Hospital at home for acute medical illness: The 21st century acute medical unit for a changing population

被引：15
作者：
Knight, Thomas [1 ]
Lasserson, Daniel [2 ,3 ]
机构：
[1] Sandwell & West Birmingham Hosp NHS Fdn Trust, Dept Acute Med, Birmingham, W Midlands, England
[2] Oxford Univ Hosp NHS Fdn Trust, Dept Geratol, Acute Hosp Home, Oxford, England
[3] Univ Warwick, Warwick Med Sch, Div Hlth Sci, Coventry, W Midlands, England
来源：
JOURNAL OF INTERNAL MEDICINE | 2022年 / 291卷 / 04期
关键词：
acute healthcare systems; hospital at home; point-of-care diagnostics; OBSTRUCTIVE PULMONARY-DISEASE; OLDER-ADULTS; ACUTE EXACERBATIONS; ELDERLY-PATIENTS; INTEGRATED CARE; ADVERSE EVENTS; DELIRIUM; ULTRASOUND; PROGRAM; PREFERENCES;
D O I：
10.1111/joim.13394
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
Recent trends across Europe show a year-on-year increase in the number of patients with acute medical illnesses presenting to hospitals, yet there are no plans for a substantial expansion in acute hospital infrastructure or staffing to address demand. Strategies to meet increasing demand need to consider the fact that there is limited capacity in acute hospitals and focus on new care models in both hospital and community settings. Increasing the efficiency of acute hospital provision by reducing the length of stay entails supporting acute ambulatory care, where patients receive daily acute care interventions but do not stay overnight in the hospitals. This approach may entail daily transfer between home and an acute setting for ongoing treatment, which is unsuitable for some patients living with frailty. Acute hospital at home (HaH) is a care model which, thanks to advances in point of care diagnostic capability, can provide a credible model of acute medical assessment and treatment without the need for hospital transfer. Investment and training to support scaling up of HaH are key strategic aims for integrated healthcare systems.
引用
收藏
页码：438 / 457
页数：20
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