How Technologies Can Help Hospital-at-Home Care for Elderly People With Acute Heart Failure

Tibaldi, Vittoria; Nicoletta, A. Ricauda; Rocco, Maurizio; Carlo, Ismael

doi:10.1093/geroni/igx004.4528

Cited by 1 publication

(1 citation statement)

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“…HaH programs are beginning to incorporate technology to advance their capabilities and improve the safety and quality of care provided, expand the acuity and range of conditions they care for, and better leverage their workforce. 39,40 More research is needed to define standards for use of technology in HaH, gain a better understanding of the barriers to effective technology use, optimal remote monitoring and treatment approaches, and define the appropriate balance between high-touch and high-technology care. Studies should be conducted to understand how to maintain cybersecurity and optimally integrate technology into HaH clinical workflows and how to best match technology to the needs of patients.…”

Section: Technology and Telehealth For Hahmentioning

confidence: 99%

A research agenda for hospital at home

Leff

DeCherrie

Montalto

et al. 2022

J American Geriatrics Society

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Background: Hospital at home (HaH) provides hospital-level care at home as a substitute for traditional hospital care. Interest in HaH is increasing markedly. While multiple studies of HaH have demonstrated that HaH provides safe, high-quality, cost-effective care, there remain many unanswered research questions. The objective of this study is to develop a research agenda to guide future HaH-related research. Methods: Survey of attendees of first World HaH Congress 2019 for input on research for the future HaH development. Selection and ranking of important topic areas for future HaH-related research. Development of research domains and research questions and issues using grounded theory approach, supplemented by focused literature reviews. Results: 240 conference attendees responded to the survey (response rate, 55.3%). The majority were from Europe (64%) and North America (11%) and were HaH program leaders (29%), HaH physicians (27%), and researchers (13%). Nine research domains for future HaH research were identified: 1) definition of the HaH model of care; 2) the HaH clinical model; 3) measurement and outcomes of HaH; 4) patient and caregiver experience with HaH; 5) education and training of HaH clinicians; 6) technology and telehealth for HaH; 7) regulatory and payment issues in HaH; 8) implementation and scaling of HaH; and 9) ethical issues in HaH. Key research issues and questions were identified for each domain. Conclusions: While highly evidence-based, unanswered research questions regarding HaH remain, focusing research efforts on the domains identified in this study will serve to improve HaH for all key HaH stakeholders.

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Section: Technology and Telehealth For Hahmentioning

confidence: 99%