Economic comparison between Hospital at Home and traditional hospitalization using a simulation‐based approach

Background Hospital-at-home (HaH) provides acute healthcare in patients’ homes as an alternative to traditional hospital inpatient care. HaH has been shown to improve clinical outcomes, increase patient satisfaction, and reduce hospitalization costs. Despite its effectiveness, the uptake of HaH remains slow and little is known about factors that impact the quality and transferability of HaH. This review aimed to qualitatively synthesize existing literature to examine the perspectives of stakeholders to identify areas of improvement in this model of care. Methodology Six electronic databases (Cumulative Index of Nursing and Allied Health Literature, PubMed, Embase, PsychINFO, Scopus, and Mednar) were searched from inception date until 3 February 2021. The included studies were assessed for quality using the Critical Appraisal Skills Program tool. This review was registered on the International Prospective Register of Systematic Reviews. The meta-synthesis was completed according to Sandelowski and Barroso’s guidelines. Results Sixteen articles met the inclusion criteria. The overarching synthesized theme was “the intricacies of developing HaH,” and the four main themes were (1) factors influencing patient selection, (2) advantages of HaH, (3) challenges of HaH, and (4) enablers for HaH development. Conclusion Overall, high levels of satisfaction were expressed by various stakeholders. Continuity of care remains an important factor for patient-centeredness in HaH. Caregivers should be involved in the decision-making process and supported throughout the HaH duration to prevent caregiver burnout. Collaboration and coordination among healthcare professionals are vital and can be strengthened through training and technological advancements of remote patient monitoring. Institutional and organizational support for stakeholders may make HaH a viable solution to modern healthcare challenges. Supplementary Information The online version contains supplementary material available at 10.1007/s11606-021-07065-0.

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“…Such regulatory and healthcare financing reforms 56 are critical for any healthcare system to comprehensively develop HaH. 57 …”

Section: Discussionmentioning

confidence: 99%

Perceptions of Hospital-at-Home Among Stakeholders: a Meta-synthesis

Chua

Lai

et al. 2021

J GEN INTERN MED

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“…Relevant performance indicators used for the evaluation are economic costs from the hospital point of view (costs related to the consumption of resources, the cost of allocated resources). DES is a useful tool to compare different structures without bias and assess economic key indicators (Rodríguez-Verjan et al 2013). What-if?…”

Section: Methodology Of the Projectmentioning

confidence: 99%

Performance evaluation of Health Information Systems using ARIS modeling and discrete-event simulation

Augusto¹,

Rejeb²,

Xie³

et al. 2015

2015 Winter Simulation Conference (WSC)

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Innovation and health-care funding reforms have contributed to the deployment of Information and Communication Technology (ICT) to improve patient care. Many health-care organizations considered the application of ICT as a crucial key to enhance health-care management. This paper aims at providing a global methodology to assess the organizational impact of high-level Health Information System (HIS) on patient pathway. We propose a performance evaluation for HIS using formal modeling with ARIS (Architecture of Integrated Information Systems) models and a Discrete Event Simulation approach. The methodology is applied to the consultation for cancer treatment process. Simulation scenarios are established to conclude about the impact of HIS on patient pathway. We demonstrated that although high level HIS lengthen the consultation, occupation rates of oncologists are lower and quality of care is higher (through number of available information accessed during the consultation). The methodology is flexible enough to be applied to other health-care systems.

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“…Thirdly, HaH can positively impact on patients' quality of life. HaH introduces new forms of responsibility and engagement in the health domain, offering to patients and their families the opportunity to acquire the knowledge and competencies useful to proactively collaborate with health professionals (Rodríguez et al, 2013). Because it aims at organizing in the patient's home a "care setting" equivalent to the hospital one, helpful for chronic illnesses, HaH has the potential to increase patient and caregiver satisfaction so as to improve patients' quality of life.…”

Section: Hospitalization-at-homementioning

confidence: 99%

Responding to COVID – 19: Insight Into Capability Re-Configuration of Healthcare Service Ecosystems? The Use Case of Hospitalization at Home

Badr¹,

Nabil²,

Carrubbo³

et al. 2021

JSIS

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An effective Healthcare Service Ecosystem must emphasize the notion of well-being co-creation which entails a dynamic interplay of actors, in face of the challenges, with their ability to use the available resource pools, at the different system levels. An appropriate response, largely avoiding any crisis, depends on a society's resilience and the related response of actors in the reconfiguration of resources. Originally considered luxury and for the fortunate few who could afford the learning curve, Hospitalization-at-Home (HaH) recently approached a new normal with a positive impact to health outcomes. Nowadays, hospitals have had to reconfigure their health services to reduce the workload of caregivers during the COVID-19 outbreak. We show an example of how HaH can be a viable re-configuration of Healthcare Service Ecosystems and a use case for capability reconfiguration. Our use case can be a lesson for the adaptation of technology for patient empowerment allowing patients to interact with their care ecosystem while at their home.

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Economic comparison between Hospital at Home and traditional hospitalization using a simulation‐based approach

Cited by 21 publications

References 34 publications

Perceptions of Hospital-at-Home Among Stakeholders: a Meta-synthesis

Perceptions of Hospital-at-Home Among Stakeholders: a Meta-synthesis

Performance evaluation of Health Information Systems using ARIS modeling and discrete-event simulation

Responding to COVID – 19: Insight Into Capability Re-Configuration of Healthcare Service Ecosystems? The Use Case of Hospitalization at Home

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