Developing new hospital-at-home models based on Comprehensive Geriatric Assessment: Implementation recommendations by the Working Group on Hospital-at-Home and Community Geriatrics of the Catalan Society of Geriatrics and Gerontology

Jan 12, 2023Revista espanola de geriatria y gerontologia

Creating new hospital-at-home care plans using full health assessments for older adults: Recommendations from the Catalan Geriatrics Working Group

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Abstract

Comprehensive Geriatric Assessment hospital-at-home care is defined as a specialised home hospitalisation service formed by interdisciplinary teams.

CGA hospital-at-home may improve responses to health crises through individualised care plans based on situational diagnoses.
This approach could provide a comprehensive health and social strategy tailored to the complexities of older populations.
CGA hospital-at-home is associated with enhanced support for caregivers and adaptations focused on home functionality.

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Last decade, the Government of Catalonia have urged an integrated care strategy for planning the care model to older populations living with frailty, multimorbidity and advanced illnesses. Based on international evidence that was reviewed by a group of experts from the Catalan Society of Gerontology and Geriatrics, we summarised some recommendation to adapt hospital-at-home care to older populations in our system. We defined Comprehensive Geriatric Assessment (CGA) hospital-at-home (HaH) as a specialised home hospitalisation service formed by interdisciplinary teams, characterised by using the clinical methodology of CGA, and by adapting geriatric units' protocols for the provision of person-centred care at home. Main benefits of CGA-HaH in these populations are: response to heath crises according to individualised care plans based on the situational diagnosis carried out by Primary Care teams; provision of a comprehensive health and social approach tailored to the complexity of cases and situations; and adaptation of multipurpose hospitalisation, by working on different person-centred care, aspects, such as caregivers support on care provision, focusing on function or home adaptation.

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Developing new hospital-at-home models based on Comprehensive Geriatric Assessment: Implementation recommendations by the Working Group on Hospital-at-Home and Community Geriatrics of the Catalan Society of Geriatrics and Gerontology

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