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Hospital at home for acute medical illness : the 21st century acute medical unit for a changing population
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Knight, Thomas and Lasserson, Daniel (2022) Hospital at home for acute medical illness : the 21st century acute medical unit for a changing population. Journal of Internal Medicine . doi:10.1111/joim.13394 (In Press)
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WRAP-hospital-at-home-for-acute-medical-illness-Lasserson-2021 .pdf - Accepted Version Embargoed item. Restricted access to Repository staff only until 24 November 2022. Contact author directly, specifying your specific needs. - Requires a PDF viewer. Download (1671Kb) |
Official URL: https://doi.org/10.1111/joim.13394
Abstract
Recent trends across Europe show a year on year increase in the numbers of patients with acute medical illnesses presenting to hospitals, yet there are no plans for a substantial expansion in acute hospital infrastructure or staffing to address demand. Strategies to meet increasing demand need to consider the fact there is limited capacity in acute hospitals and focus on new care models in both hospital and community settings. Increasing the efficiency of acute hospital provision by reducing the length of stay entails supporting acute, ambulatory care, where patients receive daily acute care interventions but do not stay overnight in the hospitals. This approach may entail daily transfer between home and an acute setting for ongoing treatment, which is unsuitable for some patients living with frailty. Acute Hospital at Home is a care model which, thanks to advances in point of care diagnostic capability, can provide a credible model of acute medical assessment and treatment without the need for hospital transfer. Investment and training to support scaling up of Hospital at Home is a key strategic aim for integrated healthcare systems.
| Item Type: | Journal Article | ||||||||
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| Subjects: | R Medicine > RA Public aspects of medicine R Medicine > RC Internal medicine |
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| Divisions: | Faculty of Medicine > Warwick Medical School > Health Sciences Faculty of Medicine > Warwick Medical School |
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| Library of Congress Subject Headings (LCSH): | Acute diseases -- Hospitals, Home care services, Community health services, Point-of-care testing, Medical care -- Research | ||||||||
| Journal or Publication Title: | Journal of Internal Medicine | ||||||||
| Publisher: | Wiley-Blackwell Publishing Ltd. | ||||||||
| ISSN: | 0954-6820 | ||||||||
| Official Date: | 2022 | ||||||||
| Dates: |
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| DOI: | 10.1111/joim.13394 | ||||||||
| Status: | Peer Reviewed | ||||||||
| Publication Status: | In Press | ||||||||
| Publisher Statement: | This is the peer reviewed version of the following article:K, Thomas, L, Daniel. Hospital at home for acute medical illness: The 21st century acute medical unit for a changing population. J Intern Med. 2021; 1–20, which has been published in final form at https://doi.org/10.1111/joim.13394. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Use of Self-Archived Versions. | ||||||||
| Access rights to Published version: | Restricted or Subscription Access | ||||||||
| Copyright Holders: | © 2021 The Association for the Publication of the Journal of Internal Medicine | ||||||||
| Description: | Free access |
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