{
  "abstract": "Objectives\n\nTo describe the patient population, care pathways, and short-term safety outcomes of a regional hospital-at-home model in Region Zealand, Denmark, between 2022 and 2024, and to explore variation in outcomes by diagnosis and referral source.Design\n\nRetrospective observational study using registry-based data and internal monitoring records.Setting\n\nA publicly funded, cross-sectoral hospital-at-home service coordinated centrally and delivered via municipal nurses and mobile treatment units.Participants\n\nWe included 2,511 patients with a median age of 72 years (IQR 60-80). Patients generally presented with substantial comorbidity and represented a broad, clinically diverse population.Main outcome measures\n\nLength of stay, unplanned hospital contacts during treatment or within 24 h after planned completion, 30-day readmissions, and 30-day survival.Results\n\nThe median length of stay increased from 5.1 days in 2022 to 7.3 days in 2024. Rates of unplanned hospital contacts remained stable (27.0-31.1%), whereas 30-day readmission rates declined from 11.0% to 7.0% over the study period. Thirty-day survival remained consistently high (91.6-92.4%). Infectious diseases were the most frequent diagnostic category (43-47%). Outcomes varied by diagnosis and referral source, with longer treatment durations observed among patients with orthopaedic and chronic conditions.Conclusions\n\nHospital-level care delivered in patients' homes was implemented on a regional scale with acceptable short-term outcomes across a clinically complex and socially diverse patient population, including individuals living alone. The variation in outcomes across diagnostic groups underscores the importance of flexible, diagnosis-informed care pathways and structured cross-sectoral organisation in hospital-at-home models.Clinical trial number\n\nNot applicable.",
  "abstract_shown": true,
  "affiliations": [
    "Ringstedgade 61, Primary Care and eHomeHospital Region Zealand, Naestved, Denmark. Maiha@regionsjaelland.dk.",
    "Faculty of Health, Institute of Regional Health Research, University of Southern Denmark, Odense, Denmark. Maiha@regionsjaelland.dk.",
    "Emergency Medical Services, Prehospital Center Region Zealand, Naestved, Denmark.",
    "Department of Health Science and Technology, Aalborg University, Aalborg, Denmark.",
    "Ringstedgade 61, Primary Care and eHomeHospital Region Zealand, Naestved, Denmark.",
    "Department of Clinical Medicine, University of Copenhagen, Copenhagen, Denmark."
  ],
  "article_type": "research article",
  "arxiv": null,
  "author_total": 5,
  "authors": [
    {
      "affs": [
        0,
        1
      ],
      "name": "Mai-Britt Hägi-Pedersen",
      "orcid": "0000-0002-4349-4755"
    },
    {
      "affs": [
        2,
        3
      ],
      "name": "Stig Nikolaj Blomberg"
    },
    {
      "affs": [
        4,
        2
      ],
      "name": "Ole Mazur Hendriksen"
    },
    {
      "affs": [
        4
      ],
      "name": "Ihab Ibrahim Rassoul Al-Janaby"
    },
    {
      "affs": [
        2,
        5
      ],
      "name": "Helle Collatz Christensen"
    }
  ],
  "bibtex": "https://research.draconitic.com/paper/5d6s12zcfz035.bib",
  "cited_by": 0,
  "doi": "10.1186/s12913-026-15205-7",
  "fulltext_url": "https://europepmc.org/articles/PMC13681762",
  "id": "5d6s12zcfz035",
  "issns": [
    "1472-6963"
  ],
  "landing_url": "https://europepmc.org/article/MED/42902350",
  "language": "eng",
  "licence": "CC-BY-NC-ND",
  "licence_label": "CC BY-NC-ND",
  "licence_source": "article",
  "licence_url": "https://creativecommons.org/licenses/by-nc-nd/4.0/",
  "metadata_licence": null,
  "native_subjects": [
    [
      "lcc",
      "RA1-1270"
    ],
    [
      "openalex",
      "3600|Geriatric Care and Nursing Homes"
    ]
  ],
  "openalex": "W7170259314",
  "pdf_url": "https://europepmc.org/articles/PMC13681762?pdf=render",
  "pmcid": "PMC13681762",
  "pmid": "42902350",
  "published": "2026-07-01",
  "publisher": "BMC",
  "ris": "https://research.draconitic.com/paper/5d6s12zcfz035.ris",
  "sources": [
    {
      "first_seen": "2026-10-30T12:19:41Z",
      "native_id": "MED:42902350",
      "source": "europepmc",
      "url": "https://europepmc.org/article/MED/42902350"
    },
    {
      "first_seen": "2026-10-30T13:45:50Z",
      "native_id": "e47307734c7044d69effef9f03479cdd",
      "source": "doaj",
      "url": "https://doi.org/10.1186/s12913-026-15205-7"
    }
  ],
  "subjects": [
    {
      "field": "medicine",
      "origin": "lcc:RA1-1270",
      "subfield": "epidemiology-public-health"
    }
  ],
  "title": "Safety and implementation of a regional hospital-at-home model: a retrospective observational study from Denmark.",
  "title_text": "Safety and implementation of a regional hospital-at-home model: a retrospective observational study from Denmark.",
  "type": "peer-reviewed",
  "updated_at": "2026-10-30T13:45:50Z",
  "url": "https://research.draconitic.com/paper/5d6s12zcfz035",
  "venue": "BMC health services research",
  "versions": []
}