Home care (also called 'doctor home visits' or 'doctor at home') is an important type of medical care, where the doctor visits patients at the commodity of their home, office or hotel, instead of the patient needing to commute and visiting the doctor at a clinic or hospital, saving the patient hassle, effort and time (commuting, waiting in the clinic, waiting for an available appointment in weeks or months).

These advantages of home care are crucial if patients are frail, elderly, have poor mobility, or if they are recovering from a recent surgery or procedure and should not exert too much travelling to clinics or hospitals.

Home care is also convenient for patients who are just too busy to visit clinics during working hours, and in many occasions they end up delaying or missing the appointments, which certainly is not good for their health and their performance at that job (you need to be healthier to perform better at that job).

Similarly, patients taking care of relatives at home or taking care of children and unable to meet the doctor during clinic working hours can benefit from home services, having the doctor visiting them at their preferred time without leaving important family matters.

Thus, home care is both an important alternative to hospital-based or clinic-based medical care, or an adjunctive medical care option, complementing hospital-based or clinic-based medical care.


With our aging population accruing many metabolic chronic diseases and becoming frail and fragile, especially if suffering debilitating kidney disorders or kidney failure (with or without dialysis) renal home care can offer great advantages to patients.


Patients benefiting from home care by a kidney doctor in Singapore include:


1) Frail patients, elderly patients and patients with poor mobility.


2) Patients undergoing peritoneal dialysis (PD), which is a home-based therapy, making sense that the nurses or doctors can check patients progress and condition at their home, enhancing that 'home care experience'. 


Indeed, many issues, problems and complications of PD patients could be managed (or simply patients re-assured) at home without the need to go to the hospital or the emergency department, but indeed a doctor visit would be necessary for a proper advice and assessment of the situation.


3) Patients with busy lifestyles due to work or family commitments, who simply cannot go to the clinic due to business commitments or taking care of children or elderly relatives. Just let the doctor do the trip and assess you when you can and where you can.


4) Patients requiring EPO injections. Some patients need to travel to general clinics and wait for long. The doctor or nurse can go to your home and do the injections for you. In addition, we can train you, so you do need to call anyone or go to the clinic for this purpose.


5) Patients requiring insulin injections, where there is a concern e.g. that the elderly patient, living alone and having poor vision or hand arthritis, might not be able to set the correct dose of insulin injected, which is crucial.


6) Patients discharged from the hospital who require early assessment or treatments like administration of antibiotics or monitoring of blood sugars or monitoring symptoms (to be sure you are improving).


7) Patients who would like to discuss important medical matters in the comfort of their home with their loved ones present. Most of the time it is very difficult to gather together the entire family and the doctor at the hospital or clinic or during working hours or weekdays. Let the doctor go an discuss important medical matters (discussions on initiation of dialysis, going for transplant, treatment options, prognosis, etc), when and where you all can gather together without needing to leave other matters unattended if going to the hospital.


8) Foreign patients staying or recovering (after hospital discharge) in hotels within Singapore.




Overall, home visits can help reducing hospital stay for patients just needing monitoring or completion of antibiotics before discharge; reducing exposure to hospital germs (and potential complications that can be serious) and reducing hospitalisation costs. Once no strict hospital care is necessary, but still the patient needs monitoring by a nurse or doctor, it is better to recover at home that remaining in the hospital just to complete antibiotics or similar therapies or diagnostic tests. 


Thus, Dr Francisco shall feel happy and honoured to offer you more information on renal home care and to be your renal health provider at the commodity of your home.