Evidence map›Paper›PMID 42555132›Full record

Trial reportThe Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association2026

Hospital Care at Home for Adults Living in Rural Settings: A Qualitative Evaluation.

Meghna P Desai, Sarah M Findeisen, Stephanie C Blitzer, Mary Frances Barthel, Michelle N Grinman, Mitchell Wicker, Patricia Dykes, Scott M Harrison, Steven C Amrhein, David M Levine

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05256303 (Hospital-Level Care at Home for Acutely Ill Adults in Rural Settings), which is not on this map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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.

NCT05256303 nacompletednot on this map

Hospital-Level Care at Home for Acutely Ill Adults in Rural Settings: A Randomized Controlled Trial

TypeinterventionalSponsorBrigham and Women's HospitalRan2022 to 2024Enrolled160ConditionsInfections, Heart Failure, Chronic Obstructive Pulmonary Disease, AsthmaArmsHome Hospital care, Traditional Hospital care
3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

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.

Meghna P DesaiAriadne Labs, Boston, Massachusetts, USA.
Sarah M FindeisenAriadne Labs, Boston, Massachusetts, USA.
Stephanie C BlitzerAriadne Labs, Boston, Massachusetts, USA.
Mary Frances BarthelBlessing Health System, Quincy, Illinois, USA.
Michelle N GrinmanAlberta Health Services, Calgary, Alberta, Canada.
Mitchell WickerHazard Appalachian Regional Healthcare Regional Medical Center, Hazard, Kentucky, USA.
Patricia DykesThe Center for Patient Safety Research and Practice, Brigham and Women's Hospital, Boston, Massachusetts, USA.
Scott M HarrisonHazard Appalachian Regional Healthcare Regional Medical Center, Hazard, Kentucky, USA.
Steven C AmrheinAlberta Health Services, Calgary, Alberta, Canada.
David M LevineAriadne Labs, Boston, Massachusetts, USA.ORCID https://orcid.org/0000-0002-4337-9896

Funding

Thompson Family Foundation
6 · The paper itself

Abstract

purposeDescribe the perceptions of patients receiving rural home hospital (RHH) care.

methodsThis is a qualitative evaluation of a randomized controlled trial comparing RHH (intervention) versus brick-and-mortar (BAM) care (control) in three rural sites in the United States and Canada between February 23, 2022, and January 17, 2024. Participants include acutely ill patients who received RHH. RHH programs provided patients with twice-daily nurse/paramedic visits, daily physician visits (remote), hospital-level diagnostics and treatments in the home, and other care tailored to the patient. Patient experience while receiving RHH care analyzed thematically to identify advantages and disadvantages of this model of care in the rural setting.

findingsWe interviewed 38 of 79 RHH patients recruited to our randomized controlled trial. Mean age was 67 (SD 17), 100% were White, 29% female, 82% Medicare recipients, and 62% retired. Patient perceptions clustered around three main themes: (1) perceived quality of care; (2) perceived comfort; and (3) experience with technology. Overall, home hospitalized patients were satisfied with the care they received at home. This was driven by strong rapport with the care team and receiving safe and effective medical care in the comfort of their home. Patients noted perceived comfort from familiar home surroundings and improved social support, nutrition, and sleep. Patients felt technology facilitated their experience and noted it presented a learning curve and occasional barrier to care.

conclusionsRHH patients reported positive patient experiences principally across perceived quality, comfort, and technology, with some opportunity for improvement in technology interfaces for select patients.

trial registrationNCT05256303.

Indexed as

Home Care Services, Hospital-BasedRural PopulationAgedAged, 80 and overCanadaFemaleHome Care ServicesHumansInterviews as TopicMaleMiddle AgedPatient SatisfactionQualitative ResearchUnited Statesacute hospital care at homehome hospitalhospital at homehospital‐basedrural health services

Identifiers

PMID42555132
PMCPMC13440323

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Registered trials

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.