Individuals' Awareness of and Willingness to Accept Hospital-at-Home Services and Related Factors: A Cross-Sectional Study

Xu, Siyu; Wang, Jingjun; Wang, Ya; Wang, Mengmeng; Huang, Xia; Huang, Haibao

doi:10.3389/fpubh.2022.823384

Cited by 4 publications

(1 citation statement)

References 30 publications

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“…Low public awareness of the availability of HaH has also been observed in studies in other countries. [13] Thus, a key challenge for the healthcare community and policy makers is to raise public awareness of the availability of HaH.…”

Section: Discussionmentioning

confidence: 99%

Perceptions of home hospitalization among the public and physicians in Israel: Findings from surveys conducted for the Dead Sea Health Policy Conference of 2022

Laron,

Nissanholtz-Gannot,

Fialco

et al. 2024

Preprint

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Background Hospital at Home (HaH) is an alternative care model that delivers acute hospital-level services in patients’ homes. Despite its proven advantages and the accumulated experience with HaH worldwide, it did not gain a significant foothold in Israel until 2020, during the COVID-19 pandemic. The issue was highlighted at the Dead Sea Conference on Health Policy in 2022. This study examines and compares perceptions of HaH among the Israeli public (potential patients and their families) and among physicians (in the community and in the hospitals), Jewish and Arab, and identifies facilitators and barriers to expanding HaH in Israel. Methods Two online cross-sectional surveys were conducted. One survey was answered by 342 physicians, and the other by 424 members of the public aged 35+ recruited on the basis of quota sampling methodology for the variables of age, gender, district of residence, and population group. Descriptive statistics were used to examine perceptions of potential HaH stakeholders and to explore the association between variables, measured on a nominal scale, using chi-square tests. Multivariate relationships were analyzed using logistic regression. Results About 39% of the respondents in the survey of the public thought that the quality of care in HaH is as good or better than in the hospital system; 44% thought the safety of care is as good or better in HaH; and 58% thought the communication between patients/families and the healthcare professionals is as good or better in HaH. Physicians expressed greater confidence in HaH than the public; The parallel figures in the survey of physicians were 65%, 75%, and 91%. About 78% of the respondents in the survey of the public and 97% of the respondents in the physicians' survey view HaH as a good alternative to hospitalization and similar proportions would be interested in personally using HaH if offered to them or their families instead of traditional hospitalization. In the survey of the public, A lower proportion of Arab respondents and of respondents with income lower than average had a positive view of HaH than Jewish respondents and respondents with average income or higher. Physicians who practiced in community settings indicated a stronger preference for HaH over hospitalization than physicians who mainly practiced in hospitals. In an open-ended question in the survey of physicians, several significant barriers to expanding HaH in Israel were mentioned, with particular emphasis on the lack of specialized manpower needed to expand the services, a lack of resources, and insufficient awareness of the service, both among patients and the medical staff. Conclusions The findings suggest that HaH services can serve as a possible model for providing high-quality and safe medical service in Israel, a view that is gaining popularity among the public and in even more so among physicians. The findings of the survey can provide insights to policymakers concerning the opportunities and barriers to HaH, to facilitate the expansion of HaH services. The main recommendations that arise from the findings include increasing the public’s awareness of HaH services; reducing the burden on the patient’s family; tailoring HaH policy according to the various population groups in order to provide services in an equitable and culturally sensitive manner; recruiting hospital staffs to the effort including their involvement in the design and provision of HaH services and finally, investing resources to finance HaH activity and to train the specialized manpower that it requires.

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Section: Discussionmentioning

confidence: 99%

Perceptions of home hospitalization among the public and physicians in Israel: Findings from surveys conducted for the Dead Sea Health Policy Conference of 2022

Laron,

Nissanholtz-Gannot,

Fialco

et al. 2024

Preprint

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Redefining Acute Virtual Care for Overburdened Health Systems

Maniaci,

Rothman,

Hohman

2024

JAMA Netw Open

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Dimensions and components of hospital-at-home care: a systematic review

Nikmanesh,

Arabloo,

Gorji

2024

BMC Health Serv Res

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Background and aim Hospital-at-home (HaH) care is known as a healthcare delivery approach providing acute care services at home as an alternative to traditional hospital care. This study aimed to explore the dimensions and components of HaH care. Methods A systematic review was conducted in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement. The databases including ScienceDirect, Scopus, PubMed, the Cochrane library, the Web of Science Core Collection, and the Wiley online library were searched for articles on HaH care dimensions and components of from early 2000 to February 19, 2024. The inclusion criteria of the study included articles published in the English language, and and those pertaining to various dimensions and components of HaH care. The quality of the studies was assessed using the Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) checklist and data were analysed using the framework analysis method. Results A total of 4078 articles were retrieved. After screening and quality assessment, 179 articles were included in the review, identifying 88 dimensions and components of HaH care across seven main categories: benefits, challenges and obstacles, facilitators, management-related factors, medical conditions, factors associated with patients and their families, and factors associated with caregivers. The common components included cost savings ( n = 30), patient and family satisfaction ( n = 23), reduction in re-admissions ( n = 13), medication management ( n = 12), communication, coordination, and cooperation among healthcare teams, patients, and families ( n = 12), preferences of patients and families ( n = 12), and education of patients, families, and healthcare teams ( n = 10). Conclusion Based on the results, HaH includes many and diverse dimensions and components. So, healthcare policymakers and planners are urged to consider the dimensions and components of HaH care including benefits, challenges and obstacles, facilitators, management-related factors, medical conditions, factors associated with patients and their families, and factors associated with caregivers when developing models and programs to ensure effective outcomes following implementation.

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Individuals' Awareness of and Willingness to Accept Hospital-at-Home Services and Related Factors: A Cross-Sectional Study

Cited by 4 publications

References 30 publications

Perceptions of home hospitalization among the public and physicians in Israel: Findings from surveys conducted for the Dead Sea Health Policy Conference of 2022

Perceptions of home hospitalization among the public and physicians in Israel: Findings from surveys conducted for the Dead Sea Health Policy Conference of 2022

Redefining Acute Virtual Care for Overburdened Health Systems

Dimensions and components of hospital-at-home care: a systematic review

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