Smart hospital at home management for disabled elderly:A scoping review

Abstract

Background Smart hospital at home(HaH) have become a potential solution to the medical service needs of patients at home, but little is known about their application effects in the disabled elderly. It is necessary to map HaH management models and describe their forms, content, strategies, and evaluation indicators. Methods A scoping review was conducted based on the framework from Arksey and O’Malley. PubMed，Web of Science，Wangfang，CNKI，VIP and OpenGrey were searched until June 30,2022. Mapping existing the smart HaH management for the disabled elderly, including form, content, strategy, and evaluation. Results There were a total of 8 included studies，which focused on the following issues: The forms of management covering: mobile medical and telemedicine;The content covering clinical consultation, establishment of patient health records, guidance on equipment use, and alarm management; Strategy covering the formation of multidisciplinary teams, clarification of team members' responsibilities, comprehensive assessment before bed admission, and dynamic grade assessment throughout the process; Evaluation covering patient health outcomes, smart medical dependence, patient satisfaction evaluation, management program compliance and feasibility; Conclusions Smart HaH management presents comprehensive, holistic, targeted, and dynamic, and is relatively consistent in terms of management form, content, and strategy characteristics, and has achieved positive application effects. However, there is still a lack of high-quality research data and standardized and unified management evaluation criteria, and there is an urgent need to conduct a multi-center, large-sample study of smart HaH management programs for the disabled elderly.