Hospital-Level Care at Home for Acutely Ill Adults: a Pilot Randomized Controlled Trial.

ABSTRACT:

Background

Hospitals are standard of care for acute illness, but hospitals can be unsafe, uncomfortable, and expensive. Providing substitutive hospital-level care in a patient's home potentially reduces cost while maintaining or improving quality, safety, and patient experience, although evidence from randomized controlled trials in the US is lacking.

Objective

Determine if home hospital care reduces cost while maintaining quality, safety, and patient experience.

Design

Randomized controlled trial.

Participants

Adults admitted via the emergency department with any infection or exacerbation of heart failure, chronic obstructive pulmonary disease, or asthma.

Intervention

Home hospital care, including nurse and physician home visits, intravenous medications

SUBMITTER: Levine DM 

PROVIDER: S-EPMC5910347 | biostudies-literature | 2018 May

REPOSITORIES: biostudies-literature