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Documentation in long-term care facilities and home healthcare settings is crucial for ensuring continuous, coordinated, and comprehensive care for patients. Each setting has its specific documentation processes and tools:
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Hospitals offer medical and surgical care to the sick and injured, along with accommodation while they recover. At the same time, they also provide outpatient, emergency, psychiatric, and rehabilitation services to meet various community needs. In addition to providing medical care, hospitals also act as hubs for medical research and training. Hospitals use clinical procedures and evidence-based practice standards to deliver patient care. To deliver safe and efficient care, a nurse must stay up...
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Hospitals provide inpatient and outpatient services. Inpatient services provide care to patients that stay in the hospital for an extended period, ranging from days to months. Examples of inpatient services include intensive care units, hospital wards, or surgeries. Outpatient services provide care to patients who come to a hospital for a diagnostic or treatment but do not stay overnight —for example, diagnostic tests, surgical procedures, or health education.
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A Comprehensive Framework for Hospital@Home Care Models.

Kerstin Denecke1, Andre W Kushniruk2, Elizabeth M Borycki2

  • 1Institute Patient-centered Digital Health, Bern University of Applied Sciences, Switzerland.

Studies in Health Technology and Informatics
|May 24, 2024
PubMed
Summary

A new framework details hospital@home care, outlining key features for researchers and providers. This guide aids in developing new technologies and expanding services for effective home-based healthcare.

Keywords:
Care modelFrameworkHospital at homeInnovationPatient at home

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Area of Science:

  • Healthcare Management
  • Health Informatics
  • Patient Care Models

Background:

  • Hospital@home is an emerging healthcare model delivering acute care in patients' residences.
  • This approach aims to provide treatment for conditions typically requiring hospitalization within the home environment.

Purpose of the Study:

  • To develop a comprehensive framework detailing essential features of hospital@home care models.
  • The framework aims to standardize the description and development of these innovative care services.

Main Methods:

  • A systematic literature review and thematic analysis were conducted.
  • Data from 42 papers describing hospital@home care approaches were analyzed.
  • Features were extracted, grouped, and aggregated to form the framework.

Main Results:

  • The developed framework comprises nine key dimensions: persons involved, target patient population, service delivery, intended outcome, first point of contact, technology, quality, and data collection.
  • It offers a detailed overview of necessary roles, technologies, and service types within hospital@home settings.

Conclusions:

  • The framework serves as a guide for researchers developing new technologies (e.g., telehealth, wearables) and interventions for hospital@home care.
  • Healthcare providers can utilize this framework as a blueprint for establishing or enhancing their hospital@home services.