Featured Research

from universities, journals, and other organizations

Hospital At-home Programs Provide Similar Patient Outcomes

Date:
January 19, 2009
Source:
Canadian Medical Association Journal
Summary:
For select patients, hospital at home treatment produces similar outcomes to inpatient care at similar or lower costs, found a new study.

For select patients, hospital at home treatment produces similar outcomes to inpatient care at similar or lower costs, found a study by researchers from the United Kingdom and Italy to be published in CMAJ.

Hospital at home programs are popular alternatives to hospital stays given the demand for acute care beds and the need to cut costs.

The study, a systematic review and meta-analysis, sought to determine whether patients receiving at home care compared with in-patient hospital care have better or equivalent health outcomes. It looked at trials of patients 70 years of age or older with chronic pulmonary disease (COPD), stroke patients and older patients with acute medical conditions.

"Patients allocated to hospital at home had a significantly reduced risk of death at 6 months follow up," state Dr. Sasha Shepperd and coauthors. "This reduction was not significant at 3 months, possibly reflecting the lower number of events by that time point." They note patient satisfaction was high for treatment at home.

However, mortality rates were lower at 3 months for patients in hospital stroke care units compared with hospital at home care.

"Our findings do not mean that hospital care is hazardous," cautions Dr. Shepperd who led the team of researchers. "More work needs to be done to determine if there are particular types of patients who benefit from hospital at home care. This is especially important, as the level of treatment available to a person at home, and the ways of delivering care in both the home and the hospital, change."

Professor Mike Clarke, another member of the research team, from the UK Cochrane Centre, adds "We are also cautious because we had to rely on data from trials that have been published, and we were not able to find any unpublished trials. It may be that other research has taken place and that the trials we identified are not representative of all those that have been done. However, our findings still represent the most complete analysis yet of this topic and provide important knowledge for patients, doctors and policy makers."

The study was conducted by researchers from University of Oxford; University Hospital Aintree Hospitals NHS Trust; University College, London; King's & St. Thomas' School of Medicine; University of Leicester; and University of Torino, Italy.

In a related commentary Dr. Bruce Leff of Johns Hopkins University School of Medicine writes: "We must incorporate hospital at home into the continuum of care without it becoming yet another siloed health care delivery model." He suggests hospital at home could operate as one element in a portfolio of options to keep select patients out of hospital and to help patients' transition from hospital.


Story Source:

The above story is based on materials provided by Canadian Medical Association Journal. Note: Materials may be edited for content and length.


Cite This Page:

Canadian Medical Association Journal. "Hospital At-home Programs Provide Similar Patient Outcomes." ScienceDaily. ScienceDaily, 19 January 2009. <www.sciencedaily.com/releases/2009/01/090119210330.htm>.
Canadian Medical Association Journal. (2009, January 19). Hospital At-home Programs Provide Similar Patient Outcomes. ScienceDaily. Retrieved August 1, 2014 from www.sciencedaily.com/releases/2009/01/090119210330.htm
Canadian Medical Association Journal. "Hospital At-home Programs Provide Similar Patient Outcomes." ScienceDaily. www.sciencedaily.com/releases/2009/01/090119210330.htm (accessed August 1, 2014).

Share This




More Health & Medicine News

Friday, August 1, 2014

Featured Research

from universities, journals, and other organizations


Featured Videos

from AP, Reuters, AFP, and other news services

House Republicans Vote to Sue Obama Over Healthcare Law

House Republicans Vote to Sue Obama Over Healthcare Law

Reuters - US Online Video (July 31, 2014) The Republican-led House of Representatives votes to sue President Obama, accusing him of overstepping his executive authority in making changes to the Affordable Care Act. Mana Rabiee reports. Video provided by Reuters
Powered by NewsLook.com
Despite Health Questions, E-Cigs Are Beneficial: Study

Despite Health Questions, E-Cigs Are Beneficial: Study

Newsy (July 31, 2014) Citing 81 previous studies, new research out of London suggests the benefits of smoking e-cigarettes instead of regular ones outweighs the risks. Video provided by Newsy
Powered by NewsLook.com
Dangerous Bacteria Kills One in Florida

Dangerous Bacteria Kills One in Florida

AP (July 31, 2014) Sarasota County, Florida health officials have issued a warning against eating raw oysters and exposing open wounds to coastal and inland waters after a dangerous bacteria killed one person and made another sick. (July 31) Video provided by AP
Powered by NewsLook.com
Health Insurers' Profits Slide

Health Insurers' Profits Slide

Reuters - Business Video Online (July 30, 2014) Obamacare-related costs were said to be behind the profit plunge at Wellpoint and Humana, but Wellpoint sees the new exchanges boosting its earnings for the full year. Fred Katayama reports. Video provided by Reuters
Powered by NewsLook.com

Search ScienceDaily

Number of stories in archives: 140,361

Find with keyword(s):
Enter a keyword or phrase to search ScienceDaily for related topics and research stories.

Save/Print:
Share:

Breaking News:
from the past week

In Other News

... from NewsDaily.com

Science News

Health News

Environment News

Technology News



Save/Print:
Share:

Free Subscriptions


Get the latest science news with ScienceDaily's free email newsletters, updated daily and weekly. Or view hourly updated newsfeeds in your RSS reader:

Get Social & Mobile


Keep up to date with the latest news from ScienceDaily via social networks and mobile apps:

Have Feedback?


Tell us what you think of ScienceDaily -- we welcome both positive and negative comments. Have any problems using the site? Questions?
Mobile: iPhone Android Web
Follow: Facebook Twitter Google+
Subscribe: RSS Feeds Email Newsletters
Latest Headlines Health & Medicine Mind & Brain Space & Time Matter & Energy Computers & Math Plants & Animals Earth & Climate Fossils & Ruins