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Designing a Virtual Hospital-at-Home Intervention for Patients with Infectious Diseases: A Data-Driven Approach.

Harriët M R van Goor1,2, Titus A P de Hond1, Kim van Loon1,2

  • 1Department of Internal Medicine, University Medical Centre Utrecht, 3584 CX Utrecht, The Netherlands.

Journal of Clinical Medicine
|February 24, 2024
PubMed
Summary
This summary is machine-generated.

Virtual hospital-at-home care shows high potential for infectious disease patients. Nearly half of patients could be eligible, depending on care package feasibility.

Keywords:
hospital-at-home careinfectious diseasestelemedicine

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Area of Science:

  • Infectious Diseases
  • Healthcare Management
  • Telemedicine

Background:

  • Virtual hospital-at-home care presents a potential alternative to traditional inpatient treatment for infectious disease patients.
  • This study investigates the feasibility and potential design of virtual hospital-at-home care models for this demographic.

Purpose of the Study:

  • To explore the potential of virtual hospital-at-home care for patients with infectious diseases.
  • To identify a feasible care package design for implementing hospital-at-home services.

Main Methods:

  • Retrospective cohort study of internal medicine patients with suspected infectious diseases admitted in 2019.
  • Analysis of care components delivered during different hospital admission phases (ED, 0-24h, 24-72h, >72h).
  • Development and evaluation of home-deliverable care packages and patient eligibility assessment.

Main Results:

  • 763 patients were included; 35% were internal medicine referrals, and 27% had lower respiratory tract infections.
  • Commonly administered care included laboratory tests, non-oral medication, and intercollegiate consultations.
  • A care package combining telemonitoring, video consultation, medication, lab tests, oxygen, and radiology made 48% of patients eligible for hospital-at-home care, with 35% eligible immediately post-ED visit.

Conclusions:

  • Virtual hospital-at-home care demonstrates significant potential for infectious disease management.
  • The successful implementation of hospital-at-home care is contingent upon the specific arrangement of available healthcare services.