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- Title
Acute Hospital Care at Home in the United States: The Early National Experience.
- Authors
Levine, David M.; Souza, Jeffrey; Schnipper, Jeffrey L.; Tsai, Thomas C.; Leff, Bruce; Landon, Bruce E.
- Abstract
This article discusses the early national experience of acute hospital care at home (AHCaH) in the United States. AHCaH provides hospital-level care in patients' homes as an alternative to traditional inpatient hospital care. The study found that patients receiving AHCaH had improved experiences and physical activity levels, with lower rates of mortality, readmission, and discharge to skilled-nursing facilities. The article provides data on the sociodemographic and clinical characteristics of patients receiving AHCaH, as well as their clinical outcomes. The findings suggest that AHCaH is a viable option for acute illness care. The study also highlighted that socially vulnerable patients, including those with dual eligibility, disabilities, or dementia, had similar outcomes. However, the study has limitations, including its generalizability only to AHCaH within traditional Medicare and the lack of a comparator. The data suggest that AHCaH is an important care model for managing acute illness, including among socially vulnerable and medically complex patients.
- Subjects
HOSPITAL care; MEDICAID; HEART failure; MEDICARE; URINARY tract infections; NATION-state
- Publication
Annals of Internal Medicine, 2024, Vol 177, Issue 1, p109
- ISSN
0003-4819
- Publication type
Article
- DOI
10.7326/M23-2264