Hospital-level care at home versus inpatient hospital care: costs and effectiveness

Is this trial a fit for you?

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This is an observational comparison of adults treated in a Hospital at Home (HaH) program versus traditional inpatient care, using two referral pathways: admission avoidance and early supported discharge. The HaH model delivers daily physician and nursing visits plus infusions, physiotherapy and diagnostics at the patient’s home in coordination with hospitals and home-care services. The study collects health care cost data, clinical outcomes (including mortality and readmission), and patient satisfaction using medical records and patient questionnaires. Participants are adults able to consent and fluent in German or English, enrolled through Hospital at Home AG and Klinik Hirslanden in Zurich.

Why it matters

Who can join: the full rules

Inclusion Criteria:

* Inpatients in the hospital or patients in Hospital at Home care
* Age ≥ 18 years
* Admission due to a typical Hospital at Home diagnosis (mild to moderate inflammatory and infectious diseases of the lungs, urinary tract, gastrointestinal tract, heart, and skin; exacerbated chronic obstructive pulmonary disease; exacerbation of chronic heart failure; wounds; bleeding/anemia; dehydration; deterioration of general condition in multimorbid patients; infection-related complications in oncological patients; psychiatric problems including delirium; metabolic or autoimmune diseases; orthopedic patients; pain exacerbations of any cause; palliative patients up to and including terminal situations)
* Patients without severe cognitive impairment or dysfunction who are capable of providing informed consent and/or completing the questionnaire
* Patients with sufficient proficiency in written and spoken German and/or English

Exclusion Criteria:

* Inpatient admission for other reasons
* Refusal to provide informed consent

Where it's running

• Hospital at Home AG
  Zollikon, Canton of Zurich, Switzerland Recruiting

Study contacts

• Study coordinator: Kilian Braendle, Dr. med.
• Email: kilian.braendle@hospitalathome.ch
• Phone: +41444553304

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How to take part

1. Review the eligibility criteria above with your treating physician.
2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.