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Acceptability of early discharge, hospital at home schemes
Treatments that can be safely and acceptably managed at home need
to be definedCare in community hospitals is another alternativeAuthors' replyTreatments that can be safely and acceptably managed at home need to be defined
| The first 150 words of the full text of this article appear below. |
EDITOR
Richards et al's and Shepperd et al's definitions of what
constitutes hospital in the home care are problematic.
1 2
Richards et al described hospital in the home as "a generic term, referring to a package of home based nursing and rehabilitation services," while Shepperd et al restricted the eligible groups of
patient to patients older than 60 with five broadly defined conditions.
Our concern with these studies is that patients seem to have been selected on the basis of their clinical condition and its burden on the hospital rather than on the basis that their acute hospital based treatment could be appropriately delivered at home. We also wonder whether the selection of conditions for study was determined by the presence of validated research instruments
The appropriate definition of hospital in the home is one in which the
patient requires treatment that, without the presence of a hospital in
the home
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