Exploring the Relevance of Patient Selection Criteria for Hospital at Home Care: Results from an Expert Survey.

Abstract

Hospital at home (HaH) models involve treating patients at home for conditions that typically require hospitalisation. This paper reports on an expert survey to validate patient selection criteria from the literature. Feedback from 20 experts led to consensus on four criteria: medical condition, clinical suitability, living conditions and social support. No consensus was reached on the criteria demographics, technological readiness and literacy. Five other characteristics were identified. These criteria emphasise the importance of selecting patients on the basis of clinical need, safety, and ability to receive care at home, while taking into account potential inequalities. Future efforts should focus on improving digital readiness, integrating multidisciplinary perspectives, and ensuring equitable access to HaH services.