Ensuring high-quality alternatives while ending pediatric inpatient care as we know it

Article Abstract:

Home nursing care has the potential of reducing children's hospital admission rates. Hospitalizing children has adverse psychological effects and is costly. In some cases doctors hospitalize acutely ill children because they feel family care, the only alternative, will prove inadequate or overly burdensome. Modern technology has enabled monitoring and treatment by nurses in the home that was available before only in hospitals. Studies suggest that home nursing care of children is safe and effective. However, further studies are needed to establish that home nursing care is cost effective and that negative effects have not gone undetected.

Hospitals, Home nursing, Home care services, Hospital outpatient services

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Estimating risk associated with care in alternative settings: deterioration among children hospitalized

Article Abstract:

A randomized clinical trial should be done to measure the advantages and disadvantages of using alternative settings for sick children instead of hospitalizing them. Alternative settings are considered desirable for sick children from many viewpoints, among them, the financial ones of managed care and the psychological ones of children. A study of 11,591 hospitalizations of patients between 1 month and 18 years of age suggests that alternative settings are safe and many children currently hospitalized would do equally well in another setting.

Child health services

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How Commonly Are Children Hospitalized for Asthma Eligible for Care in Alternative Settings?

Article Abstract:

Most children hospitalized for asthma could be effectively treated in alternate settings at substantially lower cost. Researchers reviewed 2,028 cases of acute hospital care for children with asthma, and found that 70% could have been treated with nurse-supervised inhaled bronchodilator medication in an observation ward, or at home. Most of the cases reviewed could have received hospital-based observation and treatment, without admission, and be sent home within 24 hours.

United States, Asthma in children, Childhood asthma

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