{"id":"https://openalex.org/W4362623155","doi":"https://doi.org/10.3389/fdgth.2023.1068444","title":"Virtual hospital-level care\u2014feasibility, acceptability, safety and impact of a pilot Hospital-In-The-Home model for COVID-19 infection","display_name":"Virtual hospital-level care\u2014feasibility, acceptability, safety and impact of a pilot Hospital-In-The-Home model for COVID-19 infection","publication_year":2023,"publication_date":"2023-04-05","ids":{"openalex":"https://openalex.org/W4362623155","doi":"https://doi.org/10.3389/fdgth.2023.1068444","pmid":"https://pubmed.ncbi.nlm.nih.gov/37090066"},"language":"en","primary_location":{"id":"doi:10.3389/fdgth.2023.1068444","is_oa":true,"landing_page_url":"https://doi.org/10.3389/fdgth.2023.1068444","pdf_url":"https://www.frontiersin.org/articles/10.3389/fdgth.2023.1068444/pdf","source":{"id":"https://openalex.org/S4210170686","display_name":"Frontiers in Digital Health","issn_l":"2673-253X","issn":["2673-253X"],"is_oa":true,"is_in_doaj":true,"is_core":true,"host_organization":"https://openalex.org/P4310320527","host_organization_name":"Frontiers Media","host_organization_lineage":["https://openalex.org/P4310320527"],"host_organization_lineage_names":["Frontiers Media"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Frontiers in Digital Health","raw_type":"journal-article"},"type":"article","indexed_in":["crossref","doaj","pubmed"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://www.frontiersin.org/articles/10.3389/fdgth.2023.1068444/pdf","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5078078627","display_name":"Joanna Lawrence","orcid":"https://orcid.org/0000-0002-7913-7274"},"institutions":[{"id":"https://openalex.org/I1321649718","display_name":"Royal Children's Hospital","ror":"https://ror.org/02rktxt32","country_code":"AU","type":"healthcare","lineage":["https://openalex.org/I1321649718"]},{"id":"https://openalex.org/I165779595","display_name":"The University of Melbourne","ror":"https://ror.org/01ej9dk98","country_code":"AU","type":"education","lineage":["https://openalex.org/I165779595"]},{"id":"https://openalex.org/I4210150290","display_name":"Murdoch Children's Research Institute","ror":"https://ror.org/048fyec77","country_code":"AU","type":"nonprofit","lineage":["https://openalex.org/I4210150290"]}],"countries":["AU"],"is_corresponding":true,"raw_author_name":"J. Lawrence","raw_affiliation_strings":["Department of Paediatrics, University of Melbourne, Parkville, VIC, Australia","Electronic Medical Record Team, Royal Children's Hospital, Melbourne, VIC, Australia","Health Services Research Unit, Murdoch Children's Research Institute, Melbourne, VIC, Australia","Hospital-in-the-Home Department, Royal Children's Hospital, Melbourne, VIC, Australia"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Paediatrics, University of Melbourne, Parkville, VIC, Australia","institution_ids":["https://openalex.org/I165779595"]},{"raw_affiliation_string":"Electronic Medical Record Team, Royal Children's Hospital, Melbourne, VIC, Australia","institution_ids":["https://openalex.org/I1321649718"]},{"raw_affiliation_string":"Health Services Research Unit, Murdoch Children's Research Institute, Melbourne, VIC, Australia","institution_ids":["https://openalex.org/I4210150290"]},{"raw_affiliation_string":"Hospital-in-the-Home Department, Royal Children's Hospital, Melbourne, VIC, Australia","institution_ids":["https://openalex.org/I1321649718"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5052994056","display_name":"Dzuy Truong","orcid":null},"institutions":[{"id":"https://openalex.org/I1321649718","display_name":"Royal Children's Hospital","ror":"https://ror.org/02rktxt32","country_code":"AU","type":"healthcare","lineage":["https://openalex.org/I1321649718"]}],"countries":["AU"],"is_corresponding":false,"raw_author_name":"D. Truong","raw_affiliation_strings":["Electronic Medical Record Team, Royal Children's Hospital, Melbourne, VIC, Australia"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Electronic Medical Record Team, Royal Children's Hospital, Melbourne, VIC, Australia","institution_ids":["https://openalex.org/I1321649718"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5077284198","display_name":"Andrew Tuan Phuong Dao","orcid":null},"institutions":[{"id":"https://openalex.org/I1320473756","display_name":"The Royal Melbourne Hospital","ror":"https://ror.org/005bvs909","country_code":"AU","type":"funder","lineage":["https://openalex.org/I1320473756","https://openalex.org/I4210158168"]},{"id":"https://openalex.org/I1321649718","display_name":"Royal Children's Hospital","ror":"https://ror.org/02rktxt32","country_code":"AU","type":"healthcare","lineage":["https://openalex.org/I1321649718"]}],"countries":["AU"],"is_corresponding":false,"raw_author_name":"A. Dao","raw_affiliation_strings":["Electronic Medical Record Team, Royal Children's Hospital, Melbourne, VIC, Australia","Radiology Department, Royal Melbourne Hospital, Melbourne, VIC, Australia"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Electronic Medical Record Team, Royal Children's Hospital, Melbourne, VIC, Australia","institution_ids":["https://openalex.org/I1321649718"]},{"raw_affiliation_string":"Radiology Department, Royal Melbourne Hospital, Melbourne, VIC, Australia","institution_ids":["https://openalex.org/I1320473756"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5033166682","display_name":"Penelope A Bryant","orcid":"https://orcid.org/0000-0002-5262-5323"},"institutions":[{"id":"https://openalex.org/I1321649718","display_name":"Royal Children's Hospital","ror":"https://ror.org/02rktxt32","country_code":"AU","type":"healthcare","lineage":["https://openalex.org/I1321649718"]},{"id":"https://openalex.org/I165779595","display_name":"The University of Melbourne","ror":"https://ror.org/01ej9dk98","country_code":"AU","type":"education","lineage":["https://openalex.org/I165779595"]},{"id":"https://openalex.org/I4210150290","display_name":"Murdoch Children's Research Institute","ror":"https://ror.org/048fyec77","country_code":"AU","type":"nonprofit","lineage":["https://openalex.org/I4210150290"]}],"countries":["AU"],"is_corresponding":false,"raw_author_name":"P. A. Bryant","raw_affiliation_strings":["Clinical Paediatrics Group, Murdoch Children's Research Institute, Melbourne, Australia","Department of Paediatrics, University of Melbourne, Parkville, VIC, Australia","Hospital-in-the-Home Department, Royal Children's Hospital, Melbourne, VIC, Australia","Infectious Disease Unit, Royal Children's Hospital, Melbourne, VIC, Australia"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Clinical Paediatrics Group, Murdoch Children's Research Institute, Melbourne, Australia","institution_ids":["https://openalex.org/I4210150290"]},{"raw_affiliation_string":"Department of Paediatrics, University of Melbourne, Parkville, VIC, Australia","institution_ids":["https://openalex.org/I165779595"]},{"raw_affiliation_string":"Hospital-in-the-Home Department, Royal Children's Hospital, Melbourne, VIC, Australia","institution_ids":["https://openalex.org/I1321649718"]},{"raw_affiliation_string":"Infectious Disease Unit, Royal Children's Hospital, Melbourne, VIC, Australia","institution_ids":["https://openalex.org/I1321649718"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":4,"corresponding_author_ids":["https://openalex.org/A5078078627"],"corresponding_institution_ids":["https://openalex.org/I1321649718","https://openalex.org/I165779595","https://openalex.org/I4210150290"],"apc_list":{"value":1900,"currency":"USD","value_usd":1900},"apc_paid":{"value":1900,"currency":"USD","value_usd":1900},"fwci":2.8233,"has_fulltext":true,"cited_by_count":17,"citation_normalized_percentile":{"value":0.9059915,"is_in_top_1_percent":false,"is_in_top_10_percent":true},"cited_by_percentile_year":{"min":98,"max":99},"biblio":{"volume":"5","issue":null,"first_page":"1068444","last_page":"1068444"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11011","display_name":"Frailty in Older Adults","score":0.19030000269412994,"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/T11011","display_name":"Frailty in Older Adults","score":0.19030000269412994,"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/T10322","display_name":"Respiratory Support and Mechanisms","score":0.11129999905824661,"subfield":{"id":"https://openalex.org/subfields/2740","display_name":"Pulmonary and Respiratory Medicine"},"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/T11292","display_name":"Pediatric Pain Management Techniques","score":0.09440000355243683,"subfield":{"id":"https://openalex.org/subfields/2735","display_name":"Pediatrics, Perinatology and Child Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/medicine","display_name":"Medicine","score":0.6916816234588623},{"id":"https://openalex.org/keywords/medical-emergency","display_name":"Medical emergency","score":0.5331090688705444},{"id":"https://openalex.org/keywords/emergency-medicine","display_name":"Emergency medicine","score":0.4698946475982666}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.6916816234588623},{"id":"https://openalex.org/C545542383","wikidata":"https://www.wikidata.org/wiki/Q2751242","display_name":"Medical emergency","level":1,"score":0.5331090688705444},{"id":"https://openalex.org/C194828623","wikidata":"https://www.wikidata.org/wiki/Q2861470","display_name":"Emergency medicine","level":1,"score":0.4698946475982666}],"mesh":[],"locations_count":4,"locations":[{"id":"doi:10.3389/fdgth.2023.1068444","is_oa":true,"landing_page_url":"https://doi.org/10.3389/fdgth.2023.1068444","pdf_url":"https://www.frontiersin.org/articles/10.3389/fdgth.2023.1068444/pdf","source":{"id":"https://openalex.org/S4210170686","display_name":"Frontiers in Digital Health","issn_l":"2673-253X","issn":["2673-253X"],"is_oa":true,"is_in_doaj":true,"is_core":true,"host_organization":"https://openalex.org/P4310320527","host_organization_name":"Frontiers Media","host_organization_lineage":["https://openalex.org/P4310320527"],"host_organization_lineage_names":["Frontiers Media"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Frontiers in Digital Health","raw_type":"journal-article"},{"id":"pmid:37090066","is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/37090066","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,"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":"Frontiers in digital health","raw_type":null},{"id":"pmh:oai:pubmedcentral.nih.gov:10113639","is_oa":true,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/10113639","pdf_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC10113639/pdf/fdgth-05-1068444.pdf","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,"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":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Front Digit Health","raw_type":"Text"},{"id":"pmh:oai:doaj.org/article:044a23c024d2448e8b1c59b63f5b253c","is_oa":true,"landing_page_url":"https://doaj.org/article/044a23c024d2448e8b1c59b63f5b253c","pdf_url":null,"source":{"id":"https://openalex.org/S4306401280","display_name":"DOAJ (DOAJ: Directory of Open Access Journals)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by-sa","license_id":"https://openalex.org/licenses/cc-by-sa","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Frontiers in Digital Health, Vol 5 (2023)","raw_type":"article"}],"best_oa_location":{"id":"doi:10.3389/fdgth.2023.1068444","is_oa":true,"landing_page_url":"https://doi.org/10.3389/fdgth.2023.1068444","pdf_url":"https://www.frontiersin.org/articles/10.3389/fdgth.2023.1068444/pdf","source":{"id":"https://openalex.org/S4210170686","display_name":"Frontiers in Digital Health","issn_l":"2673-253X","issn":["2673-253X"],"is_oa":true,"is_in_doaj":true,"is_core":true,"host_organization":"https://openalex.org/P4310320527","host_organization_name":"Frontiers Media","host_organization_lineage":["https://openalex.org/P4310320527"],"host_organization_lineage_names":["Frontiers Media"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Frontiers in Digital Health","raw_type":"journal-article"},"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","score":0.6100000143051147,"display_name":"Good health and well-being"}],"awards":[],"funders":[],"has_content":{"grobid_xml":false,"pdf":true},"content_urls":{"pdf":"https://content.openalex.org/works/W4362623155.pdf"},"referenced_works_count":16,"referenced_works":["https://openalex.org/W2034084542","https://openalex.org/W2140092196","https://openalex.org/W2369846359","https://openalex.org/W2750316786","https://openalex.org/W2800380926","https://openalex.org/W2927181048","https://openalex.org/W2968598970","https://openalex.org/W2992424904","https://openalex.org/W3034678323","https://openalex.org/W3092429201","https://openalex.org/W3115149189","https://openalex.org/W3131678780","https://openalex.org/W3205800043","https://openalex.org/W4223908907","https://openalex.org/W4226381462","https://openalex.org/W4229000851"],"related_works":["https://openalex.org/W2748952813","https://openalex.org/W3031052312","https://openalex.org/W4389568370","https://openalex.org/W3032375762","https://openalex.org/W1995515455","https://openalex.org/W2080531066","https://openalex.org/W2586801360","https://openalex.org/W3108674512","https://openalex.org/W1506200166","https://openalex.org/W1489783725"],"abstract_inverted_index":{"Background:":[0],"Hospital-in-the-Home":[1],"(HITH)":[2],"delivers":[3],"hospital":[4,247,310],"level":[5,173],"care":[6,32,102,121],"to":[7,21,46,59,81,126,196,230,309,322],"patients":[8],"in":[9,44,65,250,278],"the":[10,68,91,127,202,251],"comfort":[11],"of":[12,31,36,97,101,115,120,146,174,177,204,217,234,245,301,327],"their":[13],"own":[14],"home.":[15,225],"Traditionally":[16],"HITH":[17,71,130,274,319],"involves":[18],"clinicians":[19],"travelling":[20],"patients'":[22],"homes.":[23],"We":[24],"designed":[25],"and":[26,52,95,139,158,162,198,283,285,293],"implemented":[27],"a":[28,34,98,116,171,213,243,287,324,328],"virtual":[29,37,99,118,273],"model":[30,100,119,144,203],"leveraging":[33],"combination":[35],"health":[38],"modalities":[39],"for":[40,62,75,84,103,122,276,299],"children":[41,76,105,124,227,279],"with":[42,106,132,212],"COVID-19":[43,63,107,133,277],"response":[45],"rising":[47],"patient":[48],"numbers,":[49],"infection":[50,64,108,134,267],"risk":[51],"pressures":[53],"on":[54,290],"protective":[55,265],"equipment.":[56],"In":[57,258],"contrast":[58],"other":[60,302],"models":[61],"Australia":[66],"at":[67,147,224],"time,":[69],"our":[70],"service":[72,131],"catered":[73],"only":[74],"who":[77,200],"were":[78,166,194,220,236,269],"unwell":[79],"enough":[80],"meet":[82],"criteria":[83],"hospitalisation":[85],"(ie":[86],"bed-replacement).":[87],"Aims:":[88],"To":[89],"measure":[90],"feasibility,":[92],"acceptability,":[93],"safety":[94],"impact":[96,239,289],"managing":[104],"requiring":[109,184],"hospital-level":[110],"care.":[111,191,205],"Methods:":[112],"Retrospective":[113],"study":[114],"new":[117],"all":[123],"admitted":[125],"Royal":[128],"Children's":[129],"between":[135],"7th":[136],"October":[137],"2021":[138],"28th":[140],"April":[141],"2022.":[142],"The":[143,238,297],"consisted":[145],"least":[148],"daily":[149],"video":[150,163],"consultations,":[151],"remote":[152],"oximetry,":[153],"symptom":[154],"tracking,":[155],"portal":[156],"messaging":[157],"24":[159],"h":[160],"phone":[161],"support.":[164],"Patients":[165],"eligible":[167],"if":[168],"they":[169],"met":[170],"certain":[172],"severity":[175],"(work":[176],"breathing,":[178],"dehydration,":[179],"lower":[180],"oxygen":[181,187],"saturations)":[182],"without":[183],"intravenous":[185],"fluids,":[186],"support":[188],"or":[189],"intensive":[190],"Online":[192],"surveys":[193],"distributed":[195],"staff":[197],"consumers":[199],"experienced":[201],"Results:":[206],"=":[207],"9)":[208],"was":[209],"also":[210],"high":[211],"net":[214],"promoter":[215],"score":[216],"8.9.":[218],"There":[219],"no":[221],"adverse":[222],"events":[223],"Eight":[226],"(2.4%)":[228],"represented":[229,241],"hospital,":[231],"7":[232],"(2.1%)":[233],"whom":[235],"readmitted.":[237],"is":[240,280,316,320],"by":[242],"total":[244],"1,312":[246],"bed-days":[248,255,291],"saved":[249,292],"seven-month":[252],"period":[253],"(2,249":[254],"per":[256],"year).":[257],"addition,":[259],"1,480":[260],"home":[261],"visits":[262],"(travel":[263],"time/":[264],"equipment/":[266],"risk)":[268],"avoided.":[270],"Conclusion:":[271],"A":[272],"program":[275],"feasible,":[281],"acceptable":[282],"safe":[284],"has":[286],"substantial":[288],"nursing":[294],"travel":[295],"time.":[296],"implications":[298],"management":[300],"acute":[303],"respiratory":[304],"viral":[305],"illnesses":[306],"that":[307],"contribute":[308],"bed":[311],"pressure":[312],"during":[313],"winter":[314],"months":[315],"immense.":[317],"Virtual":[318],"likely":[321],"be":[323],"key":[325],"enabler":[326],"sustainable":[329],"healthcare":[330],"system.":[331]},"counts_by_year":[{"year":2025,"cited_by_count":11},{"year":2024,"cited_by_count":6}],"updated_date":"2026-05-21T06:26:12.895304","created_date":"2025-10-10T00:00:00"}
