Health authorities seek to limit the use of expensive hospital resources. Oncology has greatly developed the concept of outpatient hospital care in daycare hospitals (small operations, endoscopy, chemotherapy, transfusions …). Administering some of this specialized care at home by hospital and partnering personnel would considerably increase patient comfort, improved bed availability and reduce costs for hospitals and insurances. Thus, our ambition is
- To develop the new concept of hospitalization at home (HAD) into a network of hospital professionals and ambulatory nurses, with 2 objectives:
- Some hospitalized acute patients could return home after initial stabilization in hospital, with specialized treatment continued at home. This includes also home preparation before surgery to speed up postoperative recovery.
- Provide specialized care in oncology (certain chemotherapies, antibiotics, growth factors, hydration, nutrition …) at home.
- To validate this approach by ensuring feasibility and safety, establishing criteria for selecting patients, preparing medical and organizational procedures, training staff, and optimizing costs and routes.