Connect
MJA
MJA

“Hospital in the home”: a lot’s in a name

Michael Montalto and Bruce A Leff
Med J Aust 2012; 197 (9): . || doi: 10.5694/mja12.11514
Published online: 5 November 2012

Better definition in individual studies will enable meaningful synthesis of research

To measure the effectiveness of innovations in health care, it is critically important to define the intervention studied. Unfortunately, this step is often lacking in health services research: definitions are often inadequate for reproducibility, and outcomes attributed to the intervention are consequently difficult to adjust for other variables. Meta-analysis can become messy.


  • 1 Royal Melbourne Hospital, Melbourne, VIC.
  • 2 Epworth Hospital, Melbourne, VIC.
  • 3 Division of Geriatric Medicine, Johns Hopkins University School of Medicine, Baltimore, Md, USA.



Competing interests:

No relevant disclosures.

  • 1. Montalto M, Dunt D. The delivery of traditional hospital services to patients at home. Med J Aust 1993; 159: 263-265.
  • 2. Montalto M. The 500 bed hospital that isn’t there. Med J Aust 2010; 193: 598-601.
  • 3. Cheng J, Montalto M, Leff B. Hospital at home. Clin Geriatr Med 2009; 25: 79-91.
  • 4. Caplan GA, Sulaiman NS, Mangin DA, et al. A meta-analysis of “hospital in the home”. Med J Aust 2012; 197: 512-519.
  • 5. Berwick DM. The science of improvement. JAMA 2008; 299: 1182-1184.
  • 6. Sarode V, Reeves J, Barrett J, McCambley J. Where to die? Med J Aust 2012; 197: 524-525.
  • 7. Victorian Government Department of Health. Hospital in the home guidelines. Melbourne: Victorian Government, 2011. http://docs.health.vic.gov.au/docs/doc/3F753BB75D5077D4CA257949007FA85F/$FILE/110702_DoH%20HITH %20guidelines%20web.pdf (accessed Oct 2012).

Author

remove_circle_outline Delete Author
add_circle_outline Add Author

Comment
Do you have any competing interests to declare? *

I/we agree to assign copyright to the Medical Journal of Australia and agree to the Conditions of publication *
I/we agree to the Terms of use of the Medical Journal of Australia *
Email me when people comment on this article

Online responses are no longer available. Please refer to our instructions for authors page for more information.