Levi Baruch, Borow Malke, Wapner Leah, Feldman Zeev
Division of Law and Policy, Israel Medical Association, Ramat Gan, Israel.
Secretary General and Legal Advisor, Israel Medical Association, Ramat Gan, Israel.
Isr Med Assoc J. 2019 Aug;21(8):565-567.
Global trends, such as the population aging, the increase of chronic morbidity, soaring costs of healthcare services, and work overload in hospitals raise the need to find innovative solutions for providing quality medical services. One solution adopted by healthcare systems around the world is "home hospitalization," that is, providing an array of necessary health services in the patient's home, instead of in the hospital department. The aim of this focus article is to explore the spread of home hospitalization worldwide and examine the challenges and pathways for its adoption and implementation. Many countries, including the United States, Canada, the United Kingdom, and Australia, operate home-based hospitalization programs. In Israel, the service is in its infancy, but in view of the extreme workload and the high mortality rate from infections in acute care hospitals, home hospitalization has recently gained public interest and political support, which may encourage its further development.
全球趋势，如人口老龄化、慢性病发病率上升、医疗服务成本飙升以及医院工作负担过重，使得有必要寻找创新解决方案来提供优质医疗服务。世界各地的医疗系统采用的一种解决方案是“居家住院”，即在患者家中而非医院科室提供一系列必要的医疗服务。这篇重点文章的目的是探讨居家住院在全球的推广情况，并研究其采用和实施所面临的挑战及途径。包括美国、加拿大、英国和澳大利亚在内的许多国家都开展了居家住院项目。在以色列，这项服务尚处于起步阶段，但鉴于急性护理医院的极端工作量和感染导致的高死亡率，居家住院最近已引起公众关注并获得政治支持，这可能会鼓励其进一步发展。
