Patients' and carers' satisfaction with hospital-in-the-home care

Abstract

Aim: Hospital-in-the-Home Units (HHUs) offer acute care, such as the administration of intravenous antibiotic therapy, to appropriate and consenting patients in their homes. This study sought to determine the satisfaction of a group of patients and carers to a hospital in the home program in Victoria, Australia.

Method: A descriptive survey based on a telephone administered structured interview was conducted. PATIENTS admitted to the HHU from December 1994 until the end of June 1995, and their nominated carers, were approached for their participation 2-3 weeks after their discharge.

Patients: Surveys were completed for 67 of a total 79 patients (84.8%). A preference for the convenience and comfort of home was the commonest reason cited for agreeing to enter the HHU (45 or 67.2%). Almost all respondents (66) would use the service again if the opportunity arose. Benefits associated with the home environment were the commonest perceived advantages of HHU care (42, 62.3%). Carers: Sixty-five carers from a possible 79 were interviewed. Most carers were women (spouses or mothers), and gave their occupation as home carer or retired. Sixty-two carers were confident in their role in the HHU. A similar number stated that they would act as carers again, and 61 would recommend the role to others.

Conclusion: This study demonstrates that patient and carer preference will act as an incentive in the development and acceptance of HHU care.