Cochrane Corner - Factors influencing the implementation of early discharge hospital at home and admission avoidance hospital at home: a qualitative evidence synthesis

Abstract

Hospital at home is a growing field and a cost-effective care option compared to conventional hospitalization. This Cochrane systematic review included 52 qualitative and mixed methods studies from 13 countries and a multi-sectoral perspective on the factors that may influence the implementation of hospital at home, which were divided in four categories, from conception to sustainability. Although some studies have significant methodological limitations, the review strongly concludes that the implementation of hospital at home programs requires early policy development, stakeholder involvement, efficient admission processes and competent professionals to implement safe, person-centered care. The review highlights the need for future research in this area, particularly in developing countries and with the involvement of users and carers.