Home hospital as a disposition for older adults from the emergency department: Benefits and opportunities.
Home hospital as a disposition for older adults from the emergency department: Benefits and opportunities.
复制标题
DOI：
10.1002/emp2.12517
复制
发表时间：
2021-08
影响因子：
2.3
通讯作者：
Levine DM
中科院分区：
文献类型：
--
作者：
Ouchi K;Liu S;Tonellato D;Keschner YG;Kennedy M;Levine DM
在美国，价值1万亿美元的急性病医院护理行业正在从医院内部转移到患者家中。为了解决美国目前医院护理的局限性，2020年11月25日，医疗保险和医疗补助服务中心宣布，家庭急性住院治疗豁免将报销“家庭医院”服务。“家庭医院”是一种以家庭为基础的急诊服务，通常与传统的住院医院环境有关。先前的研究表明，家庭医院护理可以降低成本，保持质量和安全，并改善需要医院级护理的急性成人患者的体验。然而，大多数急诊医生不熟悉家庭医院服务所证明的益处的证据，特别是对老年人。因此，第一作者从急诊医学和家庭医院服务方面的专家中征集了关于这一主题的叙述输入，这些专家具有临床经验、出版物和家庭医院护理资金。然后，我们试图找出与急诊医学实践最相关的信息。我们概述了与传统的急症护理住院治疗相比，针对老年人的家庭医院服务已证实的和潜在的好处，重点是急诊科。
The $1 trillion industry of acute hospital care in the United States is shifting from inside the walls of the hospital to patient homes. To tackle the limitations of current hospital care in the United States, on November 25, 2020, the Center for Medicare & Medicaid Services announced that the acute hospital care at home waiver would reimburse for “home hospital” services. A “home hospital” is the home‐based provision of acute services usually associated with the traditional inpatient hospital setting. Prior work suggests that home hospital care can reduce costs, maintain quality and safety, and improve patient experiences for select acutely ill adults who require hospital‐level care. However, most emergency physicians are unfamiliar with the evidence of benefits demonstrated by home hospital services, especially for older adults. Therefore, the lead author solicited narrative inputs on this topic from selected experts in emergency medicine and home hospital services with clinical experience, publications, and funding on home hospital care. Then we sought to identify information most relevant to the practice of emergency medicine. We outline the proven and potential benefits of home hospital services specific to older adults compared to traditional acute care hospitalization with a focus on the emergency department.
登录
查看更多内容
影响因子：
1.1
作者：
Hrycko, Alexander;Tiwari, Vishal;Stefan, Mihaela S.
通讯作者：
Stefan, Mihaela S.
影响因子：
39
作者：
Hshieh, Tammy T.;Yue, Jirong;Oh, Esther;Puelle, Margaret;Dowal, Sarah;Travison, Thomas;Inouye, Sharon K.
通讯作者：
Inouye, Sharon K.
影响因子：
168.9
作者：
Inouye, Sharon K.;Westendorp, Rudi G. J.;Saczynski, Jane S.
通讯作者：
Saczynski, Jane S.
影响因子：
39.2
作者：
Leff, B;Burton, L;Burton, JR
通讯作者：
Burton, JR
影响因子：
3.6
作者：
Baloescu, Cristiana;Kinsman, Jeremiah;Venkatesh, Arjun K.
通讯作者：
Venkatesh, Arjun K.