Comparison of stress experienced by family members of patients treated in hospital at home with that of those receiving traditional acute hospital care

Bruce A Leff, Lynda Burton, Scott L. Mader, Bruce Naughton, Jeffrey Burl, Debbie Koehn, Rebecca Clark, William Greenough, Susan Guido, Donald M. Steinwachs, John R Burton

Research output: Contribution to journalArticle

Abstract

OBJECTIVES: To compare differences in the stress experienced by family members of patients cared for in a physician-led substitutive Hospital at Home (HaH) and those receiving traditional acute hospital care. DESIGN: Survey questionnaire completed as a component of a prospective, nonrandomized clinical trial of a substitutive HaH care model. SETTING: Three Medicare managed care health systems and a Veterans Affairs Medical Center. PARTICIPANTS: Two hundred fourteen community-dwelling elderly patients who required acute hospital admission for community-acquired pneumonia, exacerbation of chronic heart failure, exacerbation of chronic obstructive pulmonary disease, or cellulitis. INTERVENTION: Treatment in a substitutive HaH model. MEASUREMENTS: Fifteen-question survey questionnaire asking family members whether they experienced a potentially stressful situation and, if so, whether stress was associated with the situation while the patient received care. RESULTS: The mean and median number of experiences, of a possible 15, that caused stress for family members of HaH patients was significantly lower than for family members of acute care hospital patients (mean ± standard deviation 1.7 ± 1.8 vs 4.3 ± 3.1, P

Original languageEnglish (US)
Pages (from-to)117-123
Number of pages7
JournalJournal of the American Geriatrics Society
Volume56
Issue number1
DOIs
StatePublished - Jan 2008

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Patient Care
Independent Living
Cellulitis
Managed Care Programs
Veterans
Home Care Services
Medicare
Chronic Obstructive Pulmonary Disease
Pneumonia
Heart Failure
Physicians
Health
Surveys and Questionnaires
Therapeutics
Non-Randomized Controlled Trials

Keywords

  • "Hospital at Home"
  • Acute care for the elderly
  • Aged
  • Caregiver
  • Hospital care
  • Stress

ASJC Scopus subject areas

  • Geriatrics and Gerontology

Cite this

Comparison of stress experienced by family members of patients treated in hospital at home with that of those receiving traditional acute hospital care. / Leff, Bruce A; Burton, Lynda; Mader, Scott L.; Naughton, Bruce; Burl, Jeffrey; Koehn, Debbie; Clark, Rebecca; Greenough, William; Guido, Susan; Steinwachs, Donald M.; Burton, John R.

In: Journal of the American Geriatrics Society, Vol. 56, No. 1, 01.2008, p. 117-123.

Research output: Contribution to journalArticle

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