Patient-Centered Care: A Qualitative Analysis of Patient and Caregiver Experiences in a Hospital at Home Program

This descriptive qualitative study aimed to address a gap in the literature by exploring the experiences of Hospital at Home (HaH) patients and caregivers. HaH programs, which deliver hospital-level care to patients in their homes, are increasingly popular outside the United States. Yet, there is le...

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Main Authors: Matthew D Dalstrom PhD, MPH, Colleen J Klein PhD, APRN, FNP-BC, FAAN, Meagan Rothrock-Magana MSN, RN, NE-BC, Melinda Cooling DNP, MBA, APRN, NEA-BC, FAANP
Format: Article
Language:English
Published: SAGE Publishing 2025-06-01
Series:Journal of Patient Experience
Online Access:https://doi.org/10.1177/23743735251347706
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author Matthew D Dalstrom PhD, MPH
Colleen J Klein PhD, APRN, FNP-BC, FAAN
Meagan Rothrock-Magana MSN, RN, NE-BC
Melinda Cooling DNP, MBA, APRN, NEA-BC, FAANP
author_facet Matthew D Dalstrom PhD, MPH
Colleen J Klein PhD, APRN, FNP-BC, FAAN
Meagan Rothrock-Magana MSN, RN, NE-BC
Melinda Cooling DNP, MBA, APRN, NEA-BC, FAANP
author_sort Matthew D Dalstrom PhD, MPH
collection DOAJ
description This descriptive qualitative study aimed to address a gap in the literature by exploring the experiences of Hospital at Home (HaH) patients and caregivers. HaH programs, which deliver hospital-level care to patients in their homes, are increasingly popular outside the United States. Yet, there is less emphasis on understanding the experiences of patients and caregivers while actively receiving hospital-level care in the home and how their insights can enhance care delivery. A purposeful sample of 12 patients and five caregivers participated in semistructured interviews during the acute care stage and 30 days after their discharge from hospital-level care in the home. Thematic analysis revealed three main themes: (1) patient-centered communication and education, (2) differences in medical care at home, and (3) the impact of technology on the overall experience. These themes provide valuable insights into the factors that patients and caregivers believe positively and negatively influence their experiences within the HaH program. Moreover, the themes highlight aspects of the HaH model that are important to patients/caregivers and those that can be improved. Clinical Trials.gov Number: NCT05952999 Analysis of the Virtual Acute Care at Home Experience (HaH) URL: https://www.clinicaltrials.gov/search?term   =   NCT05952999
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spelling doaj-art-d9a6652a83ba4a3d9edab0968e943f3b2025-08-20T03:36:26ZengSAGE PublishingJournal of Patient Experience2374-37432025-06-011210.1177/23743735251347706Patient-Centered Care: A Qualitative Analysis of Patient and Caregiver Experiences in a Hospital at Home ProgramMatthew D Dalstrom PhD, MPH0Colleen J Klein PhD, APRN, FNP-BC, FAAN1Meagan Rothrock-Magana MSN, RN, NE-BC2Melinda Cooling DNP, MBA, APRN, NEA-BC, FAANP3 , Rockford, IL, USA Center for Advanced Practice, , Peoria, IL, USA OSF HealthCare Saint Katherine Medical Center, Dixon, IL, USA , Peoria, IL, USAThis descriptive qualitative study aimed to address a gap in the literature by exploring the experiences of Hospital at Home (HaH) patients and caregivers. HaH programs, which deliver hospital-level care to patients in their homes, are increasingly popular outside the United States. Yet, there is less emphasis on understanding the experiences of patients and caregivers while actively receiving hospital-level care in the home and how their insights can enhance care delivery. A purposeful sample of 12 patients and five caregivers participated in semistructured interviews during the acute care stage and 30 days after their discharge from hospital-level care in the home. Thematic analysis revealed three main themes: (1) patient-centered communication and education, (2) differences in medical care at home, and (3) the impact of technology on the overall experience. These themes provide valuable insights into the factors that patients and caregivers believe positively and negatively influence their experiences within the HaH program. Moreover, the themes highlight aspects of the HaH model that are important to patients/caregivers and those that can be improved. Clinical Trials.gov Number: NCT05952999 Analysis of the Virtual Acute Care at Home Experience (HaH) URL: https://www.clinicaltrials.gov/search?term   =   NCT05952999https://doi.org/10.1177/23743735251347706
spellingShingle Matthew D Dalstrom PhD, MPH
Colleen J Klein PhD, APRN, FNP-BC, FAAN
Meagan Rothrock-Magana MSN, RN, NE-BC
Melinda Cooling DNP, MBA, APRN, NEA-BC, FAANP
Patient-Centered Care: A Qualitative Analysis of Patient and Caregiver Experiences in a Hospital at Home Program
Journal of Patient Experience
title Patient-Centered Care: A Qualitative Analysis of Patient and Caregiver Experiences in a Hospital at Home Program
title_full Patient-Centered Care: A Qualitative Analysis of Patient and Caregiver Experiences in a Hospital at Home Program
title_fullStr Patient-Centered Care: A Qualitative Analysis of Patient and Caregiver Experiences in a Hospital at Home Program
title_full_unstemmed Patient-Centered Care: A Qualitative Analysis of Patient and Caregiver Experiences in a Hospital at Home Program
title_short Patient-Centered Care: A Qualitative Analysis of Patient and Caregiver Experiences in a Hospital at Home Program
title_sort patient centered care a qualitative analysis of patient and caregiver experiences in a hospital at home program
url https://doi.org/10.1177/23743735251347706
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