Prevalence of Pneumonia Patients Eligible to Participate in the Hospital at Home Ward at Nan Hospital, Nan Province
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Abstract
Background: The concept of home care is gaining increased attention as it reduces the burden on hospitals and improves patients’ quality of life. In Thailand, the Department of Medical Services, Ministry of Public Health have developed guidelines and standards for Home care in 2022. This approach offers an alternative for inpatient services, aiming to enhance patients’ quality of life during treatment, reduce complications associated with hospital stays, and decrease bed occupancy and overcrowding in hospitals. This study aims to evaluate the number of pneumonia patients who meet the Step-Down criteria according to the Home care guidelines and standards of the Department of Medicine, Ministry of Public Health, at Nan Hospital, Nan Province
Methods: Retrospective descriptive analysis using data collected from medical records and electronic databases of patients diagnosed with pneumonia who received inpatient care from August 1, 2022, to June 30, 2023. The study focused on patients residing within the Mueang Nan District and within 20 kilometers of Nan Hospital. Data were analyzed using descriptive statistics and Chi-Square tests to determine the relationship between various factors and eligibility for home-based care.
Results: Eighty-five out of 396 pneumonia patients attended the Step-Down criteria for home-based care, representing a prevalence of 21.46% of all patients. Factors influencing eligibility included age, gender, marital status, chronic diseases, physical condition, bedridden status, COVID-19 infection, and death in the hospital.
Conclusion: The Home care guidelines and standards from the Department of Medicine, Ministry of Public Health, can be applied to pneumonia patients at Nan Hospital, Nan Province. This approach will provide patients with an alternative to inpatient care, reduce bed occupancy rates, and alleviate hospital congestion. Additionally, it will contribute to more appropriate and efficient resource management at the hospital in the future.
Keywords: homeward, pneumonia
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References
ศรินนภากร วีระศักด์, แสงสายัณห์ เปี่ยมลาภ, ศิรบำรุงวงศ์ มนต์ชัย. แนวทางและมาตรฐานการดูแลผู้ป่วยในที่บ้าน (Home ward). หาญสมบูรณ์ ปิยะธิดา, บรรณาธิการ. นนทบุรี: กระทรวงสาธารณสุข; 2565.
Home | Commonwealth Fund [Internet]. [cited 2023 Nov 20]. Available from: https://www.commonwealthfund.org
Patel HY, West DJ. Hospital at home: an evolving model for comprehensive healthcare. Glob J Qual Saf Healthc. 2021;4:141-6.
Nogués X, Sánchez-Martinez F, Castells X, Díez-Pérez A, Sabaté RA, Petit I, et al. Hospital-at-Home Expands Hospital Capacity During COVID-19 Pandemic. J Am Med Dir Assoc. 2021;22:939-42.
Appelbaum E, Batt R. The New Hospital at Home Movement: Opportunity or Threat for Patient Care? Center for Economic and Policy Research [Internet]. 2023 [cited 2023 Nov 20]. Available from: https://cepr.net
Wayne WD, Chad LC. Biostatistics: a foundation for analysis in the health sciences. 10th ed. New York: John Wiley and Sons; 2013.
Santos-Eggimann B, Chavaz N, Larequi T, Lamy O, Yersin B. Heart failure and community-acquired pneumonia: cases for home hospital? Int J Qual Health Care. 2001;13:211-6.
Levine DM, Paz M, Burke K, Beaumont R, Boxer RB, Morris CA, et al. Remote vs In-home Physician Visits for Hospital-Level Care at Home: A Randomized Clinical Trial. JAMA Netw Open. 2022; 5(12):E2229067. PubMed PMID: 36040741
Chase JAD, Russell D, Huang L, Hanlon A, O’Connor M, Bowles KH. Relationships Between Race/Ethnicity and Health Care Utilization Among Older Post-Acute Home Health Care Patients. J Appl Gerontol [Internet]. 2020 Feb 1 [cited 2024 Sep 4];39(2):201-13. Available from: https://pubmed.ncbi.nlm.nih.gov/29457521/
Cameron KA, Song J, Manheim LM, Dunlop DD. Gender Disparities in Health and Healthcare Use Among Older Adults. J Womens Health. 2010;19:1643-50.
Frick KD, Burton LC, Clark R, Mader SI, Naughton WB, Burl JB, et al. Substitutive Hospital at Home for Older Persons: Effects on Costs [Internet]. Am J Manag Care. 2009;15:626-32.
Gonzalez Barcala FJ, Pose Reino A, Paz Esquete JJ, De la Fuente Cid R, Masa Vazquez LA, Alvarez Calderon P, et al. Hospital at home for acute respiratory patients. Eur J Intern Med. 2006;17:402-7.
Montalto M, McElduff P, Hardy K. Home ward bound: features of hospital in the home use by major Australian hospitals, 2011-2017. Med J Aust. 2020;213:22-7.
