title: Patient Home Visits: Measuring Outcomes of a Community Model for Palliative Care Education.
abstract: BACKGROUND
  Health care professionals may have limited exposure to home-based care. There is no published literature that has described the experiences and satisfaction of participation in patient home visits (PHV).
  
  
  OBJECTIVE
  The objective of this article is to describe the characteristics of PHV, our approach, and evaluation by participants over a nine-year period.
  
  
  METHODS
  We conducted a review of surveys completed by participants in PHV from 2005-2013. All participants anonymously completed the evaluation questionnaires at the end of PHVs. Different PHV assessment forms were used for the 2005-2010 and 2011-2013 time periods.
  
  
  RESULTS
  A total of 34 PHVs were conducted with 106 patients and approximately 750 participants with a mean of 3 patients and 22 participants per PHV between 2005 and 2013. For 18 PHVs there are 317 surveys completed with 353 participants, making it a 90% response rate. Responding participants were physicians 125/543 (23%) and other professionals 418/543 (77%). In both time periods of 2005-2010 and 2011-2013 a survey with a 1 (completely agree) to 5 (completely disagree) scale was used. Agreeing that PHV was an effective teaching tool during 2005-2010 were 335/341 (98%); during 2011-2013, 191/202 (95%) agreed that PHV provided increased understanding and sharing of best practices in palliative care.
  
  
  CONCLUSIONS
  PHV was perceived by participants as an effective way of providing interactive community education. A broad range of themes were addressed, and the participants reported high levels of learning in all domains of palliative care. There were no cases of patient or relative expression of distress as a result of PHV.
authors.affiliation: 1 Department of Palliative, Rehabilitation and Integrative Medicine, The University of Texas MD Anderson Cancer Center , Houston, Texas.
authors.forename: Julio A
authors.initials: JA
authors.lastname: Allo
authors.affiliation: 1 Department of Palliative, Rehabilitation and Integrative Medicine, The University of Texas MD Anderson Cancer Center , Houston, Texas.
authors.forename: Deanna
authors.initials: D
authors.lastname: Cuello
authors.affiliation: 1 Department of Palliative, Rehabilitation and Integrative Medicine, The University of Texas MD Anderson Cancer Center , Houston, Texas.|2 Department of Medical Oncology, Shuguang Hospital, Shanghai University of Traditional Chinese Medicine , Shanghai, China .
authors.forename: Yi
authors.initials: Y
authors.lastname: Zhang
authors.affiliation: 1 Department of Palliative, Rehabilitation and Integrative Medicine, The University of Texas MD Anderson Cancer Center , Houston, Texas.
authors.forename: Suresh K
authors.initials: SK
authors.lastname: Reddy
authors.affiliation: 1 Department of Palliative, Rehabilitation and Integrative Medicine, The University of Texas MD Anderson Cancer Center , Houston, Texas.
authors.forename: Ahsan
authors.initials: A
authors.lastname: Azhar
authors.affiliation: 1 Department of Palliative, Rehabilitation and Integrative Medicine, The University of Texas MD Anderson Cancer Center , Houston, Texas.
authors.forename: Eduardo
authors.initials: E
authors.lastname: Bruera
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001291:Attitude of Health Personnel; D004506:Education, Nursing / Q000458:organization & administration*; D005260:Female; D006282:Health Personnel / Q000523:psychology*; D006699:Home Care Services / Q000458:organization & administration*; D006792:House Calls; D006801:Humans; D007318:Inservice Training / Q000458:organization & administration*; D008297:Male; D008875:Middle Aged; D017063:Outcome Assessment, Health Care; D010166:Palliative Care / Q000523:psychology*; D017060:Patient Satisfaction; D011795:Surveys and Questionnaires; D013781:Texas