To compare hospital at home care with inpatient hospital care in terms of patient outcomes.
Randomised controlled trial with three month follow up.
District general hospital and catchment area of neighbouring community trust Subjects :
Patients recovering from hip replacement (n=86), knee replacement (n=86), and hysterectomy (n=238) ;
elderly medical patients (n=96) ;
and patients with chronic obstructive airways disease (n=32).
Hospital at home care or inpatient hospital care.
Dartmouth COOP chart to measure patients'general health status ; SF-36 to measure possible limitations in physical functioning of patients with hysterectomy ; disease specific measures-chronic respiratory disease questionnaire, Barthel index for elderly medical patients, Oxford hip score, and Bristol knee score ; hospital readmission and mortality data ; carer strain index to measure burden on carers ; patients'and carers'preferred form of care.
At follow up, there were no major differences in outcome between hospital at home care and hospital care for any of the patient groups except that those recovering from hip replacement reported a significantly greater improvement in quality of life with hospital at home care (difference in change from baseline value 0.50,95% confidence interval 0.13 to 0.88). (...)
Mots-clés Pascal : Soin intégré, A domicile, Randomisation, Hospitalisation, Etude comparative, Essai thérapeutique contrôlé, Etude longitudinale, Effet groupe voisin, Evaluation, Homme, Angleterre, Grande Bretagne, Royaume Uni, Europe, Organisation santé
Mots-clés Pascal anglais : Managed care, At home, Randomization, Hospitalization, Comparative study, Controlled therapeutic trial, Follow up study, Neighbouring group effect, Evaluation, Human, England, Great Britain, United Kingdom, Europe, Public health organization
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 98-0302003
Code Inist : 002B30A03C. Création : 27/11/1998.