Hospital at Home
Hospital at Home
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DOI：
10.1016/j.cger.2008.10.002
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发表时间：
2009-02-01
影响因子：
3.3
通讯作者：
Leff, Bruce
中科院分区：
文献类型：
--
作者：
Cheng, Jennifer;Montalto, Michael;Leff, Bruce
虽然急性医院是治疗急性严重疾病的标准场所，但对于老年人来说，这往往是一个困难的环境，他们极易受到功能衰退和医院护理的其他医源性后果的影响。医院护理也很昂贵。在家中提供急性医院级护理，而不是通常的机构护理，是可行的。作为一种新兴的服务模式，家庭医院的定义至今尚未确定。数据支持HaH模型，这些模型提供大量的医生输入，并面向替代医院护理，提供患者及其护理人员高度满意的服务，与较少的医源性并发症相关，并且价格较低。在综合交付系统中传播HaH是可行的。在美国广泛传播健康保险需要进行支付改革，承认健康保险在医疗保健系统中的作用。
Although the acute hospital is the standard venue for treating acute serious illness, it is often a difficult environment for older adults who are highly susceptible to functional decline and other iatrogenic consequences of hospital care. Hospital care is also expensive. Providing acute hospital-level care at home, in lieu of usual institutional care, is viable. As an emerging service model, the definition of hospital at home (HaH) remains unsettled. Data favor HaH models that provide substantial physician inputs and are geared toward substituting for hospital care, provide service that is highly satisfying to patients and their caregivers, are associated with less iatrogenic complications, and are less expensive. Dissemination of HaH in integrated delivery systems is feasible. Widespread dissemination of HaH in the United States will require payment reform that acknowledges the role of HaH in the health care system.