Feasibility of Hospital-at-Home for Older Patients With an Acute Medical Illness

Out-of-hospital-treatment in the form of a hospital at home has been suggested as a potential alternative to hospital admission. The objectives of the study were to address the feasibility of a hospital at home supported by telemedicine for older patients requiring admission. Of 601 patients screene...

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Bibliographic Details
Published in:International journal of patient-centered healthcare 2018-01, Vol.8 (1), p.1-22
Main Authors: Tanderup, Anette, Ryg, Jesper, Lee, Anne, Lassen, Annmarie, Mejer, Karina, Soerensen, Gitte, Dinesen, Birthe, Larsen, Torben, Tahir Masud, Jens-Ulrik Rosholm
Format: Article
Language:English
Subjects:
Delirium
Emergency medical care
Feasibility
Geriatrics
Home health care
Hospitals
Illnesses
Intervention
Length of stay
Nurses
Nursing care
Patient satisfaction
Public health
Qualitative research
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Summary:Out-of-hospital-treatment in the form of a hospital at home has been suggested as a potential alternative to hospital admission. The objectives of the study were to address the feasibility of a hospital at home supported by telemedicine for older patients requiring admission. Of 601 patients screened, seven were eligible and willing to participate in the intervention. Poor health status and skepticism towards the technology was the main reasons for ineligibility and declining to take part. Patients admitted to the scheme at home felt safe and were positive regarding several aspects of the scheme. Health care professionals found that the intervention gave an opportunity to create a patient-centred treatment. However, the intervention was not successfully integrated because of the few cases. The economic evaluation found the cost of home admission depended on the turnover of patients. Hospital at home was not feasible in this setup and do not justify proceeding to a randomised controlled trial.
ISSN:2641-6255
2641-6263
DOI:10.4018/IJUDH.2018010101