Dimensions and components of hospital-at-home care: a systematic review.

Autor: Nikmanesh P; School of Health Management and Information Sciences, Iran University of Medical Sciences, Tehran, Iran., Arabloo J; Health Management and Economics Research Center, Health Management Research Institute, Iran University of Medical Sciences, Yasemi St, Valiasr St, Vanaq Sq, Tehran, Iran., Gorji HA; Health Management and Economics Research Center, Health Management Research Institute, Iran University of Medical Sciences, Yasemi St, Valiasr St, Vanaq Sq, Tehran, Iran. gorji.h@iums.ac.ir.
Jazyk: angličtina
Zdroj: BMC health services research [BMC Health Serv Res] 2024 Nov 25; Vol. 24 (1), pp. 1458. Date of Electronic Publication: 2024 Nov 25.
DOI: 10.1186/s12913-024-11970-5
Abstrakt: Background and Aim: Hospital-at-home (HaH) care is known as a healthcare delivery approach providing acute care services at home as an alternative to traditional hospital care. This study aimed to explore the dimensions and components of HaH care.
Methods: A systematic review was conducted in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement. The databases including ScienceDirect, Scopus, PubMed, the Cochrane library, the Web of Science Core Collection, and the Wiley online library were searched for articles on HaH care dimensions and components of from early 2000 to February 19, 2024. The inclusion criteria of the study included articles published in the English language, and and those pertaining to various dimensions and components of HaH care. The quality of the studies was assessed using the Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) checklist and data were analysed using the framework analysis method.
Results: A total of 4078 articles were retrieved. After screening and quality assessment, 179 articles were included in the review, identifying 88 dimensions and components of HaH care across seven main categories: benefits, challenges and obstacles, facilitators, management-related factors, medical conditions, factors associated with patients and their families, and factors associated with caregivers. The common components included cost savings (n = 30), patient and family satisfaction (n = 23), reduction in re-admissions (n = 13), medication management (n = 12), communication, coordination, and cooperation among healthcare teams, patients, and families (n = 12), preferences of patients and families (n = 12), and education of patients, families, and healthcare teams (n = 10).
Conclusion: Based on the results, HaH includes many and diverse dimensions and components. So, healthcare policymakers and planners are urged to consider the dimensions and components of HaH care including benefits, challenges and obstacles, facilitators, management-related factors, medical conditions, factors associated with patients and their families, and factors associated with caregivers when developing models and programs to ensure effective outcomes following implementation.
Competing Interests: Declarations. Ethics approval and consent to participate: This study is approved by the ethical committee of Iran University of Medical Sciences with the number of IR.SUMS.REC.1401.761. All the methods were performed in accordance with the relevant guidelines and regulation. Consent for publication: Not applicable. Competing interests: The authors declare no competing interests.
(© 2024. The Author(s).)
Databáze: MEDLINE
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