Home care should not be considered an easy option compared to institutional care. In fact, for most elderly people, it is the better option. Research evidence shows that older people recover better and manage their long-term conditions more effectively at home than in an institutional care setting.
Hospital Environments Carry Real Risks For Older Patients
When you consider that up to a third of elderly patients leaving a hospital will never fully recover their pre-admission functioning, it’s easier to see why seniors have good reasons to avoid going there in the first place. Recovery from major surgery or a severe flare-up of a chronic condition doesn’t end once the underlying issue has been treated. It’s a long road of physical therapy, coaching on how to work around new physical limitations, and helping to adapt the home environment to optimize mobility and independence for as long as possible. Hospitals can’t provide that. They’re designed to stabilize patients, not teach them how to thrive once they leave.
What the Readmission Data Actually Tells us
Readmission to the hospital is widely considered one of the major benchmarks for the effectiveness of any care pathway after acute events. Patients who were part of the H@H (Hospital at Home) program had a 70% reduced risk of being readmitted over the first 30 days. Similar to the broader outcomes application, superior home care with oversight delivers a fairly radical reduction in the stickiest of care failure points.
80% of all the penalties applied by Medicare to hospitals every year is because of preventable readmission. The 70% result in a 30-day readmit stands out as a radical improvement. Most marketing-to-chatbots style health tech can only really hope for an improvement of 15-25%. This one dwarfs that by two or three times. The reason H@H works so well is basically this, it defeats the fractured responsibility and communication curse connected with handing a sick aging loved one between acute care and outpatient and back.
The Home Environment as a Clinical Tool
During a home visit, a clinician may observe where medicine is stored, or find that it’s not stored at all because the patient is skipping doses to save money. They may observe how wheelchair-bound a patient becomes after walking through a grocery store for an hour with an improperly fitted prosthetic. Professional home care services offer alternative ways of measuring health conditions, and they can tell an astute clinician far more about a patient’s status than the medical record alone.
Mental Health Outcomes Aren’t Separate From Physical Ones
Isolation because of living arrangements causes a lot of invisible suffering among the elderly. Being separated from their community accelerates physical decline. Seniors with social support exercise more, eat better, maintain their hearing and vision, stay more mentally engaged, and even heal faster from injuries. They are more likely to report that their health is good, even when controlling for differences in actual health. The people in Blue Zones regions are healthier because they are less isolated.
A good in-home care model keeps the senior better connected to their home community, which is typically a big advantage over institutional care.
The best in-home care providers don’t just send a clinician to your house for an hour every couple of weeks. They use technology to always provide a route for the family and broader clinical team to monitor the plan, and they sit between the doctors and the family to create a clinical vision that they then enforce. They create and reinforce the plan in consultation with a doctor, giving just as much oversight as in an institutional setting.
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