@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 infrastructures of the hospital sector are likely to prove inadequate in the short term (source: The World Bank).


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 stay in hospital

  • fewer social repercussions for families

  • care can be “subcontracted” to independent practitioners

The cost of home care is 3 to 10 times lower than the cost of conventional hospitalization, depending on the illness.


Patients like and would recommend home care. 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

  • the patients cited the main benefit 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)


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**.

Certified by all the 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)


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

Creating a home care service based upon 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 the initial plus follow-up training sessions of your teams. It consists of a collection of various non-secret pieces of information which make the know-how linked to our concept.

Beyond this operation handbook, our experts are made available to consult with you regarding necessary as well specific aspects linked to your specific activities.


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

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

Certified model: a clear competitive edge

Kiné@Dom responds to the difficulty of accessing rehabilitation at home. This ground-breaking model became the French largest player in its sector. A “model 2.0” launched by Eleven AM

Kiné@Dom, recommended by patients and doctors:

  • Over 49,000 consultations in 2016
  • 491% increase in the number of consultations between Year 1 and Year 5

A credible nationwide response to a major public health problem

The solution is operational from day 1

Do you wish to create a home care facility based upon the @Dom concept?