Association of Unplanned Home Visits, Deaths, Preference for Dying at Home, and Home Deaths With Patient Complexity in a Physician‐Led Home Visit Setting: A Secondary Analysis of a Multicenter Prospective Cohort Study

Association of Unplanned Home Visits, Deaths, Preference for Dying at Home, and Home Deaths With Patient Complexity in a Physician‐Led Home Visit Setting: A Secondary Analysis of a Multicenter Prospective Cohort Study

The primary objective was to examine the association between unplanned physician‐led home visits and patient complexity, as measured by the Minnesota Complexity Assessment Method (MCAM), and between mortality and patient complexity. The secondary objective was to investigate the relationship between patient complexity and patients' wishes to die at home, families' acceptance of the patients' deaths at home, and the location of death.

Medigy Insights

In U.S. home-based care programs, understanding patient complexity—especially biomedical and social factors—can help providers anticipate unplanned home visits and mortality risks, enabling more proactive care planning and resource allocation to improve outcomes and reduce costly urgent interventions.



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