ArticleFrontiers in medicine2026
Rapid scale-up of hospital-at-home services during wartime: lessons learned from the Sheba Medical Center experience.
Article in Frontiers in medicine, 2026. 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
Background: Sheba BEYOND, the telemedicine-governed hospital within the Sheba medical center includes a unique telemedicine-based service for internal-medicine patients suffering from acute illness since 2020, serving as a viable alternative to in-hospital stay. During March 2026, amid an Israeli war on two fronts, Iran and Lebanon, the urgent need to transfer over 1,900 (in-hospital) patients to underground facilities under continuous missile attacks necessitated immediate, massive fortification of our HaH services across multiple clinical disciplines. Methods: Sheba BEYOND qualified its HaH services for home hospitalization of dozens of patients from several clinical disciplines. Both its headquarters, in-house and external nursing services and physicians had to rapidly scale up. We did a descriptive analysis and comparison of HaH activities between wartime (March 2026) and the previous month (February 2026). Results: During March 2026, mean daily HaH admissions increased almost three-fold, from 2.11/day to 6.06/day, corresponding to a rate ratio of 2.88 (95% CI 2.15-3.86; Conclusion: This wartime experience demonstrates that a telemedicine-led HaH service can be rapidly scaled in volume, geographic reach, and clinical scope during a hospital capacity crisis. The available data support the feasibility of rapid operational expansion and provide reassuring, but unadjusted, short-term safety indicators rather than definitive evidence of clinical equivalence.
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