Ross Helena, Dritz Ryan, Morano Barbara, Lubetsky Sara, Saenger Pamela, Seligman Audrey, Ornstein Katherine A
Department of Social Work, Mount Sinai Hospital, New York, New York, USA.
Department of Geriatrics and Palliative Medicine, Icahn School of Medicine at Mount Sinai, New York, New York, USA.
Soc Work Health Care. 2021;60(4):354-368. doi: 10.1080/00981389.2021.1894308. Epub 2021 Mar 1.
Hospital at Home (HaH) provides acute, hospital-level care at home and post-discharge follow-up. Through a review of 293 HaH admissions conducted by an urban, multidisciplinary HaH program from 2014 to 2017, we find that the social worker is involved in 71% of admissions and plays a crucial role in pre-emergency department discharge home care and safety screening, home intake, follow-up support, and transition of care to primary care providers and community-based services. We describe the social work activities involved in this model of care and present composite case studies for further illustration.
居家医院（HaH）提供急性病的医院级居家护理及出院后随访。通过对一个城市多学科居家医院项目在2014年至2017年期间进行的293例居家医院收治病例的回顾，我们发现，社会工作者参与了71%的收治病例，在急诊出院前的居家护理和安全筛查、居家接收、后续支持以及向初级保健提供者和社区服务的护理过渡中发挥了关键作用。我们描述了这种护理模式中涉及的社会工作活动，并给出综合案例研究以作进一步说明。
