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Peterborough Hospital at Home: an evaluation
J Knowelden1, L Westlake, K G Wright
1Department of Public Health Medicine, University of Sheffield Medical School.
Journal of Public Health Medicine
|August 1, 1991
Summary
Hospital at Home (HaH) care provides services for severely ill patients, comparable to hospital wards. This scheme particularly enhances terminal cancer care, potentially reducing hospital admissions.
Area of Science:
- Healthcare Services Research
- Geriatric Medicine
- Oncology Support Care
Background:
- The study evaluates the Peterborough Hospital at Home (HaH) scheme.
- It examines the integrated roles of HaH, hospital wards, and District Nursing Services.
- Focuses on patient care settings and service complementarity.
Purpose of the Study:
- To assess the effectiveness and role of Hospital at Home services.
- To compare HaH care with traditional hospital wards and District Nursing Services.
- To understand HaH's impact on patient outcomes and service utilization.
Main Methods:
- Retrospective analysis of patient records from 1983 across three care settings.
- Prospective study of HaH patients in 1985 with specific diagnoses (malignant neoplasms, cerebrovascular accidents, early post-operative discharge).
- Data collection on patient severity, care setting, and outcomes.
Main Results:
- In 1985, 284 patients were admitted to HaH, with 73 being terminally ill cancer patients.
- HaH managed patients with higher severity than typical District Nursing Service cases.
- HaH patient outcomes and severity were comparable to those receiving hospital ward care.
Conclusions:
- Hospital at Home provides a high level of care, comparable to hospital wards, for severely ill patients.
- HaH services, especially for terminal cancer patients, function as an enhancement to domiciliary nursing.
- The scheme may reduce the need for hospital admission for a significant portion of cancer patients.
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