Resources

NATIONAL UPDATES & PROGRAMMES

• Healthcare Improvement Scotland: Hospital at Home updates (includes quarterly updates on programme, alongside news and other updates)

EXTERNAL PUBLICATIONS

• HaH Knowledge and Skills Development Framework for NMAHPs, Healthcare Improvement Scotland

• July 2023: Hospital at Home Programme update, from ihub Healthcare Improvement Scotland

• March 2023: Hospital at Home Programme update, from ihub Healthcare Improvement Scotland

• December 2022: Hospital at Home Programme update, from ihub Healthcare Improvement Scotland

GUIDELINES

• Scottish National HaH Guiding Principles - Download available here

NATIONAL NEWS

• BBC News, Hospital at Home to shield the vulnerable - https://www.bbc.co.uk/news/av/health-52564614/hospital-at-home-to-shield-the-vulnerable

• Health & Care Scotland, Insight: Taking hospital to people’s homes - https://healthandcare.scot/mobile_default.asp?page=story&story=2218

OTHER RESOURCES

• The Healthcare Improvement Scotland podcast - Hospital at Home episode

  • A clip from the podcast can be heard below

• “Hospital or ‘hospital at home’ – what’s best for older people?” Nuffield Department of Population Health, University of Oxford

  https://www.ndph.ox.ac.uk/longer-reads/hospital-or-2018hospital-at-home2019-2013-what2019s-best-for-older-people/

Research

Patient and Carer Outcomes

CLINICAL OUTCOMES

• Shepperd S, Butler C, Cradduck-Bamford A, Ellis G, Gray A, Hemsley A, Khanna P, Langhorne P, Mort S, Ramsay S, Schiff R, Stott DJ, Wilkinson A, Yu LM, Young J. Is Comprehensive Geriatric Assessment Admission Avoidance Hospital at Home an Alternative to Hospital Admission for Older Persons? : A Randomized Trial. Ann Intern Med. 2021 Jul;174(7):889-898   https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7612132/pdf/EMS138144.pdf 

• Caplan G. Does ‘Hospital in the Home’ treatment prevent delirium? AGING HEALTH. 2008;  4(1), 69-74

  https://www.futuremedicine.com/doi/abs/10.2217/1745509X.4.1.69

  
   

• Caplan GA, Coconis J, Board N, Sayers A, Woods J. Does home treatment affect delirium? A randomised controlled trial of rehabilitation of elderly and care at home or usual treatment (The REACH-OUT trial). Age and ageing. 2005 Oct 20; 35(1):53-60.

  https://academic.oup.com/ageing/article/35/1/53/33261

  
   

• Caplan GA, Coconis J, Woods J. Effect of hospital in the home treatment on physical and cognitive function: a randomized controlled trial. The Journals of Gerontology Series A: Biological Sciences and Medical Sciences. 2005 Aug 1; 60(8):1035-8.

  https://academic.oup.com/biomedgerontology/article/60/8/1035/545096

  
   

• Mas MÀ, Closa C, Santaeugènia SJ, Inzitari M, Ribera A, Gallofré M. Hospital-at-home integrated care programme for older patients with orthopaedic conditions: Early community reintegration maximising physical function. Maturitas. 2016 Jun 1; 88:65-9.

  https://www.sciencedirect.com/science/article/pii/S0378512216300366

  
   

• Mas MÀ, Inzitari M, Sabaté S, Santaeugènia SJ, Miralles R. Hospital-at-home Integrated Care Programme for the management of disabling health crises in older patients: comparison with bed-based Intermediate Care. Age and ageing. 2017 Jun 24; 46(6):925-31.

  https://academic.oup.com/ageing/article/46/6/925/3887243

  
   

• Mooney K, Titchener K, Haaland B, Coombs LA, O'Neil B, Nelson R, McPherson JP, Kirchhoff AC, Beck AC, Ward JH. Evaluation of Oncology Hospital at Home: Unplanned Health Care Utilization and Costs in the Huntsman at Home Real-World Trial. Journal of Clinical Oncology. 2021; 0:0

  https://ascopubs.org/doi/full/10.1200/JCO.20.03609

• von Koch L, de Pedro-Cuesta J, Kostulas V, Almazán J, Holmqvist LW. Randomized controlled trial of rehabilitation at home after stroke: one-year follow-up of patient outcome, resource use and cost. Cerebrovascular Diseases. 2001; 12(2):131-8.

  https://www.karger.com/Article/Abstract/47692

SATISFACTION AND ACCEPTABILITY OF HAH

• Facultad J, Lee GA. Patient satisfaction with a hospital-in-the-home service. British journal of community nursing. 2019 Apr 2; 24(4):179-85

  https://www.magonlinelibrary.com/doi/abs/10.12968/bjcn.2019.24.4.179

  
   

• Lemelin J, Hogg WE, Dahrouge S, Armstrong CD, Martin CM, Zhang W, Dusseault JA, Parsons-Nicota J, Saginur R, Viner G. Patient, informal caregiver and care provider acceptance of a hospital in the home program in Ontario, Canada. BMC health services research. 2007 Dec; 7(1):130.

  https://bmchealthservres.biomedcentral.com/articles/10.1186/1472-6963-7-130

  
   

• Mäkelä P, Stott D, Godfrey M, Ellis G, Schiff R, Shepperd S. The work of older people and their informal caregivers in managing an acute health event in a hospital at home or hospital inpatient setting. Age and Ageing. 2020 Mar 23; 49(5): 856-864.

  https://researchonline.lshtm.ac.uk/id/eprint/4656542/

• Montalto, M. Patients' and carers' satisfaction with hospital-in-the-home care. International Journal for Quality in Health Care. 1996 Jan 1; 8(3):243-51.

  https://academic.oup.com/intqhc/article/8/3/243/1845169

  
   

• Ojoo JC, Moon T, McGlone S, Martin K, Gardiner ED, Greenstone MA, Morice AH. Patients' and carers' preferences in two models of care for acute exacerbations of COPD: results of a randomised controlled trial. Thorax. 2002 Feb 1; 57(2):167-9.

  https://thorax.bmj.com/content/57/2/167.abstract

  
   

• Wilson A, Wynn A, Parker H. Patient and carer satisfaction with 'hospital at home': quantitative and qualitative results from a randomised controlled trial. Br J Gen Pract. 2002 Jan 1; 52(474):9-13.

  https://bjgp.org/content/52/474/9.short

PATIENT AND/OR CAREGIVER STRESS

• Gunnell D, Coast J, Richards SH, Peters TJ, Pounsford JC, Darlow MA. How great a burden does early discharge to hospital-at-home impose on carers? A randomized controlled trial. Age and Ageing. 2000 Mar 1; 29(2):137-42.

  https://academic.oup.com/ageing/article/29/2/137/36288

Service-level Outcomes

COST OF HAH COMPARED TO TRADITIONAL INPATIENT CARE

• Singh S, Gray A, Shepperd S, Stott DJ, Ellis G, Hemsley A, Khanna P, Ramsay S, Schiff R, Tsiachristas A, Wilkinson A, Young J. Is comprehensive geriatric assessment hospital at home a cost-effective alternative to hospital admission for older people? Age Ageing. 2022 Jan 6;51(1):afab220  https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8753046/pdf/afab220.pdf  

• Board N, Brennan N, Caplan GA. A randomised controlled trial of the costs of hospital as compared with hospital in the home for acute medical patients. Australian and New Zealand journal of public health. 2000 Jun; 24(3):305-11.

  https://onlinelibrary.wiley.com/doi/abs/10.1111/j.1467-842X.2000.tb01573.x

  
   

• Harris R, Ashton T, Broad J, Connolly G, Richmond D. The effectiveness, acceptability and costs of a hospital-at-home service compared with acute hospital care: a randomized controlled trial. Journal of health services research & policy. 2005 Jul 1; 10(3):158-66.

  https://journals.sagepub.com/doi/abs/10.1258/1355819054338988

  
   

• Jones J, Wilson A, Parker H, Wynn A, Jagger C, Spiers N, Parker G. Economic evaluation of hospital at home versus hospital care: cost minimisation analysis of data from randomised controlled trial. BMj. 1999 Dec 11; 319(7224):1547-50.

  https://www.bmj.com/content/319/7224/1547.short

  
   

• Levine DM, Ouchi K, Blanchfield B, Saenz A, Burke K, Paz M, Diamond K, Pu CT, Schnipper JL. Hospital-level care at home for acutely ill adults: a randomized controlled trial. Annals of Internal Medicine. 2020 Jan 21; 172(2):77-85.

  https://annals.org/aim/fullarticle/2757637/hospital-level-care-home-acutely-ill-adults-randomized-controlled-trial

  
   

• Mendoza H, Martín MJ, García A, Arós F, Aizpuru F, Regalado De Los Cobos J, Belló MC, Lopetegui P, Cia JM. ‘Hospital at home’ care model as an effective alternative in the management of decompensated chronic heart failure. European journal of heart failure. 2009 Dec; 11(12):1208-13.

  https://onlinelibrary.wiley.com/doi/full/10.1093/eurjhf/hfp143

  
   

• Nicholson C, Bowler S, Jackson C, Schollay D, Tweeddale M, O'Rourke P. Cost comparison of hospital-and home-based treatment models for acute chronic obstructive pulmonary disease. Australian Health Review. 2001; 24(4):181-7.

  http://www.publish.csiro.au/ah/AH010181

Service Models

• Aimonino Ricauda N, Tibaldi V, Leff B, Scarafiotti C, Marinello R, Zanocchi M, Molaschi M. Substitutive “hospital at home” versus inpatient care for elderly patients with exacerbations of chronic obstructive pulmonary disease: a prospective randomized, controlled trial. Journal of the American Geriatrics Society. 2008 Mar; 56(3):493-500.

  https://onlinelibrary.wiley.com/doi/full/10.1111/j.1532-5415.2007.01562.x

  
   

• Leff B, Burton L, Mader SL, Naughton B, Burl J, Inouye SK, Greenough WB, Guido S, Langston C, Frick KD, Steinwachs D. Hospital at home: feasibility and outcomes of a program to provide hospital-level care at home for acutely ill older patients. Annals of internal medicine. 2005 Dec 6; 143(11):798-808.

  https://annals.org/aim/fullarticle/718876

  
   

• Montalto M. The 500‐bed hospital that isn't there: the Victorian Department of Health review of the Hospital in the Home program. Medical Journal of Australia. 2010 Nov; 193(10):598-601.

  https://onlinelibrary.wiley.com/doi/full/10.5694/j.1326-5377.2010.tb04070.x

  
   

• Pozzilli C, Brunetti M, Amicosante AM, Gasperini C, Ristori G, Palmisano L, Battaglia M. Home based management in multiple sclerosis: results of a randomised controlled trial. Journal of Neurology, Neurosurgery & Psychiatry. 2002 Sep 1; 73(3):250-5.

  https://jnnp.bmj.com/content/73/3/250.short

  
   

• Tibaldi V, Aimonino N, Ponzetto M, Stasi MF, Amati D, Raspo S, Roglia D, Molaschi M, Fabris F. A randomized controlled trial of a home hospital intervention for frail elderly demented patients: behavioural disturbances and caregiver's stress. Archives of gerontology and geriatrics. Supplement. 2004; (9):431-6.

  https://europepmc.org/article/med/1520744