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Hospital in the home: what next?

Andrew D Wilson and Stuart G Parker
Med J Aust 2005; 183 (5): 228-229.
Published online: 5 September 2005

It is time to focus on issues of roll-out and quality control

“Hospital in the home” can mean different things in different countries and contexts. A Cochrane review defined it as “a service that provides active treatment . . . in the patient’s home of a condition that otherwise would require acute hospital in-patient care”.1 This definition includes services that substitute acute care by home-based management (admission avoidance) and those that support discharge with community-based post-acute care and rehabilitation (discharge support). The review found “insufficient evidence to support expansion or contraction” of home-based alternatives to inpatient hospital care.1 Two articles in this issue of the Journal contribute to the clinical evidence base for home care as an admission-avoidance service.

  • Andrew D Wilson1
  • Stuart G Parker2

  • 1 Department of Health Sciences, University of Leicester, Leicester, United Kingdom.
  • 2 Sheffield Institute for Studies on Ageing, University of Sheffield, Barnsley, United Kingdom.

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