ArticleInternational journal of integrated care2018
Implementation of Home Hospitalization and Early Discharge as an Integrated Care Service: A Ten Years Pragmatic Assessment.
Article in International journal of integrated care, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04503434 (Patients' Experiences in a Medicalized Hotel for COVID-19 Acute Care Support), which is not on this map. Cited by 34 papers, 2 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Patients' Experiences in a Medicalized Hotel for COVID-19 Acute Care Support
Who cites it
34 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Implementation determinants, strategies and outcomes for scale-up of hospital-at-home: a systematic review.Implementation science communications · 2026Pooled it
- Pooled it
- Clinical Outcomes and Predictors of Adverse Events in Influenza Patients Managed in a Hospital-at-Home Program: A 10-Year Retrospective Study.American journal of medicine open · 2026Article
- Economic value of non-professional care in Spain. An analysis of the last decade.The European journal of health economics : HEPAC : health economics in prevention and care · 2026Article
- The Market for Monoclonal Antibodies: Trends, Challenges, and Opportunities.BioDrugs : clinical immunotherapeutics, biopharmaceuticals and gene therapy · 2026Article
- Bridging the Gap in Chronic Disease Management: A Nursing Perspective on the Use of Predictive Tools and Telemedicine in the Hospital-Community Transition.Medicina (Kaunas, Lithuania) · 2025Review
- Hospitalizations at Home in Israel, a Retrospective Observational Study.Health care analysis : HCA : journal of health philosophy and policy · 2025Observational
- Implementation of Agile in healthcare: methodology for a multisite home hospital accelerator.BMJ open quality · 2024Article
- ICT in Nursing and Patient Healthcare Management: Scoping Review and Case Studies.Sensors (Basel, Switzerland) · 2024Article
- Hospital at home for elderly acute patients: a study protocol for a randomised controlled trial.BMJ open · 2024Article
- The value of admission avoidance: cost-consequence analysis of one-year activity in a consolidated service.Cost effectiveness and resource allocation : C/E · 2024Article
- Designing a Virtual Hospital-at-Home Intervention for Patients with Infectious Diseases: A Data-Driven Approach.Journal of clinical medicine · 2024Article
- An integrated understanding of the impact of hospital at home: a mixed-methods study to articulate and test a programme theory.BMC health services research · 2024Review
- Five years of Hospital at Home adoption in Catalonia: impact, challenges, and proposals for quality assurance.BMC health services research · 2024Article
- Article
- Impact of quality of service in the direct cost of integrated home care services.Health systems (Basingstoke, England) · 2024Article
- Unlocking the WHO's Age-Friendly Healthcare Principles: Portugal's Quest and Recommendations.International journal of environmental research and public health · 2023Article
- Blockchain Revolutionizing in Emergency Medicine: A Scoping Review of Patient Journey through the ED.Healthcare (Basel, Switzerland) · 2023Article
- Evaluating IoT-Based Services to Support Patient Empowerment in Digital Home Hospitalization Services.Sensors (Basel, Switzerland) · 2023Article
- Cost effectiveness of home care versus hospital care: a retrospective analysis.Cost effectiveness and resource allocation : C/E · 2023Article
Corrections and comments
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Home Hospitalization has proven efficacy, but its effectiveness and potential as an Integrated Care Service in a real world setting deserves to be explored.
objectiveTo evaluate implementation and 10 years follow-up of Home Hospitalization and Early Discharge as an Integrated Care Service in an urban healthcare district in Barcelona.
methodsProspective study with pragmatic assessment. Patients: Surgical and medical acute and exacerbated chronic patients requiring admission into a highly specialized hospital, from 2006 to 2015. Intervention: Home-based individualized care plan, administered as a hospital-based outreach service, aiming at substituting hospitalization and implementing a transitional care strategy for optimal discharge. Main measurements: Emergency Department, readmissions and mortality. Patients' and professionals' perspectives, technologies and costs were evaluated.
results4,165 admissions (71 ± 15 yrs; Charlson Index 4 ± 3). In-hospital stay was 1 (0-3) days and the length of home-based stay was 6 (5-7) days. The 30-day readmission rate was 11% and mortality was 2%. Patients, careers and health professionals expressed high levels of satisfaction (98%). At the start, the service was reimbursed at a flat rate of 918€ per patient discharged, significantly lower than conventional hospitalization (2,879€) but still allowing the hospital to keep a balanced budget. At present, there is no difference in the payment schemes for both types of services.
conclusionsThe service freed an average of 6 in-hospital days per patient. The program showed health value generation, as well as potential for synergies with community-based Integrated Care Services.
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