Patients' and carers' satisfaction with hospital-in-the-home care

Hospital-in-the-Home Units (HHUs) offer acute care, such as the administration of intravenous antibiotic therapy, to appropriate and consenting patients in their homes. This study sought to determine the satisfaction of a group of patients and carers to a hospital in the home program in Victoria, Australia.

A descriptive survey based on a telephone administered structured interview was conducted. PATIENTS admitted to the HHU from December 1994 until the end of June 1995, and their nominated carers, were approached for their participation 2-3 weeks after their discharge.

Surveys were completed for 67 of a total 79 patients (84.8%). A preference for the convenience and comfort of home was the commonest reason cited for agreeing to enter the HHU (45 or 67.2%). Almost all respondents (66) would use the service again if the opportunity arose. Benefits associated with the home environment were the commonest perceived advantages of HHU care (42, 62.3%). Carers: Sixty-five carers from a possible 79 were interviewed. Most carers were women (spouses or mothers), and gave their occupation as home carer or retired. Sixty-two carers were confident in their role in the HHU. A similar number stated that they would act as carers again, and 61 would recommend the role to others.

This study demonstrates that patient and carer preference will act as an incentive in the development and acceptance of HHU care.