ArticleFrontiers in public health2025
Extending Hospital-at-Home to nursing homes: findings from a novel care model in Singapore.
Article in Frontiers in public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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5 authors.
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Abstract
Background: We implemented a Hospital-at-Nursing Home (HaNH) pilot program in a nursing home to reduce acute hospital bed utilization and allow residents to receive right-sited care in familiar environments. Methods: A prospective data collection of the Hospital-at-Home (HaH) program was conducted from November 2023 to December 2024 in a regional general hospital. Result: 16 HaNH enrollments were completed, comprising three admission avoidance cases and thirteen early supported discharges. Pneumonia (56.3%) and urinary tract infections (18.8%) were the most common diagnoses. The median length of stay was three days (range 1-12, IQR 4). One mortality occurred within the program in the HaNH in alignment with the patient's preferred place of care and death, supported by palliative care. Comparisons with a non-institutionalized HaH cohort ( Conclusion: These preliminary findings suggest that while HaNH may alleviate hospital bed shortages, patients in nursing homes are at increased risk of deterioration and require careful selection and support.
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