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An Integrated Understanding of the Impact of Hospital at Home: A Mixed-Methods Study to Articulate and Test a Programme Theory
Hospital at Home (HaH) provides intensive, hospital-level care in patients’ homes for acute conditions that would normally require hospitalisation, using multidisciplinary teams. As a programme of complex medical-social interventions, a HaH programme theory has not been fully articulated although implicit in the structures, functions, and activities of the existing HaH services. We aimed to unearth the tacit theory from international evidence and test the soundness of it by studying UK HaH services.
Medigy Insights
When implemented well, HaH reduces care fragmentation and complexity, enhances patient and carer confidence in self‑management, and often leads to better experience and outcomes compared to standard hospitalization — suggesting a promising model for health systems (including in the U.S.) aiming to improve patient‑centred care while easing hospital pressure.
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