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居家医院:一种高价值医疗服务模式的兴起。

Hospital at home: emergence of a high-value model of care delivery.

作者信息

Kanagala Sai Gautham, Gupta Vasu, Kumawat Sunita, Anamika Fnu, McGillen Brian, Jain Rohit

机构信息

Osmania Medical College, Hyderabad, India.

Dayanand Medical College and Hospital, Ludhiana, India.

出版信息

Egypt J Intern Med. 2023;35(1):21. doi: 10.1186/s43162-023-00206-3. Epub 2023 Mar 17.

Abstract

BACKGROUND

With increasing healthcare demands for acute illness in patients especially in the times of pandemic, healthcare organizations require modern solutions. Hospital at home (HaH) is one such tool that has the potential to solve these problems without compromising the care of the patients.

MAIN BODY

Hospitals have been the conventional setting for managing acute sickness patients; however, it could be a very challenging environment for a few patients, especially for the older population who are highly susceptible to hospital-acquired infections. Health care in a hospital setting can also be very expensive, as it often involves a lot of healthcare professionals providing care. HaH service can provide the same quality of care expected in traditional settings.

CONCLUSIONS

The median length of stay and the rate of readmissions were lower in people under HaH care. Compared with patients in a hospital setting, patients in HaH had better clinical outcomes. HaH unit provides an integrated, flexible, easy-to-scale platform that can be cost-effectively adapted to high-demand situations.

摘要

背景

随着对患者急性疾病的医疗需求不断增加,尤其是在疫情期间,医疗机构需要现代化的解决方案。居家医院(HaH)就是这样一种工具,它有潜力在不影响患者护理的情况下解决这些问题。

主体

医院一直是管理急性病患者的传统场所;然而,对于一些患者来说,这可能是一个极具挑战性的环境,尤其是对于极易发生医院获得性感染的老年人群体。医院环境中的医疗保健费用也可能非常高昂,因为它通常需要许多医护人员提供护理。居家医院服务可以提供与传统环境中预期相同质量的护理。

结论

接受居家医院护理的人群住院时间中位数和再入院率较低。与住院患者相比,居家医院的患者有更好的临床结果。居家医院单元提供了一个集成、灵活、易于扩展的平台,可以经济高效地适应高需求情况。

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Glob J Qual Saf Healthc. 2021 Sep 14;4(4):141-146. doi: 10.36401/JQSH-21-4. eCollection 2021 Nov.
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Hospital at home.居家医院。
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