The hospital at home model: bringing hospital-level care to the patient

Commonwealth Fund
Publication year:
Place of publication:
New York

A case study of a Hospital at Home program operating in the United States, which offers patients who need to be admitted to hospital the option of receiving hospital-level care at home for conditions that can be safely treated there. It targets patients with well defined treatment protocols, such as congestive heart failure and chronic obstructive pulmonary disease. Patients receive extended home visits from physicians and nurses. Social workers and rehabilitation specialists are also provided where necessary. The case study reports that, excluding physician fees, the average cost of caring for patients at home rather than the hospital is 19 percent lower. Clinical outcomes are comparable or better, while patient satisfaction is higher. This is one of a series of case studies examining programs in the United States that aim to improve outcomes and reduce costs of care for patients with complex needs. (Edited publisher abstract)

Subject terms:
patients, complex needs, case studies, models, health care, community health care, evaluation;
Content type:
practice example
United Kingdom
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