Assessing the Efficacy of Targeted Home Visits in the Management of Chronic Conditions

The purpose of this study is to compare the health outcomes utilizing home medical visits to manage hypertension and type 2 diabetes as compared to standard of care clinic visits.

This project has 3 overall objectives:

• To test the efficacy of home medical visits by Family Medicine physicians specifically designed for patients with hypertension (HTN) and Type 2 Diabetes Mellitus (T2DM)
• To compare primary outcome of the patients randomly selected for home visits to similar patients receiving usual care in the clinical setting
• To understand the efficacy and impact of the home visit from the patient perspective

Study participant will receive usual care from a resident doctor in home. There will be (2) home visits conducted over the course of this study that will include a comprehensive assessment of hypertension, type 2 diabetes, and social factors that may be impacting their health. Study participants will also be asked to complete several questionnaires related to their knowledge of chronic diseases, personal health management, and experience of the study home visits.

Inclusion criteria

• Adult patients ages 18-60
• Spanish or English speaking
• Diagnosis of HTN or BP >140/90 in last 3 months (based on medical record)
• Hemoglobin A1C>8 in last 6 months (based on medical record)
• Not pregnant

Exclusion criteria

• Current oral steroid use
• History of solid organ transplant
• Language other than English or Spanish