{"id":"https://openalex.org/W126709065","doi":"https://doi.org/10.1136/bmj.317.7173.1652","title":"Acceptability of early discharge, hospital at home schemes","display_name":"Acceptability of early discharge, hospital at home schemes","publication_year":1998,"publication_date":"1998-12-12","ids":{"openalex":"https://openalex.org/W126709065","doi":"https://doi.org/10.1136/bmj.317.7173.1652","mag":"126709065","pmid":"https://pubmed.ncbi.nlm.nih.gov/9848914","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/1114443"},"language":"en","primary_location":{"id":"doi:10.1136/bmj.317.7173.1652","doi":"https://doi.org/10.1136/bmj.317.7173.1652","is_oa":false,"landing_page_url":"https://doi.org/10.1136/bmj.317.7173.1652","pdf_url":null,"source":{"id":"https://openalex.org/S4393911389","display_name":"BMJ","issn_l":"0007-1447","issn":["0007-1447","0267-0623","1468-5833"],"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":["anvur-scientific","vabb-shw"],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"BMJ","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","pubmed"],"open_access":{"is_oa":true,"oa_status":"green","oa_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/1114443","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5079058585","display_name":"Michael Montalto","orcid":"https://orcid.org/0000-0002-3991-2360","observed_orcids":["https://orcid.org/0000-0002-3991-2360","https://orcid.org/0009-0008-8902-5429"]},"institutions":[{"id":"https://openalex.org/I2801350665","display_name":"Monash Medical Centre","ror":"https://ror.org/036s9kg65","country_code":"AU","type":"healthcare","lineage":["https://openalex.org/I2801350665","https://openalex.org/I4210121067"]},{"id":"https://openalex.org/I2801874743","display_name":"Frankston Hospital","ror":"https://ror.org/051b68e86","country_code":"AU","type":"healthcare","lineage":["https://openalex.org/I2801874743","https://openalex.org/I4210120624"]},{"id":"https://openalex.org/I40120149","display_name":"University of Oxford","ror":"https://ror.org/052gg0110","country_code":"GB","type":"education","lineage":["https://openalex.org/I40120149"]},{"id":"https://openalex.org/I4210088199","display_name":"Honiton Hospital","ror":"https://ror.org/0076sm922","country_code":"GB","type":"healthcare","lineage":["https://openalex.org/I4210088199"]}],"countries":["AU","GB"],"is_corresponding":false,"raw_author_name":"M Montalto","raw_affiliation_strings":["Division of Public Health and Primary Health Care, University of Oxford, Institute of Health Sciences, Oxford OX3 7LF","Frankston Hospital, Victoria, Australia","Honiton Group Practice, Honiton EX14 8DD","Monash Medical Centre, Victoria, Australia","Northamptonshire Health Authority, Northampton NN1 5DN"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Division of Public Health and Primary Health Care, University of Oxford, Institute of Health Sciences, Oxford OX3 7LF","institution_ids":["https://openalex.org/I40120149"]},{"raw_affiliation_string":"Frankston Hospital, Victoria, Australia","institution_ids":["https://openalex.org/I2801874743"]},{"raw_affiliation_string":"Honiton Group Practice, Honiton EX14 8DD","institution_ids":["https://openalex.org/I4210088199"]},{"raw_affiliation_string":"Monash Medical Centre, Victoria, Australia","institution_ids":["https://openalex.org/I2801350665"]},{"raw_affiliation_string":"Northamptonshire Health Authority, Northampton NN1 5DN","institution_ids":[]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5018959636","display_name":"Michael Lindsay Grayson","orcid":"https://orcid.org/0000-0002-3261-3149","observed_orcids":["https://orcid.org/0000-0002-3261-3149"]},"institutions":[{"id":"https://openalex.org/I2801350665","display_name":"Monash Medical Centre","ror":"https://ror.org/036s9kg65","country_code":"AU","type":"healthcare","lineage":["https://openalex.org/I2801350665","https://openalex.org/I4210121067"]},{"id":"https://openalex.org/I2801874743","display_name":"Frankston Hospital","ror":"https://ror.org/051b68e86","country_code":"AU","type":"healthcare","lineage":["https://openalex.org/I2801874743","https://openalex.org/I4210120624"]},{"id":"https://openalex.org/I40120149","display_name":"University of Oxford","ror":"https://ror.org/052gg0110","country_code":"GB","type":"education","lineage":["https://openalex.org/I40120149"]},{"id":"https://openalex.org/I4210088199","display_name":"Honiton Hospital","ror":"https://ror.org/0076sm922","country_code":"GB","type":"healthcare","lineage":["https://openalex.org/I4210088199"]}],"countries":["AU","GB"],"is_corresponding":false,"raw_author_name":"M L Grayson","raw_affiliation_strings":["Division of Public Health and Primary Health Care, University of Oxford, Institute of Health Sciences, Oxford OX3 7LF","Frankston Hospital, Victoria, Australia","Honiton Group Practice, Honiton EX14 8DD","Monash Medical Centre, Victoria, Australia","Northamptonshire Health Authority, Northampton NN1 5DN"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Division of Public Health and Primary Health Care, University of Oxford, Institute of Health Sciences, Oxford OX3 7LF","institution_ids":["https://openalex.org/I40120149"]},{"raw_affiliation_string":"Frankston Hospital, Victoria, Australia","institution_ids":["https://openalex.org/I2801874743"]},{"raw_affiliation_string":"Honiton Group Practice, Honiton EX14 8DD","institution_ids":["https://openalex.org/I4210088199"]},{"raw_affiliation_string":"Monash Medical Centre, Victoria, Australia","institution_ids":["https://openalex.org/I2801350665"]},{"raw_affiliation_string":"Northamptonshire Health Authority, Northampton NN1 5DN","institution_ids":[]}]}],"institutions":[],"countries_distinct_count":2,"institutions_distinct_count":4,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":1.2157,"has_fulltext":false,"cited_by_count":8,"citation_normalized_percentile":{"value":0.81577909,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"317","issue":"7173","first_page":"1652","last_page":"1652"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11376","display_name":"Geriatric Care and Nursing Homes","score":0.5512999892234802,"subfield":{"id":"https://openalex.org/subfields/2717","display_name":"Geriatrics and Gerontology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T11376","display_name":"Geriatric Care and Nursing Homes","score":0.5512999892234802,"subfield":{"id":"https://openalex.org/subfields/2717","display_name":"Geriatrics and Gerontology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10912","display_name":"Telemedicine and Telehealth Implementation","score":0.057999998331069946,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T12174","display_name":"Hospital Admissions and Outcomes","score":0.056299999356269836,"subfield":{"id":"https://openalex.org/subfields/2911","display_name":"Leadership and Management"},"field":{"id":"https://openalex.org/fields/29","display_name":"Nursing"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/hospital-at-home","display_name":"home hospitalization","score":0.9769999980926514},{"id":"https://openalex.org/keywords/early-hospital-discharge","display_name":"early discharge","score":0.925000011920929},{"id":"https://openalex.org/keywords/length-of-hospital-stay","display_name":"length of hospital stay","score":0.671999990940094},{"id":"https://openalex.org/keywords/home-based-acute-care","display_name":"home-based acute care","score":0.5839999914169312},{"id":"https://openalex.org/keywords/patient-selection","display_name":"patient selection","score":0.4909999966621399},{"id":"https://openalex.org/keywords/cost-reduction","display_name":"cost reduction","score":0.765999972820282},{"id":"https://openalex.org/keywords/emergency-department-admission","display_name":"emergency department admission","score":0.6370000243186951}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.7334535121917725},{"id":"https://openalex.org/C2781385661","wikidata":"https://www.wikidata.org/wiki/Q4677918","display_name":"Acute care","level":3,"score":0.46946799755096436},{"id":"https://openalex.org/C194828623","wikidata":"https://www.wikidata.org/wiki/Q2861470","display_name":"Emergency medicine","level":1,"score":0.3610289692878723},{"id":"https://openalex.org/C177713679","wikidata":"https://www.wikidata.org/wiki/Q679690","display_name":"Intensive care medicine","level":1,"score":0.33442723751068115},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.23994991183280945},{"id":"https://openalex.org/C162324750","wikidata":"https://www.wikidata.org/wiki/Q8134","display_name":"Economics","level":0,"score":0.0},{"id":"https://openalex.org/C50522688","wikidata":"https://www.wikidata.org/wiki/Q189833","display_name":"Economic growth","level":1,"score":0.0}],"mesh":[{"descriptor_ui":"D001315","descriptor_name":"Australia","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D003695","descriptor_name":"Delivery of Health Care","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006113","descriptor_name":"United Kingdom","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D010351","descriptor_name":"Patient Discharge","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D013997","descriptor_name":"Time Factors","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D018575","descriptor_name":"Home Care Services, Hospital-Based","qualifier_ui":"Q000458","qualifier_name":"organization & administration","is_major_topic":true},{"descriptor_ui":"D018579","descriptor_name":"Patient Selection","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false}],"locations_count":5,"locations":[{"id":"doi:10.1136/bmj.317.7173.1652","doi":"https://doi.org/10.1136/bmj.317.7173.1652","is_oa":false,"landing_page_url":"https://doi.org/10.1136/bmj.317.7173.1652","pdf_url":null,"source":{"id":"https://openalex.org/S4393911389","display_name":"BMJ","issn_l":"0007-1447","issn":["0007-1447","0267-0623","1468-5833"],"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":["anvur-scientific","vabb-shw"],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"BMJ","raw_type":"journal-article"},{"id":"pmh:oai:pubmedcentral.nih.gov:1114443","doi":null,"is_oa":true,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/1114443","pdf_url":null,"source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"BMJ","raw_type":"Text"},{"id":"pmid:9848914","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/9848914","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"BMJ (Clinical research ed.)","raw_type":"Letter"},{"id":"pmid:9917148","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/9917148","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"BMJ (Clinical research ed.)","raw_type":"Letter"},{"id":"pmh:oai:open-archive.highwire.org:bmj:317/7173/1652","doi":null,"is_oa":false,"landing_page_url":"http://www.bmj.com/cgi/content/short/317/7173/1652","pdf_url":null,"source":{"id":"https://openalex.org/S4406923041","display_name":"HighWire Press Open Archive","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"","raw_type":"TEXT"}],"best_oa_location":{"id":"pmh:oai:pubmedcentral.nih.gov:1114443","doi":null,"is_oa":true,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/1114443","pdf_url":null,"source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"BMJ","raw_type":"Text"},"sustainable_development_goals":[{"score":0.98580002784729,"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being"}],"study_designs":[],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":8,"referenced_works":["https://openalex.org/W1502205294","https://openalex.org/W1737743379","https://openalex.org/W1786136878","https://openalex.org/W2020938923","https://openalex.org/W2122568241","https://openalex.org/W2325536193","https://openalex.org/W2416489113","https://openalex.org/W2462293199"],"related_works":["https://openalex.org/W1975691397","https://openalex.org/W2052723951","https://openalex.org/W2007094142","https://openalex.org/W197207320","https://openalex.org/W1525405724","https://openalex.org/W2921235497","https://openalex.org/W3207626005","https://openalex.org/W2041057042","https://openalex.org/W2138297268","https://openalex.org/W2155862347"],"abstract_inverted_index":{"Editor\u2014Richards":[0],"et":[1,5,19,43],"al\u2019s":[2,6],"and":[3,38,81,248,268,289,298,362,367],"Shepperd":[4,42],"definitions":[7,309],"of":[8,34,49,77,110,119,125,142,157,177,301,316,342,352,386],"what":[9],"constitutes":[10],"hospital":[11,22,86,95,126,144,158,165,183,192,224,258,285,302,328,343],"in":[12,23,127,132,145,154,159,184,212,225,259,272,303,329,344,354,395],"the":[13,24,46,75,85,90,108,117,128,134,140,146,160,168,172,175,182,185,191,226,260,265,293,304,330,340,345,370,384,387,396],"home":[14,25,35,129,147,161,186,227,261,305,331,346,366],"care":[15,153,162,166,262,279,300,332],"are":[16,255,269,315,335,369,391],"problematic.1,2":[17],"Richards":[18],"al":[20,44],"described":[21],"as":[26,233],"\u201ca":[27],"generic":[28],"term,":[29],"referring":[30],"to":[31,51,70,190,208,257,310,348,380,392],"a":[32,143,196,201],"package":[33],"based":[36,96],"nursing":[37,299],"rehabilitation":[39],"services,\u201d":[40],"while":[41],"restricted":[45],"eligible":[47],"groups":[48,357],"patient":[50,135,356],"patients":[52,68,254,334],"older":[53],"than":[54,88,195,276],"60":[55],"with":[56,63,327],"five":[57],"broadly":[58],"defined":[59],"conditions.":[60],"\r\n\r\nOur":[61],"concern":[62],"these":[64],"studies":[65],"is":[66,130,167,200,280,347],"that":[67,92,181,203,277],"seem":[69],"have":[71,323],"been":[72],"selected":[73,336],"on":[74,84,89],"basis":[76,91],"their":[78,93,213,278],"clinical":[79,308],"condition":[80],"its":[82],"burden":[83],"rather":[87,194],"acute":[94,164,230],"treatment":[97,137,231,235,353],"could":[98],"be":[99,359,381,393],"appropriately":[100],"delivered":[101],"at":[102,282,365],"home.":[103],"We":[104],"also":[105],"wonder":[106],"whether":[107],"selection":[109],"conditions":[111],"for":[112,163,198,244,292,339,373],"study":[113],"was":[114,188],"determined":[115],"by":[116],"presence":[118,141],"validated":[120],"research":[121],"instruments\r\n\r\nThe":[122],"appropriate":[123],"definition":[124],"one":[131],"which":[133,350,355,368],"requires":[136],"that,":[138],"without":[139],"delivery":[148],"system,":[149],"would":[150],"otherwise":[151],"require":[152],"hospital.":[155],"Substitution":[156],"critical":[169],"element.":[170],"In":[171,222],"above":[173],"papers,":[174],"length":[176],"stay":[178,193],"data":[179],"showed":[180],"component":[187],"additional":[189],"substitute":[197],"it.\r\n\r\nIt":[199],"pity":[202],"both":[204],"papers":[205],"chose":[206],"not":[207],"consider":[209],"non-British":[210],"publications":[211],"discussions,":[214],"since":[215],"considerable":[216],"activity":[217],"has":[218],"occurred":[219],"outside":[220],"Britain.":[221],"Australia":[223],"programmes":[228],"provide":[229],"such":[232],"intravenous":[234],"(giving":[236],"antibiotics,":[237],"chemotherapy,":[238],"inotropes,":[239],"blood":[240],"products),":[241],"giving":[242],"dalteparin":[243],"deep":[245],"venous":[246],"thrombosis,":[247],"complex":[249],"postoperative":[250],"wound":[251],"care.3\u20135":[252],"Increasingly,":[253],"admitted":[256],"directly":[263],"from":[264],"emergency":[266],"department":[267],"considered":[270],"inpatients":[271],"every":[273],"sense":[274],"other":[275],"provided":[281],"home.5":[283],"The":[284],"retains":[286],"clinical,":[287],"fiscal,":[288],"legal":[290],"responsibility":[291],"pharmaceutical":[294],"input,":[295],"medical":[296],"supervision,":[297],"patients.\r\n\r\nWithout":[306],"firm":[307],"ensure":[311],"substitution,":[312],"cost":[313,325],"comparisons":[314],"little":[317],"value.":[318],"Most":[319],"descriptive":[320],"studies,":[321],"however,":[322],"found":[324],"savings":[326],"if":[333,389],"carefully.5\r\n\r\nThe":[337],"challenge":[338],"future":[341],"determine":[349],"types":[351],"can":[358],"safely,":[360],"effectively,":[361],"acceptably":[363],"managed":[364],"best":[371],"models":[372],"delivering":[374],"quality":[375],"outcomes.":[376],"Trials":[377],"will":[378],"need":[379],"clear":[382],"about":[383],"nature":[385],"intervention":[388],"they":[390],"helpful":[394],"future.":[397]},"counts_by_year":[],"updated_date":"2026-10-31T12:09:11.096373","created_date":"2016-06-24T00:00:00"}
