Hospital at home: from red to amber?

BMJ 1998;316:1761-1762 ( 13 June )

Editorials

Hospital at home: from red to amber?

Data that will reassure advocates $---$ but without satisfying the sceptics

General practice pp 1786, 1791, 1796, 1802

The first 150 words of the full text of this article appear below.

Hospital at home schemes providing care in the patient's home that is traditionally provided in hospital have grown in importancein health services in both Europe and North America and are seenas a possible substitute for inpatient care in the National HealthService.¹ The limited experience of hospital at home developmentsin the United Kingdom suggests that savings can be made when suchservices are substituted for usual hospital care, at least forsome patient groups,² but a recent systematic review of theEnglish language literature provides little evidence to supportthis innovatory approach to acute care.³ Few trials of hospitalat home services have, however, been done, and most have beensmall, with no consistency in outcome measures and little attemptat economic evaluation.

The many purchasers and providers planning hospital at home schemes⁴ have had little guidance on how to proceed, with theresult that many recent . . . [Full text of this article]

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