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

Jose Cerdan de las Heras (), Signe Lindgård Andersen, Sophie Matthies, Tatjana Vektorvna Sandreva, Caroline Klint Johannesen, Thyge Lynghøj Nielsen, Natascha Fuglebjerg, Daniel Catalan-Matamoros, Dorte Gilså Hansen and Thea K. Fischer
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Jose Cerdan de las Heras: Department of Clinical Research, Copenhagen University Hospital—North Zealand, 3400 Hillerød, Denmark
Signe Lindgård Andersen: Department of Clinical Research, Copenhagen University Hospital—North Zealand, 3400 Hillerød, Denmark
Sophie Matthies: Department of Clinical Research, Copenhagen University Hospital—North Zealand, 3400 Hillerød, Denmark
Tatjana Vektorvna Sandreva: Department of Clinical Research, Copenhagen University Hospital—North Zealand, 3400 Hillerød, Denmark
Caroline Klint Johannesen: Department of Clinical Research, Copenhagen University Hospital—North Zealand, 3400 Hillerød, Denmark
Thyge Lynghøj Nielsen: Department of Respiratory Medicine and Infectious Diseases, Copenhagen University Hospital—North Zealand, 3400 Hillerød, Denmark
Natascha Fuglebjerg: Department of Clinical Research, Copenhagen University Hospital—North Zealand, 3400 Hillerød, Denmark
Daniel Catalan-Matamoros: Department of Communication, Madrid University Carlos III, 28903 Madrid, Spain
Dorte Gilså Hansen: Institute of Public Health, Research Unit of General Practice, University of Southern Denmark, 5230 Odense, Denmark
Thea K. Fischer: Department of Clinical Research, Copenhagen University Hospital—North Zealand, 3400 Hillerød, Denmark

IJERPH, 2023, vol. 20, issue 2, 1-17

Abstract: 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.

Keywords: COVID-19; home-based care; hospital at home; patient perspectives; telemedicine; user perspectives (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2023
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