JAMA Internal Medicine has published invited commentary, "A Focus on Patient-Centered Care Required to Address the Trauma of Hospitalization."
The commentary is in response to a cohort study in the journal, "Association of the Trauma of Hospitalization With 30-Day Readmission or Emergency Department Visit," that looks at 4 patient-centered domains fundamental to the experience of hospital care: mobility, nutrition, sleep, and mood.
"A number of innovative interventions and hospital models of care have been developed since the early 2000s to address these important domains," the commentary notes, including the Acute Care for Elders (ACE) unit model and the Hospital Elder Life Program. Both have been "rigorously tested through randomized clinical trials and has been shown to reduce not only the incidence of delirium but also the length of hospital stay, nursing home placement, sitter use, and falls."
In addition, "Compared with hospitalized controls, patients enrolled in the Hospital at Home program had substantially shorter mean lengths of stay, lower rates of emergency department visits, and lower rates of rehospitalizations as well as improved Hospital Consumer Assessment of Healthcare Providers and Systems scores."