Hospital at Home: The Evidence Is Not Compelling
Authors: Sasha Shepperd
Journal: Annals of Internal Medicine (2005)

Editorials6 December 2005Hospital at Home: The Evidence Is Not CompellingSasha Shepperd, DPhilSasha Shepperd, DPhilFrom the University of Oxford Headington, Oxford OX3 7LF, United Kingdom.Author, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-143-11-200512060-00015 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail Many countries are exploring alternatives to inpatient care because of increasing health care costs, pressure on acute hospital beds, and concern that inpatient care may not produce the best health outcomes for some groups of patients. Developments in medical technology, improvements in housing, and an increasing emphasis on primary care have all encouraged innovations that reduce reliance on inpatient care (1, 2). Hospital at home provides health care for patients who would otherwise require a hospital stay. Patients may use hospital at home after early discharge from the hospital or directly after assessment in the emergency department or in a ...References1. Parker G, Bhakta P, Katbamna S, Lovett C, Paisley S, Parker S, et al. Best place of care for older people after acute and during subacute illness: a systematic review. J Health Serv Res Policy. 2000;5:176-89. [PMID: 11556369] CrossrefMedlineGoogle Scholar2. Phillips CO, Wright SM, Kern DE, Singa RM, Shepperd S, Rubin HR. Comprehensive discharge planning with postdischarge support for older patients with congestive heart failure: a meta-analysis. JAMA. 2004;291:1358-67. [PMID: 15026403] CrossrefMedlineGoogle Scholar3. Shepperd S, Iliffe S. Hospital at home versus inpatient hospital care [Review]. The Cochrane Database of Systematic Reviews. 2005. Google Scholar4. Hughes SL, Cummings J, Weaver F, Manheim L, Braun B, Conrad K. A randomized trial of the cost effectiveness of VA hospital-based home care for the terminally ill. Health Serv Res. 1992;26:801-17. [PMID: 1737710] MedlineGoogle Scholar5. Leff B, Burton L, Mader SL, Naughton B, Burl J, Inouye SK, et al. Hospital at home: feasibility and outcomes of a program to provide hospital-level care at home for acutely ill older patients. Ann Intern Med. 2005;143:798-808. LinkGoogle Scholar6. Caplan GA, Ward JA, Brennan NJ, Coconis J, Board N, Brown A. Hospital in the home: a randomised controlled trial. Med J Aust. 1999;170:156-60. [PMID: 10078179] CrossrefMedlineGoogle Scholar7. Mulrow C, Langhorne P, Grimshaw J. Integrating heterogeneous pieces of evidence in systematic reviews. Ann Intern Med. 1997;127:989-95. [PMID: 9412305] LinkGoogle Scholar Author, Article, and Disclosure InformationAffiliations: From the University of Oxford Headington, Oxford OX3 7LF, United Kingdom.Disclosures: None disclosed.Corresponding Author: Sasha Shepperd, DPhil, University of Oxford, Old Road, Headington, Oxford, OX3 7LF, United Kingdom; e-mail, sasha.[email protected]ox.ac.uk. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetailsSee AlsoHospital at Home: Feasibility and Outcomes of a Program To Provide Hospital-Level Care at Home for Acutely Ill Older Patients Bruce Leff , Lynda Burton , Scott L. Mader , Bruce Naughton , Jeffrey Burl , Sharon K. Inouye , William B. Greenough III , Susan Guido , Christopher Langston , Kevin D. Frick , Donald Steinwachs , and John R. Burton Metrics Cited ByHospitalización a domicilio: oportunidad para el cambioWhich Aged Care inpatients are potentially suitable for community-based acute care?Closure of a home hospital program: Impact on hospitalization ratesStrategies for improving chronic illness care: some issues for the NHSHome Hospitalization: 15 Years of ExperienceJeremy M. Jacobs, MBBS, BSc, Robert Hammerman-Rozenberg, MD, and Jochanan Stessman, MD 6 December 2005Volume 143, Issue 11Page: 840-841KeywordsDeliriumHealth careHealth care providersHealth economicsInpatientsPatientsSedativesSystematic reviews ePublished: 6 December 2005 Issue Published: 6 December 2005 CopyrightCopyright © 2005 by American College of Physicians. All Rights Reserved.PDF DownloadLoading ...