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Titolo:
Heart failure and community-acquired pneumonia: cases for home hospital?
Autore:
Santos-Eggimann, B; Chavaz, N; Larequi, T; Lamy, O; Yersin, B;
Indirizzi:
Univ Lausanne, Inst Med Sociale & Prevent, Unite Serv Sante, CH-1005 Lausanne, Switzerland Univ Lausanne Lausanne Switzerland CH-1005 CH-1005 Lausanne, Switzerland Univ Hosp, Dept Med, Lausanne, Switzerland Univ Hosp Lausanne Switzerland iv Hosp, Dept Med, Lausanne, Switzerland
Titolo Testata:
INTERNATIONAL JOURNAL FOR QUALITY IN HEALTH CARE
fascicolo: 4, volume: 13, anno: 2001,
pagine: 301 - 307
SICI:
1353-4505(200108)13:4<301:HFACPC>2.0.ZU;2-T
Fonte:
ISI
Lingua:
ENG
Soggetto:
RANDOMIZED CONTROLLED TRIAL; COST MINIMIZATION ANALYSIS; RESEARCH TEAM COHORT; OLDER PERSONS; CARE; OUTCOMES; ACCEPTABILITY; PREFERENCES; DISCHARGE; DECISION;
Keywords:
acceptance; community-acquired pneumonia; heart failure; home hospital;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Social & Behavioral Sciences
Citazioni:
20
Recensione:
Indirizzi per estratti:
Indirizzo: Santos-Eggimann, B Univ Lausanne, Inst Med Sociale & Prevent, Unite Serv Sante, Rue du Bugnon17, CH-1005 Lausanne, Switzerland Univ Lausanne Rue du Bugnon 17 Lausanne Switzerland CH-1005
Citazione:
B. Santos-Eggimann et al., "Heart failure and community-acquired pneumonia: cases for home hospital?", INT J QUAL, 13(4), 2001, pp. 301-307

Abstract

Background. Home hospital is advocated in many western countries in spite of limited evidence of its economic advantage over usual hospital care. Heart failure and community-acquired pneumonia are two medical conditions which are frequently targeted by home hospital programs. While recent trials were devoted to comparisons of safety and costs, the acceptance of home hospital for patients with these conditions remains poorly described. Objective. To document the medical eligibility and final transfer decisionto home hospital for patients hospitalized with a primary diagnosis of heart failure or community-acquired pneumonia. Design. Longitudinal study of patients admitted to the medical ward of acute care hospitals, up to the final decision concerning their transfer. Setting. Medical departments of one university hospital and two regional teaching Swiss hospitals. Patients. AR patients admitted over a 9 month period to the three settingswith a primary diagnosis of heart failure (n= 301) or pneumonia (n=441). Measurements. Presence of permanent exclusion criteria on admission; finaldecision of (in)eligibility based on medical criteria; final decision regarding the transfer, taking into account the opinions of the family physician, the patient and informal caregivers. Results. While 27.9% of heart failure and 37.6% of pneumonia patients wereconsidered to be eligible from a medical point of view, the program acceptance by family physicians, patients and informal caregivers was low and a transfer to home hospital was ultimately chosen for just 3.8% of heart failure and 90/o of pneumonia patients. There were no major differences between the three settings. Conclusions. In the case of these two conditions, the potential economic advantage of home hospital over usual inpatient care is compromised by the low proportion of patients ultimately transferred.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 20/01/20 alle ore 04:44:25