Impact of policy reforms on hospital-at-home services: an interrupted time series analysis of Shanghai.

ABSTRACT:

Background

The global rise in elderly populations and chronic disease patients has increased the demand for hospital-at-home (HaH) services, which could help reduce hospitalization costs.

Objective

To assess the impact of two policies on the implementation of HaH services in Shanghai.

Methods

A two-stage interrupted time series (ITS) analysis with a control group was conducted to examine changes in three areas-institutional capacity, home-based medical services, and HaH beds-using 11 indicators from 2007 to -2022 across all community health service centres and hospitals providing HaH services.

Results

After the first policy was implemented, the number of institutions providing HaH services significantly increased (β1 + β3+β5 + β7 =8.200, P <0.001). HaH beds in

SUBMITTER: Du S 

PROVIDER: S-EPMC11653972 | biostudies-literature | 2024 Dec

REPOSITORIES: biostudies-literature