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House Calls and At-Home Care as a Community-Centered Strategy for Fall Prevention

Licensed doctors and trained assistants make house-calls to local elderly citizens, alleviating health risks while building community.

Photo of Eva Czapski
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Who is your idea designed for and how does it enable older adults to live their best possible life by preventing falls?

This community-sourced, at-home care program benefits elderly citizens with affordable care that comes without the frustrations and risks associated with outside healthcare provision. The doctors and assistants who provide care within people's homes are able not only to assess patients' physical health and administer some treatments, but also to look into their living situation and suggest improvements to alleviate risks. These prescriptions for the home itself will aid in fall prevention.

Older adults often have difficulty in a number of different areas when seeking healthcare outside of the home. People who cannot safely drive due to weakened eyesight or other health-related reasons must find a ride to each doctor's appointment, which can pose both financial and logistical obstacles. Appointments often involve long wait times, which can be difficult if not impossible for certain people, depending on their health and personal needs. Doctors themselves are often busy and do not have enough time to spend with each patient. 

Seeking solely outside healthcare poses physical risks to people who are prone to falls and injuries. Additionally, an outside doctor is not able to assess patients' living conditions, and cannot do anything to prevent falls at home.

Having individuals from the community supplement outside healthcare by making house-calls and building close relationships with older patients will address these issues by providing more effective care and fall prevention, while at the same time improving relationships between younger and older local residents.

What early, lightweight experiment might you try out in your own community to find out if the idea will meet your expectations?

Identify individual doctors, nurses, EMT's and other trained healthcare providers who are willing to take a temporary, part-time paid position as an in-house caregiver for older patients. Next, identify elderly citizens who are frustrated with outside healthcare systems. Match patients with caregivers and facilitate the beginning of their relationship; the experiment would span about one month and include between 5 and 10 home visits, depending on the patient's wellness.

What skills, input, or guidance from the OpenIDEO community would be most helpful in building out or refining your idea?

In order to be further developed, this idea needs help with logistics: figuring out funding, insurance benefits, and ways to best implement the program in specific communities. What type of community would work best as a prototype while testing this program?

How long has your idea existed?

  • 0-3 months

This idea emerged from

  • An Individual


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Photo of Nancy  Sinatra

Health care maybe that kind of problem, where we talk as though we all have the same fundamental goals. Thank you so much for sharing your idea with us. I wish you the best of luck and may you be a winner every time in life.

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