Hospital at Home Outcomes and Costs for 2,905 Episodes, 2021-2024

Michael Shaw's study on figshare analyzes 2,972 episodes of Hospital at Home (HAH) care from December 2021 to May 2024. It compares HAH outcomes against a propensity-matched inpatient control cohort of 1,488 episodes. The dataset includes primary outcomes like length of stay and cost, and secondary outcomes such as 30-day readmission and 90-day mortality.

Use Cases

• Modeling the impact of Hospital at Home on length of stay based on the reported bed-day savings.
• Comparing 30-day readmission rates between home-based and inpatient care cohorts.
• Analyzing cost-effectiveness of healthcare interventions based on total bed-day cost savings.
• Assessing patient safety and mortality outcomes for acute conditions like heart function and respiratory infections.

Strengths

• Includes 2,972 real-world HAH episodes with a matched control cohort of 1,488 inpatient episodes.
• Reports statistically significant results (e.g., 3.13-day bed-day savings, p < 1×10⁻²⁹) for key outcomes.
• Covers a 33-month time period from December 2021 to May 2024.

Limitations

• Column-level documentation is absent; field semantics must be inferred after download.
• Row count for the underlying data tables is unknown, which may limit suitability assessment.
• The 17.2 KB file size suggests the dataset is a summary document, not the raw analytical data.

Provenance

Source

Michael Shaw via figshare.

Collection Method

Retrospective cohort study using propensity score matching and regression adjustment.

Time Range

December 2021 to May 2024.

Freshness

Last updated 2026-04-08 13:16:26; freshness should be verified.

Geography

Likely England, based on the description mentioning a service in England.