Patient satisfaction with a hospital-in-the-home service
The hospital-in-the-home (HitH) model is an alternative model of healthcare that allows patients to return home and receive short-term treatment in a familiar environment. The objective of the present study was to evaluate patient satisfaction with the GSTT@home service in the London boroughs of Southwark and Lambeth. A questionnaire comprising 20 questions was developed with 5-point Likert response and free text options. A total of 1426 questionnaires were distributed, of which 206 (14%) were returned. The majority of respondents said they would recommend the @home service (n=200, 97%) and were very satisfied or satisfied with the service (n=203, 99%). Only 48 respondents provided qualitative free text comments, and overall, these were very positive and supportive of the @home service. The findings support the benefits of the @home model of care from the patients' perspective.
At present, the NHS is facing unprecedented demands on its services, with 11.8 million people over 65 years and 4 million people with long-term illnesses living in the UK (Age UK, 2018). Alongside this, emergency department (ED) staff are witnessing the highest ever bed occupancy rates, which underlie their aim to discharge patients back into the community for further management (Royal College of Surgeons, 2018). A King's Fund report highlighted the need for better alignment of primary, community and acute care to reduce avoidable hospital admissions and length of hospital stay (Imison et al, 2012), and this has been re-enforced in the recently published NHS Long Term Plan (NHS England, 2019a). The ‘hospital-in-the-home’ (HitH) model is one solution that allows patients to return home and receive short-term treatment in a familiar environment. Since its inception in 2014 (Lee and Titchener, 2017), many countries have created their own version of HitH services and reported very positive results in terms of various aspects, including efficacy, safety, cost and patient satisfaction (Caplan et al, 1999; Van Donk et al, 2009; Montalto, 2010; Rodriguez-Cerrillo et al, 2012; Varney et al, 2014). Studies have also highlighted the need for strategic planning and coordinated partnerships to ensure the success of HitH services (Brody et al, 2019). One study noted that the use of HitH resulted in a reduction in hospital readmissions from 7% to 3% (Rodriguez-Cerrillo et al, 2012). Another review of HitH services concluded that HitH care was at least equivalent to hospital-based care and offered greater cost savings (Varney et al, 2014). In terms of satisfaction with the HitH service, the literature reports the positive impact of HitH on patient care and notes the overall efficacy of the HitH programme (Caplan et al, 1999; Montalto, 2010; Montalto et al, 2010; Varney et al, 2014). Patient satisfaction is a goal in its own right and, more importantly, it is an important determinant of patient concordance with advice and treatment. Patient views are considered a legitimate, important measure of care quality and an indirect measure of health outcome (Hardy and West, 1994).
Register now to continue reading
Thank you for visiting Community Nursing and reading some of our peer-reviewed resources for district and community nurses. To read more, please register today. You’ll enjoy the following great benefits:
Limited access to clinical or professional articles
New content and clinical newsletter updates each month