What question did this study set out to answer?

To compare the clinical effectiveness, patient outcomes, and costs of hospital at home care against acute inpatient hospital care.

September 1, 1998Journal of Public HealthOpen Access

The effectiveness of hospital at home compared with in-patient hospital care: a systematic review

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To compare the clinical effectiveness, patient outcomes, and costs of hospital at home care against acute inpatient hospital care.
Systematic review of randomized controlled trials comparing hospital at home to acute inpatient care for adults aged 18 and older, excluding obstetric, psychiatric, and long-term care populations.
Searched multiple electronic bibliographic databases alongside the Cochrane EPOC register, using independent dual-reviewer quality assessment and data extraction across clinical, cost, and satisfaction outcomes.
Five randomized trials were identified, showing no statistically significant differences in primary patient health outcomes between hospital at home and inpatient care.
Patients recovering from elective surgery reported significantly higher satisfaction with hospital at home, whereas family caregivers reported lower satisfaction compared to hospital care.
Only one trial involving terminal care formally evaluated health economics, finding no statistically significant difference in net health costs between treatment settings.

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Implication

Systematic review reveals no significant differences in clinical outcomes between hospital at home and inpatient care in adults, indicating insufficient evidence for widespread expansion.

Cite This Study

Shepperd et al. (1998) studied this question.

synapsesocial.com/papers/6a109b6f8090e499da616eb9 https://doi.org/10.1093/oxfordjournals.pubmed.a024778

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Implication

Systematic review reveals no significant differences in clinical outcomes between hospital at home and inpatient care in adults, indicating insufficient evidence for widespread expansion.

The effectiveness of hospital at home compared with in-patient hospital care: a systematic review

Key Points

Discussion

Implication

Cite This Study

The effectiveness of hospital at home compared with in-patient hospital care: a systematic review

Key Points

Discussion

Implication

Cite This Study

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