In Home Hospital Care Program
To assess the hypothesis that In Home Hospital Care (IHHC) is as safe and effective, less burdensome to families, and less expensive for care of common acute pediatric problems now managed with hospitalization.
Common Acute Problems
Procedure: pediatric nursing used in home to avoid hospitalization
|Study Design:||Allocation: Randomized
Endpoint Classification: Safety/Efficacy Study
Intervention Model: Single Group Assignment
Masking: Open Label
Primary Purpose: Treatment
|Official Title:||In Home Hospital Care Program|
- IHHC delivers a more valuable service at lower cost.
|Study Start Date:||October 1997|
|Estimated Study Completion Date:||August 2000|
A randomized trial compared health care systems with and without IHHC. Eligible children presented to the Emergency Department of our medical center, had common acute problems, and were considered for hospital admission.
Physicians decided disposition from the emergency department. Note that subjects were not randomized directly to IHHC but to a system of care that either included IHHC or did not. To allow best use of scarce home nursing resources, we used a disproportionate selection favoring the system with IHHC.
Quality measures included adverse events, parent anxiety and satisfaction with care, family disruption, and perceived child health.
|United States, New York|
|University of Rochester|
|Rochester, New York, United States, 14642|
|Principal Investigator:||Kenneth M. McConnochie, MD,MPH||University of Rochester|