Home hospital as a disposition for older adults from the emergency department: Benefits and opportunities.

Autor:	Ouchi K; Department of Emergency Medicine Brigham and Women's Hospital Boston Massachusetts USA.; Harvard Medical School Boston Massachusetts USA., Liu S; Harvard Medical School Boston Massachusetts USA.; Department of Emergency Medicine Massachusetts General Hospital Boston Massachusetts USA., Tonellato D; Department of Emergency Medicine MedStar Georgetown University Hospital Washington District of Columbia USA.; Department of Emergency Medicine Georgetown University School of Medicine Washington District of Columbia USA., Keschner YG; Department of Emergency Medicine Brigham and Women's Hospital Boston Massachusetts USA.; Harvard Medical School Boston Massachusetts USA.; Department of Emergency Medicine Massachusetts General Hospital Boston Massachusetts USA., Kennedy M; Harvard Medical School Boston Massachusetts USA.; Department of Emergency Medicine Massachusetts General Hospital Boston Massachusetts USA., Levine DM; Harvard Medical School Boston Massachusetts USA.; Division of General Internal Medicine and Primary Care Brigham and Women's Hospital Boston Massachusetts USA.
Jazyk:	angličtina
Zdroj:	Journal of the American College of Emergency Physicians open [J Am Coll Emerg Physicians Open] 2021 Jul 21; Vol. 2 (4), pp. e12517. Date of Electronic Publication: 2021 Jul 21 (Print Publication: 2021).
DOI:	10.1002/emp2.12517
Abstrakt:	The $1 trillion industry of acute hospital care in the United States is shifting from inside the walls of the hospital to patient homes. To tackle the limitations of current hospital care in the United States, on November 25, 2020, the Center for Medicare & Medicaid Services announced that the acute hospital care at home waiver would reimburse for "home hospital" services. A "home hospital" is the home-based provision of acute services usually associated with the traditional inpatient hospital setting. Prior work suggests that home hospital care can reduce costs, maintain quality and safety, and improve patient experiences for select acutely ill adults who require hospital-level care. However, most emergency physicians are unfamiliar with the evidence of benefits demonstrated by home hospital services, especially for older adults. Therefore, the lead author solicited narrative inputs on this topic from selected experts in emergency medicine and home hospital services with clinical experience, publications, and funding on home hospital care. Then we sought to identify information most relevant to the practice of emergency medicine. We outline the proven and potential benefits of home hospital services specific to older adults compared to traditional acute care hospitalization with a focus on the emergency department. Competing Interests: Dr. Levine reports grant funding and codevelopment with Biofourmis and grant funding from IBM that is separate from the present work. (© 2021 The Authors. JACEP Open published by Wiley Periodicals LLC on behalf of American College of Emergency Physicians.)
Databáze:	MEDLINE
Externí odkaz:	Zobrazit plný text záznamu Plný text