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Isr Med Assoc J. 2019 Aug;21(8):565-567.

Home Hospitalization Worldwide and in Israel.

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Division of Law and Policy, Israel Medical Association, Ramat Gan, Israel.
Secretary General and Legal Advisor, Israel Medical Association, Ramat Gan, Israel.
Department of Neurosurgery, Sheba Medical Center, Tel Hashomer, Israel.


Global trends, such as the population aging, the increase of chronic morbidity, soaring costs of healthcare services, and work overload in hospitals raise the need to find innovative solutions for providing quality medical services. One solution adopted by healthcare systems around the world is "home hospitalization," that is, providing an array of necessary health services in the patient's home, instead of in the hospital department. The aim of this focus article is to explore the spread of home hospitalization worldwide and examine the challenges and pathways for its adoption and implementation. Many countries, including the United States, Canada, the United Kingdom, and Australia, operate home-based hospitalization programs. In Israel, the service is in its infancy, but in view of the extreme workload and the high mortality rate from infections in acute care hospitals, home hospitalization has recently gained public interest and political support, which may encourage its further development.

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