Admission rates in a general practitioner-based versus a hospital specialist based hospital-at-home model: ACCESS an open-labelled randomised clinical trial of effectiveness

摘要

BackgroundHospital at home (HaH) is an alternative to acute admission for elderly patients. It is unclear if should be cared for a primarily by a hospital intern specialist or by the patient’s own general practitioner (GP).The study assessed whether a GP based model was more effective than a hospital specialist based model at reducing number of hospital admissions without affecting the patient’s recovery or number of deaths.