{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,19]],"date-time":"2025-10-19T00:37:35Z","timestamp":1760834255352,"version":"build-2065373602"},"reference-count":36,"publisher":"BMJ","issue":"4","license":[{"start":{"date-parts":[[2025,4,2]],"date-time":"2025-04-02T00:00:00Z","timestamp":1743552000000},"content-version":"unspecified","delay-in-days":1,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Open"],"accepted":{"date-parts":[[2025,2,21]]},"published-print":{"date-parts":[[2025,4]]},"abstract":"<jats:sec>\n                  <jats:title>Objective<\/jats:title>\n                  <jats:p>The primary objective was to evaluate factors influencing the cost of a \u2018hospital at home\u2019 (HAH) for geriatric patients in a Northeastern Mexican hospital. Secondarily to evaluate the per capita global cost-effectiveness compared with traditional hospital care.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Design<\/jats:title>\n                  <jats:p>This retrospective analysis examined the costs incurred by geriatric patients in an HAH programme from February to December 2022<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Setting<\/jats:title>\n                  <jats:p>We collected data from clinical records and assessed medication and procedure costs through the hospital\u2019s financial department. Costs for traditionally hospitalised patients were reviewed for comparison.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Participants<\/jats:title>\n                  <jats:p>Subjects of both genders aged 70 and older who were treated in HAH during 2022 and hospitalised subjects with the same age and gender treated in the same period.<\/jats:p>\n                  <jats:p>Intervention: NA<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Primary and secondary outcome measures<\/jats:title>\n                  <jats:p>Primary outcome: factors that influence costs in HAH. Secondary, global per capita cost comparison between HAH and hospital care.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>We examined the expenses associated with 416 home visits to 49 patients in the HAH programme. The main factors influencing the programme\u2019s overall cost were medical care and procedure-related disorders (\u03b2=0.333, p=0.002), sleep-regulators (\u03b2=0.561, p&lt;0.001), laxatives (\u03b2=0.330, p=0.001) and anticoagulants (\u03b2=0.228, p=0.025). The HAH programme\u2019s per capita cost was three times lower compared with that of traditional hospital care and resulted in a 40% reduction in hospitalisation days.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusions<\/jats:title>\n                  <jats:p>This study highlights that the main factors influencing the HAH programme\u2019s costs include medical care and procedure-related disorders, as well as medication extensively used in the elderly population. Additionally, we demonstrated the cost-effectiveness of the HAH programme, which produces substantial savings and is a financially viable alternative to traditional hospital care.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1136\/bmjopen-2024-093056","type":"journal-article","created":{"date-parts":[[2025,4,3]],"date-time":"2025-04-03T02:15:36Z","timestamp":1743646536000},"page":"e093056","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Cost drivers and feasibility of a hospital-at-home programme for geriatric care in northeastern Mexico: a retrospective observational study"],"prefix":"10.1136","volume":"15","author":[{"given":"Jes\u00fas Sebastian","family":"Gonz\u00e1lez Ochoa","sequence":"first","affiliation":[{"name":"Research Department, Hospital Cl\u00ednica Nova de Monterrey, San Nicolas de los Garza, Nuevo Le\u00f3n, Mexico"},{"name":"School of Medicine, Vice-Rectory of Health Sciences, Universidad de 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