@entity712 and XXXX : cases for home hospital?

@entity1 @entity497 @entity712 @entity55
BACKGROUND: Home hospital is advocated in many western countries in spite of limited evidence of its economic advantage over usual hospital care. @entity712 and @entity497 are two medical conditions which are frequently targeted by home hospital programs. While recent trials were devoted to comparisons of safety and costs, the acceptance of home hospital for @entity1 with these conditions remains poorly described. OBJECTIVE: To document the medical eligibility and final transfer decision to home hospital for @entity1 hospitalized with a primary diagnosis of @entity712 or @entity497 . DESIGN: Longitudinal study of @entity1 admitted to the medical ward of acute care hospitals, up to the final decision concerning their transfer. SETTING: Medical departments of one university hospital and two regional teaching Swiss hospitals. @entity1 : All @entity1 admitted over a 9 month period to the three settings with a primary diagnosis of @entity712 (n= 301) or @entity55 (n=441). MEASUREMENTS: Presence of permanent exclusion criteria on admission; final decision of (in)eligibility based on medical criteria; final decision regarding the transfer, taking into account the opinions of the family physician, the @entity1 and informal caregivers. RESULTS: While 27.9% of @entity712 and 37.6% of @entity55 @entity1 were considered to be eligible from a medical point of view, the program acceptance by family physicians, @entity1 and informal caregivers was low and a transfer to home hospital was ultimately chosen for just 3.8% of @entity712 and 9.6% of @entity55 @entity1 . There were no major differences between the three settings. CONCLUSIONS: In the case of these two conditions, the potential economic advantage of home hospital over usual inpatient care is compromised by the low proportion of @entity1 ultimately transferred.
