Unidad de hospitalización a domicilio del Hospital San Pedro durante la pandemia COVID-19 en La Rioja

Authors

  • María José Gómez García Hospital Universitario San Pedro Author
  • Natalia Martín Blanco Hospital Universitario San Pedro Author
  • María Núñez Murga Hospital Universitario San Pedro Author
  • Mónica Guardia Torres Hospital Universitario San Pedro Author
  • Isabel Vitoria Alonso Hospital Universitario San Pedro Author
  • Marta Zabalza Azparren Hospital Universitario San Pedro Author
  • José Carlos Paradiñeiro Somoza Hospital Universitario San Pedro Author
  • Teresa Elías Sánchez Hospital Universitario San Pedro Author

DOI:

https://doi.org/10.66737/ier.zub.288

Keywords:

Covid-19 pandemic, Hospitalization at home, Multidisciplinary work

Abstract

The COVID-19 pandemic has been a serious health problem that has put stress on all health systems, forcing them to rapidly restructure in order to meet the large increase in demand generated. In the case of Home Hospitalization (HAD), the peculiarity of providing hospital-level assistance in the patient’s place of residence allowed us to prioritize the care of the most vulnerable patients, while collaborating in performing diagnostic tests and follow-ups related to COVID-19, but with the difficulty of a less controlled and difficult environment (especially in social health centers, where the virulence of SARS-CoV2 was experienced more intensely during the first months of the pandemic). The flexibility of the organizational structure of the HAD Unit, its transversal relationship with the rest of the units and services, the multidisciplinary teamwork, and the adaptability of the staff, have been the pillars on which it has been able to maintain attention quality in difficult times.

Downloads

Download data is not yet available.

References

Goncalves-Bradley, D. C., Iliffe, S., Doll, H. A., Broad, J., Gladman, J., Langhorne, P., ... & Shepperd, S. (2017). Early discharge hospital at home. Cochrane Database of Systematic Reviews, (6).

Leff, B., Soones, T., & DeCherrie, L. (2016). The Hospital at Home program for older adults. JAMA Internal Medicine, 176(11), 1724-1725.

Levine, D. M., Ouchi, K., Blanchfield, B., Saenz, A., Burke, K., Paz, M., ... & Schnipper, J. L. (2020). Hospital-level care at home for acutely ill adults: a randomized controlled trial. Annals of internal medicine, 172(2), 77-85.

Park, S., Elliott, J., Berlin, A., Hamer-Hunt, J., & Haines, A. (2020). Strengthening the UK primary care response to covid-19. Bmj, 370.

Shepperd, S., & Iliffe, S. (2005). Hospital at home versus in-patient hospital care. Cochrane database of systematic reviews, (3).

Shepperd, S., Iliffe, S., Doll, H. A., Clarke, M. J., Kalra, L., Wilson, A. D., & Gonçalves-Bradley, D. C. (2016). Admission avoidance hospital at home. Cochrane database of systematic reviews, (9).

Tibaldi V. HAD in the time of Covid 19. An Italian experience. World Hospital at Home Congress virtual, April 19-21, 2021. Disponible en https://whahc.kenes.com World Health Organization. Coronavirus disease 2019 (COVID-19). Situation Reports. Disponible en : https://www.who.int/emergencies/diseases/novel-coronavirus-2019.

Zhou, F., Yu, T., Du, R., Fan, G., Liu, Y., Liu, Z., ... & Cao, B. (2020). Clinical course and risk factors for mortality of adult inpatients with COVID-19 in Wuhan, China: a retrospective cohort study. The lancet, 395(10229), 1054-1062.

Zhu, N., Zhang, D., Wang, W., Li, X., Yang, B., Song, J., ... & Tan, W. (2020). A novel coronavirus from patients with pneumonia in China, 2019. New England journal of medicine.

Downloads

Published

2021-06-30

Issue

Section

Artículos

How to Cite

Unidad de hospitalización a domicilio del Hospital San Pedro durante la pandemia COVID-19 en La Rioja. (2021). Zubía, 39, 159-168. https://doi.org/10.66737/ier.zub.288

Most read articles by the same author(s)