Acceptability of early discharge, hospital at home schemes

Montalto, Michael; Grayson, M. Lindsay; Seamark, David; Seamark, Clare; Shepperd, Sasha; Jenkinson, Crispin; Harwood, Diana; Gray, Andrew; Vessey, Martin; Morgan, Patrick

doi:10.1136/bmj.317.7173.1652

Cited by 8 publications

(3 citation statements)

References 9 publications

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“…Patients in our study were recruited as outpatients and the management programme was directed by primary care, whereas in previous studies, 8,9 patients were randomized directly from a hospital emergency department and were, therefore, ‘considered inpatients in every sense other than that their care was provided at home’ 22 . Patients were also less severe than those in some other studies and this might have increased the chance of a positive result.…”

Section: Discussionmentioning

confidence: 99%

A chronic disease management programme can reduce days in hospital for patients with chronic obstructive pulmonary disease

Rea

McAuley

Stewart

et al. 2004

Internal Medicine Journal

157

156

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Section: Discussionmentioning

confidence: 99%

A chronic disease management programme can reduce days in hospital for patients with chronic obstructive pulmonary disease

Rea

McAuley

Stewart

et al. 2004

Internal Medicine Journal

157

156

View full text Add to dashboard Cite

show abstract

“…Comments and findings which point out discrepancies in the findings from RCTs (Illife, 1998;Richards et al, 1998;Shepperd et al, 1998;Padigilone, 2002) have been criticized by proponents of HITH in Australia. As an example, Montalto & Grayson (1998) charge those, cautious of the benefits attributed to HITH, of misunderstanding the specifics of the definition of home care and not considering Antipodean successes.…”

Section: The Structure Of Expert Evidencementioning

confidence: 99%

Hospital in the home: constructions of the nursing role – a literature review

Duke

Street

2003

Journal of Clinical Nursing

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Acute medical and nursing treatment in the home is increasingly seen as an alternative to hospitalization. Models such as hospital in the home (HITH) or acute home care are said to provide a safe, comfortable environment for patients that is conducive to healing. A review of the literature reveals the embryonic nature of the research and discussion related to this alternative care delivery model. In general, the benefits of hospital in the home programmes are presented in an uncritical manner. Medical practitioners have embraced the move to home care as a means of expanding the use of advanced technologies and improved drug regimes beyond the hospital walls. The nursing response has been mechanistic and recipe-like while advancing the HITH nursing role as an opportunity for specialty practice by virtue of the increased autonomy and independence required. This review demonstrates the influence of a professional mandate for specialization, and the ideological and scientific interests that have influenced the role of the nurse.

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“…The service was subsequently widened to include other patient groups and was found to be particularly valuable to elderly users. As in France, hospital-at-home schemes are well established in Australia (Montalto andGrayson 1998, Farnworth et al 1994), the United States (Weingarten et al 1994, cited in Wang et al 1998 and Sweden (Cedar and Thorngren 1982). In the United Kingdom, the majority of hospital-at-home schemes are set up to provide personal nursing and rehabilitation rather than technical services (Shepperd and Iliffe 1998).…”

Section: Origins Of Hospital At Homementioning

confidence: 99%

Client-Centred Practice: Is it Compatible with Early Discharge Hospital-at-Home Policies?

Lane¹

2000

British Journal of Occupational Therapy

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Current Government initiatives promote the provision of health care in the community rather than in medical institutions. Over the last decade there has been a growth in the number of early discharge hospital-at-home initiatives which provide a level of nursing and rehabilitation care in the home that previously would have been provided in an acute hospital. Simultaneously, there has been a move away from medical to client-centred models of health care delivery. These new client-centred models of health care emphasise collaboration between client and professional and encourage users of health care services to take greater control over and responsibility for their health care. Some occupational therapists may question whether the principles of client-centred care are compatible with the policy of discharging patients early from hospital while they remain in need of health care. This paper briefly reviews some of the principles of the Canadian Model of Occupational Performance; discusses some of the barriers to providing client-centred services in the early discharge hospital-at-home setting; and reflects upon whether the principles of client-centredness are consistent with early discharge from hospital policies.

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Acceptability of early discharge, hospital at home schemes

Cited by 8 publications

References 9 publications

A chronic disease management programme can reduce days in hospital for patients with chronic obstructive pulmonary disease

A chronic disease management programme can reduce days in hospital for patients with chronic obstructive pulmonary disease

Hospital in the home: constructions of the nursing role – a literature review

Client-Centred Practice: Is it Compatible with Early Discharge Hospital-at-Home Policies?

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