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Home hospitalization.

Yoram Maaravi1, Aaron Cohen, Robert Hammerman-Rozenberg

  • 1Department of Rehabilitation and Geriatrics, Hadassah-University Hospital, Mount Scopus, Jerusalem,Israel.

Journal of the American Medical Directors Association
|June 17, 2003
PubMed
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The Jerusalem Home Hospitalization program successfully provided intensive medical care at home for over 6,000 elderly patients. This home care model demonstrated high patient and family satisfaction over an 8-year period.

Area of Science:

  • Geriatric Medicine
  • Healthcare Management
  • Home-Based Care

Background:

  • Home Hospital (HH) is a global healthcare model delivering acute and subacute medical services within the patient's residence.
  • The primary aim of HH is to decrease the incidence of traditional hospital admissions.
  • This model offers an alternative to inpatient care, particularly for elderly populations.

Purpose of the Study:

  • To assess the clinical characteristics and outcomes of an established 8-year Home Hospitalization program in Jerusalem.
  • To provide a comprehensive evaluation of the program's operational parameters and patient demographics.

Main Methods:

  • A retrospective chart review was conducted to gather a clinical profile of the Jerusalem Home Hospitalization program.
  • Data collected included patient demographics, primary diagnoses, and duration of home hospitalization.

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  • Patient care needs at the conclusion of home hospitalization were also analyzed.

    • Main Results:

    • Between November 1991 and December 1999, the program admitted 6,297 patients aged 65 and older.
    • The most prevalent conditions treated were heart disease, malignancy, and infections.
    • A significant majority of admissions (51%) had a duration of less than one month, with 69% lasting under two months.

    Conclusions:

    • The Jerusalem Home Hospitalization program has effectively delivered intensive home-based medical care for eight years.
    • The program has achieved high satisfaction rates among both patients and their families.
    • This model represents a viable and effective approach to managing acute and subacute care needs outside traditional hospital settings.