Hospitalisation at Home of Patients with COVID-19 : A Qualitative Study of User Experiences

Hospitalisation at Home (HaH) is a new model providing hospital-level care at home as a substitute for traditional care. Biometric monitoring and digital communication are crucial, but little is known about user perspectives. We aim to explore how in-patients with severe COVID-19 infection and clinicians engage with and experience communication and self-monitoring activities following the HaH model. A qualitative study based on semi-structured interviews of patients and clinicians participating in the early development phase of HaH were conducted. We interviewed eight clinicians and six patients. Five themes emerged from clinicians: (1) staff fear and concerns, (2) workflow, (3) virtual closeness, (4) patient relatives, and (5) future HaH models; four themes emerged from patients: (1) transition to home, (2) joint responsibility, (3) acceptability of technologies, and (4) relatives. Despite technical problems, both patients and clinicians were enthusiastic about the conceptual HaH idea. If appropriately introduced, treatment based on self-monitoring and remote communication was perceived acceptable for the patients; however, obtaining vitals at night was an overwhelming challenge. HaH is generally acceptable, perceived patient-centred, influencing routine clinical workflow, role and job satisfaction. Therefore, it calls for educational programs including more perspective than issues related to technical devices.

Medienart:

E-Artikel

Erscheinungsjahr:

2023

Erschienen:

2023

Enthalten in:

Zur Gesamtaufnahme - volume:20

Enthalten in:

International journal of environmental research and public health - 20(2023), 2 vom: 10. Jan.

Sprache:

Englisch

Beteiligte Personen:

Cerdan de Las Heras, Jose [VerfasserIn]
Andersen, Signe Lindgård [VerfasserIn]
Matthies, Sophie [VerfasserIn]
Sandreva, Tatjana Vektorvna [VerfasserIn]
Johannesen, Caroline Klint [VerfasserIn]
Nielsen, Thyge Lynghøj [VerfasserIn]
Fuglebjerg, Natascha [VerfasserIn]
Catalan-Matamoros, Daniel [VerfasserIn]
Hansen, Dorte Gilså [VerfasserIn]
Fischer, Thea K [VerfasserIn]

Links:

Volltext

Themen:

COVID-19
Home-based care
Hospital at home
Journal Article
Patient perspectives
Research Support, Non-U.S. Gov't
Telemedicine
User perspectives

Anmerkungen:

Date Completed 24.01.2023

Date Revised 18.11.2023

published: Electronic

Citation Status MEDLINE

doi:

10.3390/ijerph20021287

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM351847626