"Hospital at Home": The Reality Inside And Outside Of Portugal
DOI:
https://doi.org/10.24950/rspmi.784Keywords:
Aged, Home Care Services/organization & administration, Home Care Services, Hospital-Based, Patient Admission, PortugalAbstract
“Hospital at home” is an innovative model that provides hospital-
level care in a patient’s home as a full substitute for acute
hospital care. It was tested at medical centers across several
countries. This care model lowers costs, reduces complications
and is highly rated by patients. The program is offered to patients
who require hospital admission for certain diseases, such as
community-acquired pneumonia, congestive heart failure,
chronic obstructive pulmonary disease, and cellulitis. Patients
who meet specific medical eligibility criteria can receive hospital-
level care–including diagnostic tests and treatment therapies
from doctors and nurses–in their own home. In Portugal home
care is very poor and hospital wards are often crowded with sick
frail elderlies, who would benefit from better health care in the
comfort of their home.
Downloads
References
Leff B, Burton J. Acute Medical Care in Home. J Am Geriatr Soc. 1996; 44: 603-5.
Cryer L, Shannon SB, Van Amsterdam M, Leff B. Costs for ”hospital at home” patients were 19 percent lower, with equal or better outcomes compared to similar inpatients. Health Aff. 2012; 31:1237-43.
Fernández-Miera M. Hospitalización a domicilio del anciano conenfermedad aguda. Rev Esp Geriatr Gerontol. 2009; 44(S1):39-50.
Qaddoura A, Yazdan-Ashoori P, Kabali C, Thabane L, Haynes RB, Connolly SJ, et al. Efficacy of Hospital at home in patients with heart failure: A systematic review and meta-analysis. PLoS One. 2015; 10:e0129282.
Cheng J, Montalto M, Leff B. Hospital at home. Clin Geriatr Med. 2009;25:79-91.
Mèlich A, Cuxart O. Hospitalizacion a domicilio: oportunidad para el cambio. Med Clin. 2012; 138: 355-60.
Shepperd S. Hospital at home: the evidence is not compelling. Ann of Intern Med.2005; 143:840-41.
Tarricone R, Tsouros A. Home care in Europe: the solid facts. Geneve: WHO;2008.
Leff B, Burton L, Mader S, Naughton B, Burl J, Inouye S, et al. Hospital at home: feasibility and outcomes of a program to provide hospital-level care at home for acutely ill older patients. Ann Intern Med. 2005; 143:798-08.
Shepperd S, Doll H, Broad J, Gladman J, Iliffe S, Langhorne P, et al. Early discharge hospital at home. Cochrane Database Syst Rev.
;1:CD000356.
Shepperd S, Doll H, Angus RM, Clarke MJ, Iliffe S, Kalra L, et al. Admission avoidance hospital at home. Cochrane Database Syst Rev.
;4:CD007491.
Jeppesen E, Brurberg KG, Vist GE, Wedzicha JA, Wright JJ, Greenstone M, et al. Hospital at home for acute exacerbations of chronic obstructive pulmonary disease. Cochrane Database Syst Rev. 2012;5:CD003573.
Associação Portuguesa de Cuidados Paliativos [homepage na internet] FAQ [consultado 2015 Jul 22] Disponível em: http://www.apcp.com.pt/faq.html
Cabrita I, Pereira J, Lopes P. Unidade Móvel de Apoio Domiciliário (UMAD). Newsletter Área de Apoio Social. 2011; 3:2.
Bairro com Saúde [consultado a 2015 Jul 22] Disponível em http://www.voxlisboa.pt/bairro-com-sa%C3%BAde.html
Cafede MC, Arnaud MF, Santos MF. A consulta no domicílio. In: Manual de Medicina Geral e Familiar. Associação Portuguesa de Clínica Geral; 2000. [Consultado a 2015 Jul 22] Disponível em: http://csgois.web.interacesso.pt/MGFV001MASTER/textos/12/16_texto.html
Decreto-Lei n.º 101/2006 Art. 27.º n.º 1 de 6 de Junho. Disponível em https://www.adse.pt/document/Decreto_Lei_101_2006.pdf
Listagem das ECCI em funcionamento atualizado a 13-03-2015 em http://www.acss.min-saude.pt/Portals/0/ECCI%20(13-03-2015).xlsx [consultado a 2015 Set 28]
Serviços do Hospital Distrital da Figueira da Foz. [consultado a 2015 set 28] Disponível em: http://www.hdfigueira.min-saude.pt/Servicos/Artigos/d/.
Additional Files
Published
How to Cite
Issue
Section
License
Copyright (c) 2016 Medicina Interna
This work is licensed under a Creative Commons Attribution 4.0 International License.
Copyright (c) 2023 Medicina Interna
Open Access
