Factors Associated with Return to Conventional Hospitalization During Hospital at Home
DOI:
https://doi.org/10.24950/rspmi.2514Keywords:
Home Care Services, Hospital-Based, Hospitalization, Hospitals, Patient TransferAbstract
Introduction: Return to conventional hospitalization is defined as “the return of a patient to the conventional ward from the hospital at home (HaH), and is one of the criteria used to measure the quality of health care provided.
Methods: A two-year retrospective observational study
collected sociodemographic and clinical data, as well as indicators related to the clinical management process and the reason for return to the conventional ward. Statistical analyses included a comparison between “patients without return” versus “patients with return” and multiple correspondence analysis.
Results: A total of 562 patients were included. Thirty (5.3%) patients returned to the conventional ward. None of the variables was associated with returning to hospital. The
multiple correspondence analysis found a relationship between the “destination” at the end of the hospitalization and the “age group”.
Conclusion: Comparing return rates is challenging, given the heterogeneity of the services provided. However, in this
analysis, the return rate was low and it was not possible to
find any variables that are associated with the risk of return to conventional hospitalization.
Downloads
References
United Nations. World Population Ageing 2019. [consultado Jan 2022] DisMinistério da Saúde. Estratégia de implementação de Unidades de Hospitalização Domiciliária no Serviço Nacional de Saúde. Despacho n.º 9323-A/2018. Artigos 3-6o, 8o, 12o.
Direção Geral da Saúde. Hospitalização Domiciliária em Idade Adulta: Norma nº 020/2018. Lisboa: DGS; 2018.
Serviço Nacional de Saúde. Relatório Anual de Acesso a Cuidados de Saúde [consultado jan 2024] Disponível em: https://www.sns.gov.pt/home/relatorios-de-acesso-cuidados-de-saude/
Alves M, Bigotte Vieira M, Costa J, Vaz Carneiro A. Análise da Revisão Cochrane:Alta Hospitalar Precoce para Hospitalização Domiciliária. Acta Med Port. 2017;30:835-9. Portuguese. doi: 10.20344/amp.9791.
Chan S. Hospitalização domiciliária, uma alternativa ao internamento convencional. Med Interna. 2022:29:53-6. doi: 10.24950/rspmi.2022.01.288.
Azevedo P. A hospitalização domiciliária na pandemia COVID-19. Gazeta Méd. 2020;2: 132-7. doi: 10.29315/gm.v7i2.356
Delerue F, Correia J. Hospitalização Domiciliária mais um Desafio para a Medicina Interna. Med Interna. 2018:25:15-7. doi: 10.24950/rspmi/Op/1/2018
Direção Geral da Saúde. Norma organizacional nº020/2018 – Hospitalização Domiciliária em idade adulta. [consultado jan 2024] Disponível em:https://normas.dgs.min-saude.pt/2018/12/20/hospitalizacao-domiciliaria-em-idade-adulta/
Cunha V, Escarigo MC, Correia J, Nortadas R, Correia Azevedo P, Beirão P, et al. Hospitalização Domiciliária: Balanço de um Ano da Primeira Unidade Portuguesa. Med Interna. 2017;24;290-5. doi: 10.24950/rspmi/O112/17/2017
Arias de la Torre J, Muñoz MZ, Estrada D, Espallargues M, Grupo de Trabajo HaD Cataluña. Hospitalización domiciliaria sustitutiva del ingreso y facilitadora del alta: resultados y factores relacionados. Emergencias Dez. 2019;31: 440-1.
Klein S. Hospital at Home: programs improve outcomes, lower costs but face resistance from providers and payers. Washington: The Commonwealth Fund; 2018. [consultado maio 2022] Disponível em:https://www.commonwealthfund.org/publications/newsletter-article/hospital-home-programs-improve-outcomes-lower-costs-face-resistance
Sulter G, Steen C, De Keyser J. Use of the Barthel index and modified Rankin scale in acute stroke trials. Stroke. 1999;30:1538-41. doi:
1161/01.str.30.8.1538.
de Groot V, Beckerman H, Lankhorst GJ, Bouter LM. How to measure comorbidity. a critical review of available methods. J Clin Epidemiol. 2003;56:221-9. doi: 10.1016/s0895-4356(02)00585-1.
IBM SPSS Statistics for Windows, Version 24.0. Armonk, NY: IBM Corp. IBM Corp. Released 2017
Lim AK, De Silva ML, Wang RS, Nicholson AJ, Rogers BA. Observational study of the incidence and factors associated with patient readmission from home-based care under the Hospital in the Home programme. Intern Med J. 2021;51:1497-504. doi: 10.1111/imj.15213.
Adams D, Wolfe AJ, Warren J, Laberge A, Richards AC, Herzer K, et al. Initial findings from an acute hospital care at home waiver initiative. JAMA Health Forum. 2023;4:e233667. doi: 10.1001/jamahealthforum.2023.3667.
Downloads
Published
How to Cite
License
Copyright (c) 2024 Internal Medicine
This work is licensed under a Creative Commons Attribution 4.0 International License.
Copyright (c) 2023 Medicina Interna
Open Access
