Health Affairs May 3, 2024
Common sense suggests that dissemination would be simple for a new form of health care delivery that requires no new biomedical advances and has shown to be effective and cost saving. However, it’s more complicated than that. Let’s consider the example of Hospital at Home (HaH) in the context of what economists term the “common agency problem.”
What Is Hospital At Home
HaH provides acute hospital-level care in a patient’s home by bringing all critical elements of care—physician, nursing, and other clinical team members, diagnostics, therapeutics, and appropriate technology—to a patient’s home. Work on HaH in the US was initiated in the mid-1990s by geriatricians interested in ameliorating iatrogenic complications and safety deficiencies associated with traditional hospital care. HaH has...