Evidence map›Paper›PMID 40978079›Full record

ArticleJournal of multidisciplinary healthcare2025

Hospital-at-Home in Taiwan: Reducing Hospital Stay and Medical Expenditures.

Tian-Hoe Tan, Yu-Chieh Ho, Hung-Lin Hsu, Ting-Chia Chang, Kang-Ting Tsai, Hung-Jen Tang, Chien-Chin Hsu, Hung-Jung Lin, Hsiu-Chin Chen, Chien-Cheng Huang

Abstract read
In one paragraph

Article in Journal of multidisciplinary healthcare, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Review
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Tian-Hoe TanDepartment of Emergency Medicine, Chi Mei Medical Center, Tainan, Taiwan.
Yu-Chieh HoDepartment of Emergency Medicine, Chi Mei Medical Center, Tainan, Taiwan.ORCID 0009-0002-6430-0304
Hung-Lin HsuDepartment of Emergency Medicine, Chi Mei Medical Center, Tainan, Taiwan.
Ting-Chia ChangDivision of Chest Medicine, Department of Internal Medicine, Chi Mei Medical Center, Tainan, Taiwan.
Kang-Ting TsaiDepartment of Family Medicine, Chi Mei Medical Center, Tainan, Taiwan.
Hung-Jen TangDepartment of Internal Medicine, Chi Mei Medical Center, Tainan, Taiwan.
Chien-Chin HsuDepartment of Emergency Medicine, Chi Mei Medical Center, Tainan, Taiwan.
Hung-Jung LinDepartment of Emergency Medicine, Chi Mei Medical Center, Tainan, Taiwan.
Hsiu-Chin Chen *Department of Senior Services, Southern Taiwan University of Science and Technology, Tainan, Taiwan.
Chien-Cheng Huang *Department of Emergency Medicine, Chi Mei Medical Center, Tainan, Taiwan.ORCID 0000-0003-3595-2952

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Hospital-at-Home (HaH) is an alternative care model that delivers hospital-level treatment at home, improving patient outcomes while reducing healthcare costs. Despite its success globally, HaH was not implemented in Taiwan until the initiation of a pilot program. This study evaluates the outcomes of HaH compared to traditional hospitalization. Methods: A retrospective cohort study was conducted at a tertiary medical center in Taiwan. HaH patients diagnosed with pneumonia, urinary tract infection, or soft tissue infection between August 1, 2024, and January 31, 2025, were included (n = 69). A matched hospitalized cohort (n = 246) was selected based on age, sex, and diagnosis. Outcomes, including length of stay, medical expenditure, emergency department (ED) visits, rehospitalization, and patient satisfaction, were analyzed using univariate and logistic regression analyses. Results: The HaH cohort had a significantly shorter length of stay (adjusted OR: 0.53, 95% CI: 0.30-0.93, p = 0.028) and lower medical expenditure (adjusted OR: 0.18, 95% CI: 0.10-0.33, p < 0.001). HaH patients were more likely to transition to home healthcare (73.9% vs 7.3%, p < 0.001), and satisfaction was 100%. No significant differences were found in ED visits or rehospitalization rates between the two cohorts (all p > 0.05). Conclusion: HaH is an effective alternative to hospitalization, reducing length of stay and medical expenses while maintaining patient safety and satisfaction. Expanding HaH to additional conditions could further enhance healthcare efficiency. These findings highlight HaH's feasibility in Taiwan and its role in healthcare resilience.

Indexed as

emergency departmenthealthcare cost reductionhospital-at-homeinpatient carepatient satisfactionTaiwan

Identifiers

PMID40978079
PMCPMC12449870

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.