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[Home hospitalization: background, current situation, and future prospects]
R Minardi Mitre Cotta1, M Morales Suárez-Varela, A Llopis González
1Departamento de Medicina Preventiva y Salud Pública, Universidad de Valencia, España.
Objective:
To establish the different forms that the concept of home care has taken over time as a modality for providing health care, so as to contribute to the debate on the circumstances affecting health care management in the face of future challenges.
Methods:
The literature is reviewed on home care as a method for delivering health care, by researching publications indexed during the period of 1995-2000 in three medical bibliographical databases: MEDLINE, LILACS (Latin American and Caribean Health Sciences) and the Indice Médico Español (Spanish Medical Index).
Results:
Home hospitalization has developed differently over time in various countries, with an assortment of models for this type of care, each with its respective advantages and disadvantages.
Conclusions:
There are some criteria and proposals that could provide a framework for home care that is innovative, effective, and of high quality. Home care could help in the design and creation of a consensus on an organizational and financing model that fits in harmoniously between primary care and care in a hospital.