{"title":"Hospital-Level Care at Home Patients Remain at Home Longer Following Acute Illness: A Literature Review.","authors":"Julianne M Lally","doi":"10.1097/NHH.0000000000001304","DOIUrl":null,"url":null,"abstract":"<p><p>Hospital-level care at home (HCaH) is a modern alternative to traditional inpatient hospitalization (TIH) for acutely ill adults which is cost-effective without impacting patient mortality. Additional outcomes comparing HCaH and TIH have been studied including hospital readmission and post-acute care admission. There is convincing evidence that suggests a trend in the reduction of readmissions following acute hospitalization in the home. Additionally, post-acute care admissions have been significantly reduced following HCaH compared to TIH. The concept of a home hospital allows patients to remain home during acute illness and stay at home longer following discharge, thereby avoiding the need for hospital readmission and post-acute care placement. This research is increasingly important to the aging population in the United States that seeks a safe and beneficial alternative to overwhelmed medical facilities.</p>","PeriodicalId":37842,"journal":{"name":"Home healthcare now","volume":"42 6","pages":"347-353"},"PeriodicalIF":0.0000,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Home healthcare now","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1097/NHH.0000000000001304","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2024/11/4 0:00:00","PubModel":"Epub","JCR":"Q3","JCRName":"Nursing","Score":null,"Total":0}
引用次数: 0
Abstract
Hospital-level care at home (HCaH) is a modern alternative to traditional inpatient hospitalization (TIH) for acutely ill adults which is cost-effective without impacting patient mortality. Additional outcomes comparing HCaH and TIH have been studied including hospital readmission and post-acute care admission. There is convincing evidence that suggests a trend in the reduction of readmissions following acute hospitalization in the home. Additionally, post-acute care admissions have been significantly reduced following HCaH compared to TIH. The concept of a home hospital allows patients to remain home during acute illness and stay at home longer following discharge, thereby avoiding the need for hospital readmission and post-acute care placement. This research is increasingly important to the aging population in the United States that seeks a safe and beneficial alternative to overwhelmed medical facilities.
医院级居家护理(HCaH)是传统住院治疗(TIH)的一种现代替代方式,可用于治疗急性病成人,具有成本效益,且不会影响患者死亡率。对在家护理和住院治疗的其他结果进行了比较研究,包括再入院和入院后的护理。有令人信服的证据表明,在家中接受急性住院治疗后,再入院率呈下降趋势。此外,与 TIH 相比,HCaH 后的急性病入院率明显降低。家庭医院的概念允许患者在急性病期间留在家中,出院后在家中逗留更长时间,从而避免再次入院和接受急性期后护理。这项研究对于美国老龄化人口来说越来越重要,因为他们希望在不堪重负的医疗设施之外找到一种安全、有益的替代方案。
期刊介绍:
Home Healthcare Now is the professional, contemporary journal serving the educational and communication needs of home care and hospice nurses. The journal is highly interactive and timely, focusing on the multidimensional, interdisciplinary and specialty practice areas of home care nursing. Clinical, operational, and educational home care nursing issues are the core of the publication; plentiful columns and features focus on practical, up-to-date approaches to everyday situations, as well as analysis and interpretation of how healthcare trends affect the home care nurse''s practice.