Admission avoidance hospital at home
The aim of this Cochrane review was to determine if providing healthcare in an admission avoidance, hospital at home setting, improves patient health outcomes and reduces cost to the health service.
Author: Shepperd S, Iliffe S, Doll HA, Clarke MJ, Kalra L, Wilson AD, Gonçalves-Bradley DC
Publication Date: September 1, 2016
Abstract (Abridged):
Background: Admission avoidance hospital at home provides active treatment by healthcare professionals in the patient's home for a condition that otherwise would require acute hospital inpatient care, and always for a limited time period. This is the third update of the original review.
Objectives: To determine the effectiveness and cost of managing patients with admission avoidance hospital at home compared with inpatient hospital care.
Authors' conclusions: Admission avoidance hospital at home, with the option of transfer to hospital, may provide an effective alternative to inpatient care for a select group of elderly patients requiring hospital admission. However, the evidence is limited by the small randomised controlled trials included in the review, which adds a degree of imprecision to the results for the main outcomes.
Access: Free
Keywords: home care services, hospital-based hospitalization,
outcome and process assessment, health care, randomized controlled trials
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