Internal Medicine · General Practice · 1 h ago
Danish survey identifies four hospital-at-home models for acute care
A national survey of Danish emergency and geriatric departments identified 14 hospital-at-home interventions and grouped them into four organizational models. The findings describe variation in clinical responsibility and cross-sectoral integration; GP involvement was limited across the models.
- Survey included 14 interventions across 21 Danish hospitals.
- Four organizational archetypes were identified.
- Models varied in clinical responsibility and collaboration.
- GP involvement was limited across the models.
Hospital-at-home (HaH) services, including early supported discharge and admission avoidance, are being considered as ways to provide acute care outside hospital. Researchers surveyed leadership at all 27 emergency and geriatric departments across 21 hospitals in Denmark. The survey, conducted from December 2024 to May 2025, had a 96% response rate and included 14 interventions. Cluster analysis compared intervention characteristics across 66 dimensions.
Four archetypes emerged: Immediate Discontinuation, Streamlined, Integrated and Mobile Geriatric models. They differed in how care was initiated, who held clinical responsibility and how services collaborated across organizations. Limited involvement of general practitioners was a shared tendency.
The study maps the organization of existing Danish services but does not compare patient outcomes or establish which model is more effective. Its findings may inform planning of context-specific HaH services, though transferability to other health systems is uncertain. The work was funded by the Central Denmark Region Strategic Research Fund, which the authors report had no role in the study; they declared no competing interests.
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Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine: Identifying hospital-at-home interventions in acute care: a national survey study in Denmark ↗This is an automated AI-condensed summary that has not yet been reviewed by an editor. Always consult the full item at the original source.