{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,19]],"date-time":"2026-08-19T18:29:34Z","timestamp":1787164174288,"version":"build-2736575974"},"reference-count":19,"publisher":"Oxford University Press (OUP)","issue":"7","license":[{"start":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:00:00Z","timestamp":1782864000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,7,2]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Hospital at Home (HaH) has emerged internationally as an effective model of healthcare delivery for older adults, providing care within patients\u2019 homes as an alternative to inpatient admission when appropriate. Since the COVID-19 pandemic, there has been rapid expansion of HaH services, of which older people are the majority users. This collection in Age and Ageing journal brings together contemporary evidence examining the evolution, effectiveness, implementation and experience of HaH care for older people. The papers highlight the heterogeneity of HaH models, ranging from admission avoidance and early supported discharge services to comprehensive geriatric assessment-based multidisciplinary care. Collectively, the evidence suggests that well-supported HaH models can achieve outcomes comparable to inpatient care, with evidence supporting cost-effectiveness and reduced care home admission, whilst improving patient experience and increasing time spent living at home. Importantly, the collection also explores the complexities underlying HaH implementation. Several papers demonstrate that successful HaH depends not only on technology, but on multidisciplinary clinical expertise, coordination across services and substantial contributions from informal caregivers. Challenges relating to workforce capacity, digital exclusion, caregiver burden and service integration remain significant.<\/jats:p>","DOI":"10.1093\/ageing\/afag208","type":"journal-article","created":{"date-parts":[[2026,7,22]],"date-time":"2026-07-22T00:03:08Z","timestamp":1784678588000},"source":"Crossref","is-referenced-by-count":1,"title":["Hospital at Home\u2014What does the evidence tell us?"],"prefix":"10.1093","volume":"55","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3457-9757","authenticated-orcid":false,"given":"Emma R L C","family":"Vardy","sequence":"first","affiliation":[{"name":"Northern Care Alliance NHS Foundation Trust - Department of Ageing and Complex Medicine, Royal Oldham Hospital, Rochdale Road, Oldham, OL1 2JH, UK"},{"name":"The University of Manchester \u2013 Manchester Academic Health Science Centre , Oxford Road, Manchester , M13 9PL,","place":["UK"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3794-7065","authenticated-orcid":false,"given":"Jane A H","family":"Masoli","sequence":"additional","affiliation":[{"name":"University of Exeter - AGE Group, University of Exeter Medical School, College House , St Luke's Campus Heavitree Road, Exeter EX4 4QJ ,","place":["UK"]},{"name":"Royal Devon and Exeter NHS Foundation Trust \u2013 Healthcare for Older Adults , Barrack Road, Exeter EX2 5DW ,","place":["UK"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2026,7,22]]},"reference":[{"key":"2026072120030379300_ref1"},{"key":"2026072120030379300_ref2"},{"key":"2026072120030379300_ref3"},{"key":"2026072120030379300_ref4","author":"Chappell","year":"2024"},{"key":"2026072120030379300_ref5","doi-asserted-by":"publisher","first-page":"889","DOI":"10.7326\/M20-5688","article-title":"Is comprehensive geriatric assessment admission avoidance hospital at home an alternative to hospital admission for older persons? A randomized trial","volume":"174","author":"Shepperd","year":"2021","journal-title":"Ann Intern Med"},{"key":"2026072120030379300_ref6","doi-asserted-by":"publisher","first-page":"11","DOI":"10.1093\/ageing\/30.suppl_3.11","article-title":"Hospital-at-home","volume":"30","author":"Corrado","year":"2001","journal-title":"Age Ageing"},{"key":"2026072120030379300_ref7","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1093\/ageing\/afac319","article-title":"Virtual wards: a rapid evidence synthesis and implications for the care of older people","volume":"52","author":"Norman","year":"2023","journal-title":"Age Ageing"},{"key":"2026072120030379300_ref8","doi-asserted-by":"publisher","first-page":"afaf303","DOI":"10.1093\/ageing\/afaf033","article-title":"Supporting older people through Hospital at Home care: a systematic review of patient, carer and healthcare professionals\u2019 perspectives","volume":"54","author":"Wong","year":"2025","journal-title":"Age Ageing"},{"key":"2026072120030379300_ref9","doi-asserted-by":"publisher","first-page":"1060","DOI":"10.1111\/jgs.17715","article-title":"A research agenda for hospital at home","volume":"70","author":"Leff","year":"2022","journal-title":"J Am Geriatr Soc"},{"key":"2026072120030379300_ref10","doi-asserted-by":"publisher","DOI":"10.1093\/ageing\/afae039","article-title":"Virtual wards for people with frailty: what works, for whom, how and why\u2014a rapid realist review","volume":"53","author":"Westby","year":"2024","journal-title":"Age Ageing"},{"key":"2026072120030379300_ref11","doi-asserted-by":"publisher","DOI":"10.1093\/ageing\/afab220","article-title":"Is comprehensive geriatric assessment hospital at home a cost-effective alternative to hospital admission for older people?","volume":"51","author":"Singh","year":"2022","journal-title":"Age Ageing"},{"key":"2026072120030379300_ref12","doi-asserted-by":"publisher","first-page":"CD007491","DOI":"10.1002\/14651858.CD007491.pub3","article-title":"Admission avoidance hospital at home","volume":"2024","author":"Edgar","year":"2024","journal-title":"Cochrane Database Syst Rev"},{"key":"2026072120030379300_ref13","doi-asserted-by":"publisher","DOI":"10.1093\/ageing\/afaf035","article-title":"Comparison of hospitalisation settings and exercise interventions in acute care: a systematic review and meta-analysis","volume":"54","author":"Etayo-Urtasun","year":"2025","journal-title":"Age Ageing"},{"key":"2026072120030379300_ref14","doi-asserted-by":"publisher","DOI":"10.1093\/ageing\/afaf162","article-title":"Comprehensive geriatric hospital-at-home increases the days at home in older adults compared to bed-based intermediate care: a propensity score matching analysis","volume":"54","author":"Mazzarone","year":"2025","journal-title":"Age Ageing"},{"key":"2026072120030379300_ref15","doi-asserted-by":"publisher","DOI":"10.1093\/ageing\/afae178.105","article-title":"Gerontological Simulation Lab: Process Mapping a New Virtual Ward for the Nursing Home Liaison Service","volume":"53","author":"Coen","year":"2024","journal-title":"Age Ageing"},{"key":"2026072120030379300_ref16","doi-asserted-by":"publisher","first-page":"105080","DOI":"10.1016\/j.jamda.2024.105080","article-title":"Remote vital sign monitoring in admission avoidance hospital at home: a systematic review","volume":"25","author":"Patel","year":"2024","journal-title":"J Am Med Dir Assoc"},{"key":"2026072120030379300_ref17","doi-asserted-by":"publisher","first-page":"afaf003","DOI":"10.1093\/ageing\/afaf003","article-title":"Why is implementing remote monitoring in virtual wards (Hospital at Home) for people living with frailty so hard? Qualitative interview study","volume":"54","author":"Lindsay","year":"2025","journal-title":"Age Ageing"},{"key":"2026072120030379300_ref18","doi-asserted-by":"publisher","DOI":"10.1093\/ageing\/afaa085","volume":"49","author":"","year":"2020","journal-title":"Age Ageing."},{"key":"2026072120030379300_ref19","volume":"55","author":"","year":"2026","journal-title":"Age and Ageing"}],"container-title":["Age and Ageing"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/ageing\/article-pdf\/55\/7\/afag208\/69670387\/afag208.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/ageing\/article-pdf\/55\/7\/afag208\/69670387\/afag208.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,22]],"date-time":"2026-07-22T00:03:09Z","timestamp":1784678589000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/ageing\/article\/doi\/10.1093\/ageing\/afag208\/8739015"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,7]]},"references-count":19,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2026,7,2]]}},"URL":"https:\/\/doi.org\/10.1093\/ageing\/afag208","relation":{},"ISSN":["0002-0729","1468-2834"],"issn-type":[{"value":"0002-0729","type":"print"},{"value":"1468-2834","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2026,7]]},"published":{"date-parts":[[2026,7]]},"article-number":"afag208"}}