ArticleSupportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer2025
Characteristics associated with accepting hospital at home among patients with cancer and their caregivers: a cross-sectional survey.
Article in Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, 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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Abstract
purposeTo assess patient characteristics associated with acceptability of a hypothetical hospital at home (HaH) program in patients hospitalized with cancer and describe associated caregiver characteristics and clinical needs.
methodsA cross-sectional survey assessing acceptability of a hypothetical HaH program was completed by 250 patients and 33 caregivers. Eligible patients were English-speaking adults (18 + years), admitted to the medicine service at a cancer hospital. Unpaid adult caregivers were surveyed as well.
resultsThe median age of patients was 63, 134 (54%) were female, 38 (16%) identified as Black and 21 (8.8%) as Hispanic. Overall, 208 patients (83%) rated participation in HaH as acceptable, as did 28 (85%) caregivers. Patients with advanced cancer were more likely to accept HaH (84.6% vs. 71.0%, p = 0.041). Acceptability differed statistically by race (p < .05) and was lowest among Black patients (74%). Of the patients who rated HaH acceptable, 137 (67%) had advanced imaging or a procedure after the first day of admission and 21 (10%) had a non-clinical contraindication to HaH such as a home member using illicit drugs (15, 7%).
conclusionThe majority of patients hospitalized with cancer and their caregivers would agree to receive hospital-level services at home. Those with advanced cancer were more likely to agree to HaH, while patients from underrepresented racial and ethnic groups were less likely to agree. Future work should explore appropriate criteria for HaH eligibility in oncology and address both patient and caregiver concerns around this novel care delivery model.
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