Outcomes Associated With Hospital at Home vs Traditional Inpatient Stay

How do clinical outcomes of hospital at home compare with traditional inpatient care among Medicare beneficiaries?In this propensity score–matched comparative effectiveness research study of 15 871 Medicare beneficiaries (4174 hospital at home and 11 697 traditional inpatient admissions), hospital at home was associated with significantly lower in-hospital mortality and emergency department use within 30 days of index admission discharge, with no significant difference in hospital readmissions within 30 days of index admission discharge compared with traditional inpatient care.These findings suggest that hospital at home was associated with similar or better short-term clinical outcomes compared with traditional inpatient care among appropriately selected patients.

Corresponding Author: J. Priyanka Vakkalanka, PhD, Department of Emergency Medicine, University of Iowa Hospitals and Clinics, 200 Hawkins Dr, Ste GH-C132, Iowa City, IA 52242 (priyanka-vakkalanka@uiowa.edu).

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