TY - JOUR
T1 - Designing a Virtual Hospital-at-Home Intervention for Patients with Infectious Diseases
T2 - A Data-Driven Approach
AU - van Goor, Harriët M R
AU - de Hond, Titus A P
AU - van Loon, Kim
AU - Breteler, Martine J M
AU - Kalkman, Cor J
AU - Kaasjager, Karin A H
N1 - Publisher Copyright:
© 2024 by the authors.
PY - 2024/2/8
Y1 - 2024/2/8
N2 - BACKGROUND: Virtual hospital-at-home care might be an alternative to standard hospital care for patients with infectious diseases. In this study, we explore the potential for virtual hospital-at-home care and a potential design for this population.METHODS: This was a retrospective cohort study of internal medicine patients suspected of infectious diseases, admitted between 1 January and 31 December 2019. We collected information on delivered care during emergency department visits, the first 24 h, between 24 and 72 h, and after 72 h of admission. Care components that could be delivered at home were combined into care packages, and the potential number of eligible patients per package was described. The most feasible package was described in detail.RESULTS: 763 patients were included, mostly referred for general internal medicine (35%), and the most common diagnosis was lower respiratory tract infection (27%). The most frequently administered care components were laboratory tests, non-oral medication, and intercollegiate consultation. With a combination of telemonitoring, video consultation, non-oral medication administration, laboratory tests, oxygen therapy, and radiological diagnostics, 48% of patients were eligible for hospital-at-home care, with 35% already eligible directly after emergency department visits.CONCLUSION: While the potential for virtual hospital-at-home care is high, it depends greatly on which care can be arranged.
AB - BACKGROUND: Virtual hospital-at-home care might be an alternative to standard hospital care for patients with infectious diseases. In this study, we explore the potential for virtual hospital-at-home care and a potential design for this population.METHODS: This was a retrospective cohort study of internal medicine patients suspected of infectious diseases, admitted between 1 January and 31 December 2019. We collected information on delivered care during emergency department visits, the first 24 h, between 24 and 72 h, and after 72 h of admission. Care components that could be delivered at home were combined into care packages, and the potential number of eligible patients per package was described. The most feasible package was described in detail.RESULTS: 763 patients were included, mostly referred for general internal medicine (35%), and the most common diagnosis was lower respiratory tract infection (27%). The most frequently administered care components were laboratory tests, non-oral medication, and intercollegiate consultation. With a combination of telemonitoring, video consultation, non-oral medication administration, laboratory tests, oxygen therapy, and radiological diagnostics, 48% of patients were eligible for hospital-at-home care, with 35% already eligible directly after emergency department visits.CONCLUSION: While the potential for virtual hospital-at-home care is high, it depends greatly on which care can be arranged.
KW - hospital-at-home care
KW - infectious diseases
KW - telemedicine
UR - http://www.scopus.com/inward/record.url?scp=85187309309&partnerID=8YFLogxK
U2 - 10.3390/jcm13040977
DO - 10.3390/jcm13040977
M3 - Article
C2 - 38398291
SN - 2077-0383
VL - 13
JO - Journal of Clinical medicine
JF - Journal of Clinical medicine
IS - 4
M1 - 977
ER -