Hospital-Level Care at Home for Acutely Ill Adults
Annals of Internal Medicine (2020)
Findings: Substitutive home hospitalization reduced cost by 38% along with reduced health care use, and readmissions while increasing physical activity compared with usual hospital care.
The Cost-Effectiveness of Homecare Services for Adults and Older Adults: A Systematic Review
International Journal of Environmental Research and Public Health (2023)
Findings: “Of the 14 studies identified, home care, when compared to hospital care, was cost-saving in seven studies, cost-effective in two and more effective in one. The evidence suggests that homecare interventions are likely to be cost-saving and as effective as hospital.”
Impact of home-based palliative care on health care costs and hospital use: A systematic review
Palliative and Supportive Care (2021)
Findings: “In both oncological and non-oncological patients, HBPC consistently reduced the number of hospital visits and their length, as well as hospitalization costs and overall health care costs. Even though home-treated patients consumed more outpatient resources, a higher saving in the hospital costs counterbalanced this. The reduction in overall health care costs was most noticeable for study periods closer to death, with greater reductions in the last 2 months, last month, and last two weeks of life.”
JAMA Internal Medicine (2019)
Findings: “Discharging patients to home with home health care was associated with a higher 30-day rate of readmission but a significantly lower Medicare payment for initial postacute care and for the total 60-day episode of care including hospitalization, all postacute care, and subsequent readmissions. There were no significant differences in 30-day mortality rates or improved functional status.”
Patient Preference and Adherence (2018)
Findings: Home health nurse assistance increases adherence to CZP and reduces health care costs in patients with Crohn's disease.
The American Journal of Medicine (2018)
Findings: “Discharge with home health care was associated with significant reduction in healthcare utilization and decreased hazard of readmission and death.”
Annals of Medicine and Surgery (2023)
Findings: "Home-based care can serve as a potentially easily accessible, cost-effective strategy to provide psychosocial support and ensure improved adherence among cardiac surgery patients, particularly in rural areas where patients who need specialized postoperative care often miss out on critical follow-ups. Additionally, it reduces health-related expenses associated with readmissions in impoverished nations where there is a lack of financial stability which highlights the need for these HBCR program initiatives.”
Journal of Nursing Scholarship (2023)
Findings: “Early initiation use of home-visit nursing services may contribute to reducing total costs in the last 3 months of life for Japanese people aged 75 years or older living at home as they approach the end of life.”
Journal of the American Pharmacists Association (2023)
Findings: “There may be value to increasing referrals for IVIG home infusion. Decreased health care utilization provides value to the system in cost savings and to patients and families owing to less disruption and improved clinical outcomes."
The American Journal of Accountable Care (2019)
Findings: “Risk-bearing healthcare organizations could use home-based alternatives to hospital admission as a means of providing high-quality care at a lower cost.”