it. Or allied health professionals or vendors may introduce devices into the home and train families in how to use them. This issue, he said, “needs to be explored more carefully.”

In response to a question about the logistics of home visits, Boling observed that traveling to care recipients has advantages over recipients traveling to care providers because most recipients are always at home, so people can be added to a schedule at the last minute. “I could see them within hours of the time that they need to be seen, not days or weeks. They don’t have to make an appointment. I go. If I can’t go, somebody else on my team goes.” With a good dispatch office and communications network, logistical problems are less severe than with traditional health care, and recipients are more satisfied. “You don’t see as many patients per day,” Boling admitted. But “those who are counting widgets and thinking in that way need to think differently about how this whole things works, because how many patients you see per day [is] really not the sole agenda.”

Sanford added that the use of interactive teleconferencing can bring health care providers into the home virtually. In that way, providers can see someone engaged in an activity in the place where they actually perform that activity.



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