{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,21]],"date-time":"2026-09-21T13:04:11Z","timestamp":1789995851744,"version":"4.0.1"},"reference-count":42,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2026,8,5]],"date-time":"2026-08-05T00:00:00Z","timestamp":1785888000000},"content-version":"vor","delay-in-days":65,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T00:00:00Z","timestamp":1780272000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/100016950","name":"Thompson Family Foundation","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100016950","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["The Journal of Rural Health"],"published-print":{"date-parts":[[2026,6]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>Describe the perceptions of patients receiving rural home hospital (RHH) care.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This is a qualitative evaluation of a randomized controlled trial comparing RHH (intervention) versus brick\u2010and\u2010mortar (BAM) care (control) in three rural sites in the United States and Canada between February 23, 2022, and January 17, 2024. Participants include acutely ill patients who received RHH. RHH programs provided patients with twice\u2010daily nurse\/paramedic visits, daily physician visits (remote), hospital\u2010level diagnostics and treatments in the home, and other care tailored to the patient. Patient experience while receiving RHH care analyzed thematically to identify advantages and disadvantages of this model of care in the rural setting.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Findings<\/jats:title>\n                    <jats:p>We interviewed 38 of 79 RHH patients recruited to our randomized controlled trial. Mean age was 67 (SD 17), 100% were White, 29% female, 82% Medicare recipients, and 62% retired. Patient perceptions clustered around three main themes: (1) perceived quality of care; (2) perceived comfort; and (3) experience with technology. Overall, home hospitalized patients were satisfied with the care they received at home. This was driven by strong rapport with the care team and receiving safe and effective medical care in the comfort of their home. Patients noted perceived comfort from familiar home surroundings and improved social support, nutrition, and sleep. Patients felt technology facilitated their experience and noted it presented a learning curve and occasional barrier to care.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>RHH patients reported positive patient experiences principally across perceived quality, comfort, and technology, with some opportunity for improvement in technology interfaces for select patients.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Trial Registration<\/jats:title>\n                    <jats:p>NCT05256303<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jrh.70199","type":"journal-article","created":{"date-parts":[[2026,8,5]],"date-time":"2026-08-05T13:46:28Z","timestamp":1785937588000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Hospital Care at Home for Adults Living in Rural Settings: A Qualitative Evaluation"],"prefix":"10.1111","volume":"42","author":[{"given":"Meghna P.","family":"Desai","sequence":"first","affiliation":[{"name":"Ariadne Labs  Boston Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sarah M.","family":"Findeisen","sequence":"additional","affiliation":[{"name":"Ariadne Labs  Boston Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stephanie C.","family":"Blitzer","sequence":"additional","affiliation":[{"name":"Ariadne Labs  Boston Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mary Frances","family":"Barthel","sequence":"additional","affiliation":[{"name":"Blessing Health System  Quincy Illinois USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michelle N.","family":"Grinman","sequence":"additional","affiliation":[{"name":"Alberta Health Services  Calgary Alberta Canada"},{"name":"General Internal Medicine University of Calgary  Calgary Alberta Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mitchell","family":"Wicker","sequence":"additional","affiliation":[{"name":"Hazard Appalachian Regional Healthcare Regional Medical Center  Hazard Kentucky USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Patricia","family":"Dykes","sequence":"additional","affiliation":[{"name":"The Center for Patient Safety Research and Practice Brigham and Women's Hospital  Boston Massachusetts USA"},{"name":"Division of General Internal Medicine and Primary Care Brigham and Women's Hospital  Boston Massachusetts USA"},{"name":"Harvard Medical School  Boston Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Scott M.","family":"Harrison","sequence":"additional","affiliation":[{"name":"Hazard Appalachian Regional Healthcare Regional Medical Center  Hazard Kentucky USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Steven C.","family":"Amrhein","sequence":"additional","affiliation":[{"name":"Alberta Health Services  Calgary Alberta Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4337-9896","authenticated-orcid":false,"given":"David M.","family":"Levine","sequence":"additional","affiliation":[{"name":"Ariadne Labs  Boston Massachusetts USA"},{"name":"Division of General Internal Medicine and Primary Care Brigham and Women's Hospital  Boston Massachusetts USA"},{"name":"Harvard Medical School  Boston Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,8,5]]},"reference":[{"key":"e_1_2_11_2_1","volume-title":"Health in Rural America","author":"NIH News In Health","year":"2024"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2021.5334"},{"key":"e_1_2_11_4_1","volume-title":"What Is Travel Burden and How Does It Vary Throughout Canada?","author":"Canadian Institute for Health Information","year":"2024"},{"key":"e_1_2_11_5_1","volume-title":"Hospital Consolidation Continues to Boost Costs, Narrow Access, and Impact Care Quality","author":"Levins H.","year":"2023"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1146\/annurev\u2010med\u2010051022\u2010042210"},{"key":"e_1_2_11_7_1","unstructured":"B.Leff D. 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