Op-Ed: Instead of building more hospitals, turn bedrooms into hospital rooms (via latimesopinion)
While these reactions are understandable, they ignore non-hospital-based systems that can significantly increase hospital capacity more quickly and efficiently. One such solution is “,” a well-studied model of care that transforms the patient’s own bed into a hospital bed.
Most hospitalizations for patients with mild or moderate illness require a set of initial tests, a daily evaluation from a doctor, intravenous medication on occasion, and check-ins from a nurse a few times a day. All of this can be provided in a patient’s home with current technology. Some hospitals have carried this out withThe hospital-at-home model may be particularly useful for coronavirus patients, who would benefit from medical supervision, but may not need to be admitted to the hospital.
The hospital-at-home model would allow shorter length of stays for those patients who are on the road to recovery, and thus free up beds for new patients.The home-based approach is not new. It has been used effectively in hospitals such as Presbyterian Healthcare Services in Albuquerque, Mount Sinai Health System in New York City, Johns Hopkins Hospital in Baltimore and the Advocate Christ Medical Center near Chicago. Outside the U.S.
In those places, the hospital-at-home team works with the patient and family caregivers to ensure that the home environment is safe and that someone is available to be with the patient, if needed. If family caregivers do not have the resources, home health aides might be deployed or a social worker might help the family and patient find short-term support if they are interested in the program.
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