Guidance for Building Hospital at Home: Qualitative Descriptive Thematic Analysis of a Pan-Canadian Community Participatory Workshop Series - Report - MDSpire

Guidance for Building Hospital at Home: Qualitative Descriptive Thematic Analysis of a Pan-Canadian Community Participatory Workshop Series

  • By

  • Tianna Magel

  • Quynh Ho

  • Maria Montenegro

  • Megan MacPherson

  • Clare L Ardern

  • July 14, 2026

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Strategies for Developing Hospital-at-Home Programs: A Thematic Analysis

Background

Healthcare systems globally are facing significant challenges, including overcrowding and increased costs, particularly exacerbated by the COVID-19 pandemic. Hospital-at-Home models offer a potential solution by providing hospital-level care in patients' homes.

Data Highlights

No numerical data or trial data was provided in the source material.

Key Findings

  • Hospital-at-Home models can expand care capacity without requiring additional physical infrastructure.
  • These models have been adopted in various countries, including Canada, the USA, and the UK.
  • HaH programs typically involve a combination of in-person visits and remote monitoring by healthcare providers.
  • Patients receiving HaH care often experience shorter treatment durations and lower readmission rates compared to traditional inpatient care.
  • HaH programs are generally well accepted by patients and considered safe and effective alternatives to inpatient care.

Clinical Implications

Healthcare professionals should consider the implementation of Hospital-at-Home models as a viable alternative to traditional inpatient care.

Conclusion

The development of Hospital-at-Home programs represents a significant opportunity to enhance healthcare delivery. Continued exploration of effective strategies for implementation is necessary to maximize the benefits of these models.

Related Resources & Content

  1. Pandit JA, Pawelek JB, Leff B, Topol EJ, NPJ Digit Med, 2024 -- The hospital at home in the USA: current status and future prospects
  2. Leff B, DeCherrie LV, Montalto M, Levine DM, J Am Geriatr Soc, 2022 -- A research agenda for hospital at home
  3. Arsenault-Lapierre G, Henein M, Gaid D, et al., JAMA Netw Open, 2021 -- Hospital-at-home interventions vs in-hospital stay for patients with chronic disease
  4. Bransgrove NJ, Porter JE, Peck B, Bishop J, J Adv Nurs, 2025 -- Mapping hospital in the home models of care: a systematic review
  5. Journal of General Internal Medicine (Springer) — Equity in Innovation: Shaping Hospital at Home Programs for Inclusive Care
  6. JMIR Medical Informatics — Implementation of a Multidevice Telemonitoring Program for Home-Based Nursing Care in Quebec: Qualitative Report
  7. Frontiers in Digital Health — Implementing home-based digital health in rural Canada: a scoping review
  8. Journal of Medical Internet Research (JMIR) — Clinician-Patient Asynchronous Text Messaging Communication in Hospital-at-Home Care: Qualitative Study
  9. Health workforce: Overtime and staffing challenges in hospitals | CIHI
  10. Practice Standards for Acute Hospital Care at Home
  11. Safety in a hybrid hospital-at-home program versus traditional inpatient care: A pragmatic randomized controlled trial - PubMed

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