Implementation of hospital at home
Authors: Farfan-Portet Maria-Isabel , Denis Alain , Mergaert Lut , Daue François , Mistiaen Patriek , Gerkens Sophie 
Published: January 2025

TABLE OF CONTENTS 1 -- LIST OF FIGURES 3 -- LIST OF TABLES 3 -- 1. SEARCH STRATEGY OF THE LITERATURE REVIEW 5 -- 1.1. MEDLINE @ OVID 5 -- 1.2. CINAHL 6 -- 1.3. EMBASE @ EMBASE.COM 7 -- 1.4. COCHRANE DATABASE OF SYSTEMATIC REVIEWS 8 -- 2. BELGIAN SITUATION 10 -- 2.1. HOME DIALYSIS 10 -- 2.2. HOME OXYGEN THERAPY 11 -- 2.3. PALLIATIVE CARE SERVICES AT HOME 12 -- 2.4. MENTAL HEALTH CARE SERVICES AND THE ARTICLE 107 13 -- 2.5. PROTOCOL 3 14 -- 2.6. CARE PATHWAYS, CLINICAL PATHWAYS, CARE PROGRAMS AND NETWORKS 14 -- 3. INTERNATIONAL COMPARISON 15 -- 3.1. METHODS FOR THE INTERNATIONAL COMPARISON 15 -- 3.1.1. Questionnaire: 15 -- 3.1.2. Belgian Chronic Care Model 16 -- 3.1.3. Experts contacted for validation of the countries 16 -- 3.2. VICTORIA (AUSTRALIA) 17 -- 3.2.1. Historic perspective and implementation stages 19 -- 3.2.2. What requirements must be met by HAH suppliers? 21 -- 3.2.3. How are routine hospital at home interventions planned, provided and coordinated? 27 -- 3.2.4. In case of emergency, how is acute response provided? 28 -- 3.2.5. How are patients and families supported? 28 -- 3.2.6. Are there specific conditions for early identification or screening of patients? 29 -- 3.2.7. How are HAH activities integrated within the health system? 29 -- 3.2.8. Follow-up of HAH activities - How are HAHs activities evaluated? 30 -- 3.3. THE AUTONOMOUS COMMUNITIES OF VALENCIA AND THE BASQUE COUNTRY (SPAIN) 33 -- 3.3.1. Historic perspective and implementation stages 34 -- 3.3.2. What requirements must be met by HAH suppliers? 37 -- 3.3.3. How are routine hospital at home interventions planned, provided and coordinated? 44 -- 3.3.4. In case of emergency, how is acute response provided? 45 -- 3.3.5. How are patients and families supported? 46 -- 3.3.6. Are there specific conditions for early identification or screening of patients? 46 -- 3.3.7. How are HAH activities integrated within the health system? 47 -- 3.3.8. Follow-up of HAH activities  How are HAHs activities evaluated? 48 -- 3.4. NETHERLANDS 50 -- 3.4.1. Historic perspective and implementation stages 52 -- 3.4.2. What requirements must be met by HAH suppliers? 55 -- 3.4.3. How are routine hospital at home interventions planned, provided and coordinated? 56 -- 3.4.4. In case of emergency, how is acute response provided? 57 -- 3.4.5. How are patients and families supported? 57 -- 3.4.6. Are there specific conditions for early identification or screening of patients? 57 -- 3.4.7. How are HAH activities integrated within the health system? 57 -- 3.4.8. Follow-up of HAH activities - How are HAHs activities evaluated? 58 -- 3.5. FRANCE 58 -- 3.5.1. Historic perspective and implementation stages 59 -- 3.5.2. What requirements must be met by HAH suppliers? 60 -- 3.5.3. How are routine hospital at home interventions planned, provided and coordinated? 68 -- 3.5.4. In case of emergency, how is acute response provided? 69 -- 3.5.5. How are patients and families supported? 70 -- 3.5.6. Are there specific conditions for early identification or screening of patients? 71 -- 3.5.7. How are HAH activities integrated within the health system? 71 -- 3.5.8. Follow-up of HAH activities - How are HAHs activities evaluated? 73 -- 4. DISCUSSION OF POSSIBILITIES FOR THE IMPLEMENTATION OF HAH IN BELGIUM 79 -- 4.1. SEMI-STRUCTURED QUESTIONNAIRE 79 -- 4.1.1. In French 79 -- 4.1.2. In Dutch 81 -- 4.2. BACKGROUND NOTE GIVEN BEFORE INTERVIEWS 83 -- 4.2.1. Une définition commune 83 -- 4.2.2. Trois scénarios alternatifs dorganisation 84 -- 4.3. SUMMARY OF THE RESULTS OF THE WORKSHOP 86 -- 5. STAKEHOLDER CONSULTATION: PRESENTATION OF RECOMMENDATIONS 92 -- 5.1. RECOMMENDATIONS TO LAUNCH PILOT-PROJECT 92 -- 5.2. RECOMMENDATIONS FOR ACTORS IMPLIED IN HAH 93 -- 5.3. RECOMMENDATIONS FOR THE SYSTEM 93 -- APPENDIX 1. SPAIN 94 -- APPENDIX 2. THE NETHERLANDS 96 -- APPENDIX 3. FRANCE 99 -- APPENDIX 3.1. MODES OF CARE IN FRANCE (FULL REPRODUCTION IN FRENCH) 99 -- APPENDIX 3.2. PRINICIPAL DIAGNOSIS OF PATIENTS IN HAH IN 2013 101 -- REFERENCES 103