Article
Geriatrics & Gerontology
Ksenia Gorbenko, Abigail Baim-Lance, Emily Franzosa, Heather Wurtz, Gabrielle Schiller, Sybil Masse, Katherine A. Ornstein, Alex Federman, David M. Levine, Linda DeCherrie, Bruce Leff, Albert Siu
Summary: This study aims to describe the national-level implementation processes and strategies of the Acute Hospital Care at Home (AHCaH) waiver program and identify the challenges and facilitators of launching or adapting home hospital care to meet waiver requirements. The study found that the implementation of the AHCaH waiver is a complex process that requires coordination with internal and external partners, and considerations of potential barriers and strategies.
JOURNAL OF THE AMERICAN GERIATRICS SOCIETY
(2023)
Review
Medicine, General & Internal
Sasha Shepperd, Daniela C. Goncalves-Bradley, Sharon E. Straus, Bee Wee
Summary: The evidence suggests that home-based end-of-life care programs can increase the likelihood of patients dying at home. However, the impact of home-based end-of-life care on patient outcomes, symptom control, caregiver satisfaction, and healthcare costs remains uncertain.
COCHRANE DATABASE OF SYSTEMATIC REVIEWS
(2021)
Article
Medicine, General & Internal
Shubing Cai, Orna Intrator, Caitlin Chan, Laurence Buxbaum, Mary Ann Haggerty, Ciaran S. Phibbs, Edna Schwab, Bruce Kinosian
Summary: The study evaluated the transfer component of the VA Hospital in Home program and found that it was associated with reduced length of stay in hospitals, fewer days in nursing homes, and more days at home for veterans, without increasing healthcare system costs.
Article
Geriatrics & Gerontology
Xavier Nogues, Francisca Sanchez-Martinez, Xavier Castells, Adolfo Diez-Perez, Rosa Ana Sabate, Irene Petit, Ariadna Brase, Juan Pablo Horcajada, Roberto Guerri-Fernandez, Julio Pascual
Summary: A COVID-19-specific Hospital-at-Home initiative in Barcelona, Spain effectively reduced transmission risk and increased bed capacity, with only a small percentage of cases requiring referral for inpatient care. The results suggest the approach is promising and may be valuable for future outbreaks.
JOURNAL OF THE AMERICAN MEDICAL DIRECTORS ASSOCIATION
(2021)
Article
Health Care Sciences & Services
David Whitehead, Jared Conley
Summary: Remote patient monitoring (RPM) holds great promise in increasing patient eligibility and safety while decreasing costs in the hospital at home (HaH) model of care. The adoption of vital sign, continuous single-lead electrocardiogram, and fall monitoring modalities can further enhance HaH and expand its patient population. By utilizing RPM, HaH programs can provide safe and efficient care for moderate-acuity patients, improve patient outcomes, and optimize cost-effectiveness. However, further research and experience are needed to fully realize the potential of RPM in advancing the HaH model of care.
JOURNAL OF MEDICAL INTERNET RESEARCH
(2023)
Article
Geriatrics & Gerontology
Bruce Leff, Linda DeCherrie, Michael Montalto, David M. Levine
Summary: This study aims to develop a research agenda for future Hospital at home (HaH)-related research. By surveying attendees of the World HaH Congress 2019, important topic areas and key research questions were identified. These research domains include the definition of the HaH model, the HaH clinical model, and measurement and outcomes of HaH. Focusing on these areas will help improve HaH for all stakeholders.
JOURNAL OF THE AMERICAN GERIATRICS SOCIETY
(2022)
Article
Oncology
Kathi Mooney, Karen Titchener, Benjamin Haaland, Lorinda A. Coombs, Brock O'Neil, Richard Nelson, Jordan P. McPherson, Anne C. Kirchhoff, Anna C. Beck, John H. Ward
Summary: The adult oncology hospital at home program shows initial promise as a model for oncology care that may lower unplanned health care utilization and health care costs.
JOURNAL OF CLINICAL ONCOLOGY
(2021)
Article
Medicine, General & Internal
Wezile Chitha, Zukiswa Jafta, Onke R. Mnyaka, Danleen Hongoro, Lizo Godlimpi, Buyiswa Swartbooi, Natasha Williams, Christopher Zungu, Lazola Buthi, Sibulelo Kuseni, John Nasila, Siyabonga Sibulawa, Olona Giwu, Awam Mavimbela, Vivien Essel, Sikhumbuzo A. Mabunda
Summary: This study aims to describe the demographic, epidemiological, and clinical profile of various cancers at Nelson Mandela Academic Hospital and Rob Ferreira Hospital in South Africa, which have decentralized cancer care delivery since 2018 and 2019 respectively.
Editorial Material
Biochemistry & Molecular Biology
David A. Simon, I. Glenn Cohen, Celynne Balatbat, Anaeze C. Offodile
Summary: Healthcare is being increasingly provided at patients' homes, leading to potential cost savings and improvements in clinical outcomes. However, the concept of hospital-at-home also raises unique liability issues for physicians, hospitals, caregivers, and patients.
Article
Health Care Sciences & Services
Martijn Scherrenberg, Jobbe P. L. Leenen, Astrid E. van der Velde, Josiane Boyne, Wendy Bruins, Julie Vranken, Hans-Peter Brunner-La Rocca, Ed P. De Kluiver, Paul Dendale
Summary: This study investigates patient-reported satisfaction, usability, and safety of a digital health-supported home hospitalisation intervention for heart failure patients. The findings show high patient satisfaction, reasonable usability scores, and comparable safety outcomes with traditional hospitalisations. Digitally supported home hospitalisation could be an alternative to in-hospital care.
Article
Medicine, General & Internal
David M. Levine, Mary Paz, Kimberly Burke, Ryan Beaumont, Robert B. Boxer, Charles A. Morris, Kathryn A. Britton, E. John Orav, Jeffrey L. Schnipper
Summary: This study compared remote physician care and in-home physician care during home hospital care and found that remote physician visits were noninferior to in-home physician visits in terms of adverse events and patient experience.
Article
Immunology
Valerie M. Vaughn, Adam L. Hersh, Emily S. Spivak
Summary: Hospital discharge is a significant contributor to antibiotic overuse. Improving antibiotic prescribing at discharge, including reducing unnecessary use and excessive duration, is crucial. However, there are barriers such as risk perception, measurement challenges, and poor communication between different healthcare settings.
CLINICAL INFECTIOUS DISEASES
(2022)
Article
Oncology
Ryan D. Nipp, Eliza Shulman, Melissa Smith, Patricia M. C. Brown, P. Connor Johnson, Eva Gaufberg, Charu Vyas, Carolyn L. Qian, Isabel Neckermann, Shira B. Hornstein, Mathew J. Reynolds, Joseph Greer, Jennifer S. Temel, Areej El-Jawahri
Summary: The article presents three trials on the Supportive Oncology Care at Home intervention, aimed at improving patient outcomes and reducing healthcare utilization for cancer patients. The intervention includes symptom assessment and management, remote monitoring, and structured communication with the oncology team. These studies have the potential to change the paradigm of care for cancer patients by providing necessary support at home and improving health outcomes and care delivery.
Article
Oncology
Lumkile Wilmot Jojo, Nonyaniso Trustina Nkutu
Summary: This study aims to explore the experiences of cancer patients regarding the decentralization of oncology services. Interviews were conducted with 19 participants, and thematic analysis was done. The majority of patients had positive experiences with the unit, with shorter waiting times and sufficient medication. Access to services was improved, and the staff had a positive attitude towards patients receiving cancer treatment.
Article
Oncology
Julia D. H. P. Simon, Sasja A. Schepers, Martha A. Grootenhuis, Maarten Mensink, Angelique D. Huitema, Wim J. E. Tissing, Erna M. C. Michiels
Summary: The study assessed adherence to, feasibility of, and barriers and facilitators of implementation of an app to monitor and follow-up with pain in children with cancer at home. Results showed that the majority of families and healthcare professionals found the app feasible, with most families using it daily during the three-week period. However, there were some challenges in following up with clinically significant pain scores.
SUPPORTIVE CARE IN CANCER
(2021)