Home Hospital program: A pilot study

被引：69
作者：
Leff, B
Burton, L
Guido, S
Greenough, WB
Steinwachs, D
Burton, JR
机构：
[1] Johns Hopkins Bayview Med Ctr, Baltimore, MD USA
[2] Johns Hopkins Univ, Sch Med, Baltimore, MD USA
[3] Johns Hopkins Univ, Sch Hyg & Publ Hlth, Baltimore, MD USA
来源：
JOURNAL OF THE AMERICAN GERIATRICS SOCIETY | 1999年 / 47卷 / 06期
关键词：
home hospital; home care services;
D O I：
10.1111/j.1532-5415.1999.tb01592.x
中图分类号：
R592 [老年病学]; C [社会科学总论];
学科分类号：
03 ; 0303 ; 100203 ;
摘要：
OBJECTIVE: To evaluate the basic safety and feasibility of hospital care at home (Home Hospital (HH)) for treating acutely ill older persons requiring hospitalization. DESIGN: Prospective case series SETTINGS AND PARTICIPANTS: Community-dwelling persons aged 65 and older requiring acute hospital admission for community-acquired pneumonia, chronic heart failure, chronic obstructive airways disease, or cellulitis. RESULTS: Seventeen subjects were treated in HH. One hundred twenty-two could not be enrolled because they presented for admission at times when HH was not operational. Six patients refused to enroll in HH. Subjects treated in HH had comparable clinical outcomes to those treated in the acute hospital and were highly satisfied with HH. Charges for HH care were 60% of those for the acute hospital care. CONCLUSIONS: In this pilot study, HH was safe, feasible, highly satisfactory, and cost-effective for certain acutely ill older persons who required acute hospitalization.
引用
收藏
页码：697 / 702
页数：6
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