Hospital at Home

Jennifer Cheng, Michael Montalto, Bruce Leff

Research output: Contribution to journalReview articlepeer-review

Abstract

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.

Original languageEnglish (US)
Pages (from-to)79-91
Number of pages13
JournalClinics in geriatric medicine
Volume25
Issue number1
DOIs
StatePublished - Feb 1 2009

Keywords

  • Home health care
  • Hospital at home
  • House calls

ASJC Scopus subject areas

  • Geriatrics and Gerontology

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