Hospitalization at home (HAD) allows people who can benefit from it to avoid being kept in a hospital and to receive care, if they are compatible with HAH, by staying at home.
If the presence of the nursing staff is not permanent as in a hospital or in a clinic, the HAH makes it possible to set up a whole protocol of coordination between the health professionals such as the attending physician, the liberal health professionals , pharmacies, home services and social services depending on the needs of the person hospitalized at home. How does HAD work and who can claim it?
Hospitalization at home (HAD) allows a sick person to return to their home after hospitalization in a health establishment, and sometimes even to avoid a stay in hospital, and receive important medical and paramedical care there. This can be one-off care, rehabilitation care at home following, for example, heart disease or orthopedic or cancer-related treatment.
Following a medical agreement to consider HAH, the care team of the establishment where the sick person is hospitalized comes to his home to assess the feasibility of care and determine the material conditions necessary for the defined home care plan. by the doctor. A multidisciplinary coordination team (nurses, physiotherapists, social worker, psychologist, dietician, etc.) is mobilized to provide home care by a HAH establishment. All the equipment and supplies involved in HAH are delivered to the patient's home by the original healthcare establishment or by an external service provider. Medications are brought by the pharmacy of the structure that sets up the HAH or by the local town pharmacist. To deal with any emergency situations, the HAD establishment sets up an alert protocol for the patient and his entourage via a nurse hotline 24 hours a day, 7 days a week.
The HAD is for a fixed term. However, it may be extended depending on the nature of the care required and the evolution of the patient's state of health. Hospitalization at home is covered by health insurance and mutual funds under the same conditions as normal hospitalization.
Hospitalization at home concerns all people, regardless of age, whose state of health justifies it and who agree to receive their care at home. Palliative care can be covered by this type of hospitalization. HAH is always set up following a medical agreement, from a hospital doctor or the attending physician. The latter is necessarily the one who defines the care plan in coordination with the care team of a health establishment.
To benefit from hospitalization at home, 3 conditions related to the patient's situation must be met:
To these 3 conditions are added others of an administrative nature. The person concerned by a home hospitalization project must reside in a geographical area covered by a HAH structure and this must have enough beds to take care of the patient.
