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Thea Kølsen Fischer1,2, Tatjana Jessen Sandreva1, Maria Normand Larsen1

  • 1Afdeling for Klinisk Forskning, Københavns Universitetshospital - Nordsjællands Hospital - Hillerød.

Ugeskrift for Laeger
|September 26, 2024
PubMed
Summary

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Denmark is shifting to virtual healthcare. This review clarifies homecare, homemonitoring, and hospital-at-home services and identifies barriers to their adoption, recommending a national support function.

Area of Science:

  • Healthcare Management
  • Digital Health Transformation
  • Health Services Research

Background:

  • The Danish healthcare system is actively transitioning towards integrating virtual healthcare services.
  • Home-based care models like homecare, homemonitoring, and hospital-at-home are gaining prominence.
  • Understanding the distinctions and challenges of these models is crucial for successful implementation.

Purpose of the Study:

  • To propose a structured risk-stratified model differentiating homecare, homemonitoring, and hospital-at-home.
  • To analyze the current status of these home-based care services.
  • To identify and discuss barriers impeding the widespread adoption and scaling of home-based care.

Main Methods:

  • Literature review and synthesis of existing research on virtual healthcare and home-based care models.

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  • Development of a risk-stratified framework to categorize different levels of home-based care.
  • Analysis of technological, regulatory, and cultural factors influencing service adoption.

    • Main Results:

    • A clear delineation between homecare, homemonitoring, and hospital-at-home is established through a risk-stratified model.
    • Current adoption levels and operational statuses of these services are presented.
    • Key barriers identified include technological limitations, regulatory complexities, and cultural resistance.

    Conclusions:

    • A structured model aids in understanding and implementing diverse home-based care services.
    • Addressing technological, regulatory, and cultural barriers is essential for scaling virtual healthcare.
    • Establishing a national central support function is recommended to accelerate the transition to home-based care.