\"answer\":\"HBPC aims to reduce hospitalization and institutionalization, maximize or maintain function, and maintain quality of life. It provides interdisciplinary, comprehensive services tailored to complex needs.\"},{\"question\":\"What innovations and future directions does the paper highlight?\",\"answer\":\"The paper identifies key innovations such as interdisciplinary teams, balancing standardization with flexible care design, integrating mental health services, and using technology to expand capacity. It also outlines challenges to expansion and proposes future research and practice directions to improve access and cost-effectiveness while preserving care quality.\"}]","Home-Based Primary Care in the Department of Veterans Affairs - Past, Present, and Future | PDF",1790710105,28]