Efficacy of hospital in the home services providing care for patients admitted from emergency departments

Abstract

Given evidence suggesting that HiTH services which recruit patients directly from the ED contribute to cost-savings, greater patient satisfaction and safety and efficacy outcomes that are at least equivalent to those associated with hospital-based care, the expansion of such programmes might therefore be considered a priority for policy makers.

Patient satisfaction with a hospital-in-the-home service

“…Others have demonstrated the benefits of the service (Caplan et al, 1999;Van Donk et al, 2009, Montalto 2010, Rodriguez-Cerrillo et al 2012, Varney, Welland & Jelinek 2014 and some propose that hospitals invest in HitH medical leadership and supervision to expand their HitH services (Montalto 2010). The growing number of older people over 60 years presents a challenging healthcare burden and it is projected that by 2030, there will be over 20 million people over the age of 60 years (Age UK, 2018).…”

“…The 'Hospital in the home' (HitH) model is one solution that allows patients to return home and receive short-term treatment in a familiar environment. Since its inception, many countries have created their own version of HitH services and reported on various aspects including efficacy, safety, cost and patient satisfaction with very positive results (Caplan et al, 1999;Van Donk et al, 2009, Montalto 2010, Rodriguez-Cerrillo et al 2012, Varney, Welland & Jelinek 2014 whilst also highlighting the need for strategic planning and coordinated partnerships (Brody et al 2019). One study noted that use of HitH resulted in a reduction in hospital readmissions from 7% to 3% (Rodriguez-Cerrillo et al 2012).…”

“…Another review of HitH services concluded that HitH care was at least equivalent to hospital-based care and offered greater cost savings (Varney, Welland & Jelinek 2014). In terms of satisfaction with the HitH service, the literature reports the positive impact of HitH on patient care and notes the overall efficacy of the HitH programme (Caplan et al 1999, Montalto 2010, Varney et al 2014. Patient satisfaction is a goal in its own right and more importantly, patient satisfaction is an important determinant of patients' concordance with advice and treatment.…”

Proyecto HAD 2020: una propuesta para consolidar la hospitalización a domicilio en España

“…En los últimos años se han sucedido las publicaciones de costes en HAD y en la actualidad disponemos de un cuerpo de evidencia suficiente para poder afirmar que se trata de un modelo asistencial coste-efectivo, aunque no todos los estudios han resultado concluyentes en este sentido (16,(23)(24)(25)(26)(27).…”

The future of community nursing: Hospital in the Home

“…There is now evidence supporting this model as an alternative to hospital based treatment for acute presentations (Leff, 2013). Hospital in the Home has been developed as a way of managing patients in the community and avoiding hospital admission or expediting discharge from hospital (Caplan et al 1999;Montalto et al 2010b;Varney et al 2014). Hospital in the Home programmes have been reported to be at least equivalent to standard acute hospitalisation in terms of patient mortality and morbidity (Utens et al 2013) and often report improved patient satisfaction whilst associated with reductions in mortality, readmission and cost (Spiliopoulos et al 2008).…”