Comparison of Hospital-at-Home models: a systematic review of reviews.
Man Qing LeongCher Wee LimYi Feng LaiPublished in: BMJ open (2021)
For suitable patients, HaH generally results in similar or improved clinical outcomes compared with inpatient treatment, and warrants greater attention in health systems facing capacity constraints and rising costs. Preliminary comparisons suggest prioritisation of AA models over ESD due to potential benefits in costs and clinical outcomes. Nonetheless, future research should clarify costs of HaH programmes given the current low-quality evidence, as well as address evidence gaps pertaining to caregiver outcomes and adverse events under HaH care.
Keyphrases
- end stage renal disease
- healthcare
- palliative care
- newly diagnosed
- ejection fraction
- chronic kidney disease
- mental health
- prognostic factors
- acute care
- emergency department
- peritoneal dialysis
- randomized controlled trial
- metabolic syndrome
- systematic review
- type diabetes
- pain management
- combination therapy
- glycemic control
- weight loss