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Centre for Policy on Ageing | |
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| The effectiveness of hospital at home compared with in-patient hospital care: a systematic review | | Author(s) | Sasha Shepperd, Steve Iliffe |
| Journal title | Journal of Public Health Medicine, vol 20, no 3, September 1998 |
| Pages | pp 344-350 |
| Keywords | Hospital at home ; Hospital services ; In-patients ; Costs [care] ; Comparison. |
| Annotation | Despite the widespread adoption of hospital at home services it is not known if these services represent an effective way to manage patients, compared with in-patient hospital care. This study carried out a systematic review of randomised controlled trials comparing hospital at home care with acute hospital in-patient care for patients aged 18 years and over, excluding certain groups, such as those with long-term care needs. In total, five trials were included in the review. Findings showed no statistically significant differences for patient health outcomes. Patients discharged early from hospital to hospital at home following elective surgery expressed greater satisfaction with care than those who remained in hospital. Carers, however, expressed less satisfaction with hospital at home. No statistically significant difference was detected for overall net health costs. The review does not support the widespread adoption of hospital at home, nor the discontinuation of existing schemes for older medical patients, patients who have had elective surgery, or those with terminal illness. There is insufficient evidence to determine the effect of hospital at home on patient outcomes, or cost to the health service. (AKM). |
| Accession Number | CPA-980929228 A |
| Classmark | LD:N: LD: LF7: QDC: 48 |
Data © Centre for Policy on Ageing |
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| ...from the Ageinfo database published by Centre for Policy on Ageing. |
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