Dalstrom Matthew D, Klein Colleen J, Rothrock-Magana Meagan, Cooling Melinda
Saint Anthony College of Nursing, Rockford, IL, USA.
Center for Advanced Practice, OSF HealthCare, Peoria, IL, USA.
J Patient Exp. 2025 Jun 2;12:23743735251347706. doi: 10.1177/23743735251347706. eCollection 2025.
This descriptive qualitative study aimed to address a gap in the literature by exploring the experiences of Hospital at Home (HaH) patients and caregivers. HaH programs, which deliver hospital-level care to patients in their homes, are increasingly popular outside the United States. Yet, there is less emphasis on understanding the experiences of patients and caregivers while actively receiving hospital-level care in the home and how their insights can enhance care delivery. A purposeful sample of 12 patients and five caregivers participated in semistructured interviews during the acute care stage and 30 days after their discharge from hospital-level care in the home. Thematic analysis revealed three main themes: (1) patient-centered communication and education, (2) differences in medical care at home, and (3) the impact of technology on the overall experience. These themes provide valuable insights into the factors that patients and caregivers believe positively and negatively influence their experiences within the HaH program. Moreover, the themes highlight aspects of the HaH model that are important to patients/caregivers and those that can be improved.
Number: NCT05952999Analysis of the Virtual Acute Care at Home Experience (HaH)URL: https://www.clinicaltrials.gov/search?term = NCT05952999.
这项描述性定性研究旨在通过探索居家医院（HaH）患者及其护理人员的经历来填补文献空白。居家医院项目为在家中的患者提供医院级护理，在美国以外地区越来越受欢迎。然而，在积极接受居家医院级护理时，对患者及其护理人员的经历以及他们的见解如何改善护理服务的关注较少。在急性护理阶段以及从居家医院级护理出院后30天，对12名患者和5名护理人员进行了有目的抽样，参与半结构化访谈。主题分析揭示了三个主要主题：（1）以患者为中心的沟通与教育，（2）居家医疗护理的差异，（3）技术对整体体验的影响。这些主题为患者和护理人员认为对他们在居家医院项目中的经历产生积极和消极影响的因素提供了宝贵见解。此外，这些主题突出了居家医院模式中对患者/护理人员重要的方面以及可以改进的方面。
编号：NCT05952999居家虚拟急性护理体验（HaH）分析网址：https://www.clinicaltrials.gov/search?term = NCT05952999 。
