• Email Us : contact@p4mlabs.com

Implementation of Home Care Services
in Existing Healthcare Structures

   Home Care Mission

We offer a broad scope of patients the comfort of effective at-home healthcare that optimizes treatment, reduces overall costs and minimizes risks due to unnecessary hospitalization.

   Independence and Mobility for an Aging PopulationAn Aging Population

@Dom Concept

The world faces a new challenge: loss of autonomy

  • 9% of people aged over 60 are losing their autonomy (source[FR]: Insee, France).

  • A total of 1.6% of GDP goes to financing this loss of autonomy (source: OECD) and 74.55% of this cost was met by the public authorities.
    Between now and 2060, the total cost in % of GDP is forecast to increase by 65.9%.

  • Major impact on the population: it takes on average 3.3 family members or friends to support a person who is no longer independent (source: Insee, France)

Current infrastructure of the hospital sector is likely to prove inadequate in the short term (source: The World Bank).

   Growth of Home-Based CareHome-Based Care


Home care practices meet OECD’s policy to control health expenditure

They offer many advantages compared to traditional practices:

  • lower patient transport costs

  • no accommodation costs

  • reduced exposure to nosocomial infections

  • lower risk of loss of autonomy following a hospital stay

  • fewer social repercussions for families

  • care can be “subcontracted” to independent practitioners

Depending on the illness, the cost of home care can be 3 to 10 times lower than the cost of conventional hospitalization.

   Patient Plebiscite for Home-Based CarePatients' wish


Patients like home care and would recommend it to others, according to the results of 2 flagship studies in France in 2015*:

  • 93% of patients are satisfied with this type of care

  • 95% of patients said the care met with their expectations

  • 50% reported being able to work on personal projects because they stayed in their environment

  • Patients cited the main benefits of home care as:
    • staying in your everyday environment (69%)

    • remaining with family (55%)

    • avoiding travel (38 %)

    • avoiding nosocomial infections (37%)

* Studies by the Fédération des Prestataires de Santé à Domicile (France, 2015) and the Centre de Recherche d’Etudes et de Documentation en Economie de la Santé (France, 2015)

The @Dom Concept : Our ground-breaking model

The @Dom Concept : Our ground-breaking model


@Dom was launched in France, in the field of physiotherapy, in one of the most complex administrative systems in the world*, in Nice, Provence-Alpes-Côte-d’Azur, the city of France with the largest number of practitioners**.

@Dom is certified by all administrative bodies:

  • Corporation Tax Center

  • Trade & Companies

  • Employee Retirement and Welfare Protection Funds

  • National Health Insurance Fund

  • Regional Health Board

  • National Council for the Order of Physiotherapists

* Country classification based on “Burden of government regulation”, at the last World Economic Forum: France 115th/138
** Nice has 192 physiotherapists per 100,000 inhabitants compared to 128/100,000 in France (source[FR]: National Health Insurance)

   Our expertise


We assist customers who have chosen the @Dom concept when creating their homecare service. Each facility opening is based on a stepwise roadmap. The concept allows our client companies to benefit from our multidisciplinary expertise encompassing legal, social and financial aspects along with marketing, management and logistics.

Creating a home care service based on the @Dom concept means ensuring that your company is prepared to face the challenges the future holds and that no detail is left to chance.


Customers who have chosen the @Dom concept benefit from a digital handbook listing all the company’s internal processes. This handbook will help you follow those processes and manage your team’s initial and follow-up training sessions.

Beyond this operational handbook, our experts are available to consult with you regarding your specific deployment of the @Dom concept.


Our experts have defined management indicators linked to your activity, established through pilot tests within our companies. Our customers benefit from a detailed business plan, along with a cutting-edge organizational interface that allows real-time management of your company. Thanks to the indicators pre-defined by our team, you will know in advance the different budgets to allocate to specific positions, in gross amounts and percentage of your turnover.

You can then forecast your revenues and your expenses, along with salaries and social security costs, in order to match your objectives.

   Kiné@Dom, Our Pilot Company: Proof of ConceptProof of Concept

Certified Model: a Clear Competitive Edge 

Kiné@Dom responds to the difficulty of accessing rehabilitation at home. This ground-breaking model became the sector’s largest player in France A “Model 2.0” launched by P4M Labs

Kiné@Dom, recommended by patients and doctors:

  • Over 49,000 consultations in 2016
  • 491% increase in the number of consultations between Year one and Year five

We offer any healthcare group the possibility to implement the Kiné@Dom model in their strategy to achieve better care for patients with reduced mobility, while scaling down medical costs. Our clients start to see operational improvements from day one.