Haywood Hubert B, Fonarow Gregg C, Khan Muhammad Shahzeb, Van Spall Harriette G C, Morris Alanna A, Nassif Michael E, Kittleson Michelle M, Butler Javed, Greene Stephen J
Department of Medicine, Duke University Medical Center, Durham, NC (H.B.H.).
Division of Cardiology, Ahmanson-UCLA Cardiomyopathy Center, University of California Los Angeles Medical Center (G.C.F.).
Circ Heart Fail. 2023 Oct;16(10):e010456. doi: 10.1161/CIRCHEARTFAILURE.122.010456. Epub 2023 Aug 30.
Hospital at home (HaH) is an innovative care model that may be particularly suited for heart failure (HF). Outpatient visits and inpatient care have been the 2 traditional settings for HF care, yet may not match the social and medical needs of patients at all times. Alternative models such as HaH may represent an effective and patient-centered option for select patients with worsening HF. To date, limited research in HF and other disease states has supported HaH as being safe and lower cost than traditional inpatient admission. Supporting HaH are new payment structures, such as Medicare's Acute Hospital Care at Home waiver program. In combination with outpatient visits, outpatient intravenous diuretic clinics, inpatient care, and cardiac intensive care, HaH could be a core component of a comprehensive care model with the potential to match resource utilization with the needs of patients across the spectrum of HF severity, and improve patient outcomes.
居家医院（HaH）是一种创新的护理模式，可能特别适用于心力衰竭（HF）。门诊就诊和住院治疗一直是HF护理的两种传统方式，但可能并非始终能满足患者的社会和医疗需求。像HaH这样的替代模式可能是某些HF病情恶化患者的有效且以患者为中心的选择。迄今为止，针对HF和其他疾病状态的研究有限，支持HaH比传统住院治疗更安全且成本更低。新的支付结构，如医疗保险的居家急性医院护理豁免计划，为HaH提供了支持。与门诊就诊、门诊静脉利尿剂诊所、住院治疗和心脏重症监护相结合，HaH可能成为综合护理模式的核心组成部分，有潜力使资源利用与不同严重程度HF患者的需求相匹配，并改善患者预后。
