Perspectives on Home-based Healthcare as an Alternative to Hospital Admission After Emergency Treatment

Abstract
Introduction: The study objective was to explore emergency physicians’ awareness, willingness, and prior experience regarding transitioning patients to home-based healthcare following emergency department evaluation and treatment; and to explore patient selection criteria, processes, and services that would facilitate use of home-based healthcare as an alternative to hospitalization. Methods: We provided a five-question survey to 52 EPs, gauging previous experience referring patients to home-based healthcare, patient selection, and motivators and challenges when considering home-based options as an alternative to admission. In addition, we conducted three focus groups and four interviews. Results: Of participating EPs, 92% completed the survey, 38% reported ordering home-based healthcare from the ED as an alternative to admission, 90% ranked cellulitis among the top three medical conditions for home-based healthcare, 90% ranked “reduce unnecessary hospitalizations and observation stays” among their top three perceived motivators for using home-based care, and 77% ranked “no existing process in place to refer to home-based care” among their top three perceived barriers. Focus group and interview themes included the need for alternatives to admission; the longer-term benefits of home-based healthcare; the need for streamlined transition processes; and the need for highly qualified home-care staff capable of responding the same day or within 24 hours. Conclusion: The study found that EPs are receptive to referring patients for home-based healthcare following ED treatment and believe people with certain diagnoses are likely to benefit, with the dominant barrier being the absence of an efficient referral process.
Keywords No keywords specified (fix it)
Categories No categories specified
(categorize this paper)
Options
Edit this record
Mark as duplicate
Export citation
Find it on Scholar
Request removal from index
Revision history

Download options

Our Archive


Upload a copy of this paper     Check publisher's policy     Papers currently archived: 35,496
External links

Setup an account with your affiliations in order to access resources via your University's proxy server
Configure custom proxy (use this if your affiliation does not provide a proxy)
Through your library

References found in this work BETA

No references found.

Add more references

Citations of this work BETA

No citations found.

Add more citations

Similar books and articles

Home-Based Telemedicine: A Survey of Ethical Issues.Keith A. Bauer - 2001 - Cambridge Quarterly of Healthcare Ethics 10 (2):137-146.
The Hospitalisation of Death: Should More People Die at Home?A. Bowling - 1983 - Journal of Medical Ethics 9 (3):158-161.
The Ethics of Decision Making for the Critically Ill Elderly.Madelyn Anne Iris - 1995 - Cambridge Quarterly of Healthcare Ethics 4 (2):135.
Commentary.Michael M. Burgess - 1998 - Cambridge Quarterly of Healthcare Ethics 7 (4):363-366.

Analytics

Added to PP index
2017-06-12

Total downloads
2 ( #933,813 of 2,287,481 )

Recent downloads (6 months)
1 ( #389,932 of 2,287,481 )

How can I increase my downloads?

Monthly downloads

My notes

Sign in to use this feature