1. Home and community-based healthcare are definitely coming to the forefront Most care of frail older adults happens in the home and community. Up to now, the healthcare system has not acknowledged this reality. Healthcare has been based in the clinic, hospital, and nursing facilities. The result has been intense care in those settings and few services in the home. Caregivers receive little support. We are now at a turning point. The importance of home and community-based services is finally being recognized. Providing more healthcare in the home setting is good news for frail older […]
As our population gets older, will we just build more hospitals? Our healthcare system is designed this way. Hospitals are the center of the healthcare universe. When patients become acutely ill they go to the hospital. The hospital takes over.
Dr. Bruce Leff is my friend and colleague. I admire him greatly. Decades ago, he came to the realization that hospitalization of older adults can cause major problems. Instead, he wanted to bring hospital services to the home. In this post, Dr. Leff talks about how Hospital at Home works.
In our last post, Dr. Bruce Leff talked about Hospital at Home. When someone becomes acutely ill or injured, hospital care is needed to treat the problem. But hospitalization causes its own problems. One of Dr. Leff’s patients described the hospital as a “crappy hotel.” I’ll describe three things that make the hospital feel like a crappy hotel.1. Who’s in charge? 3 different doctors in 2 days???When a patient is hospitalized at night, the nighttime doctor examines the patient and writes the orders. The next morning, the doctor goes home. Another provider assumes care. However, […]
The hospital can be a dangerous place, especially for older patients. Decades ago, I met a physician named Dr. Bruce Leff. He asked the question: Can we bring the hospital to the home? There’s a reason he asked that question. He has a great explanation.