{"id":26059,"date":"2026-08-14T12:26:45","date_gmt":"2026-08-14T10:26:45","guid":{"rendered":"https:\/\/sygeplejevidenskab.dk\/?p=26059"},"modified":"2026-08-14T12:26:45","modified_gmt":"2026-08-14T10:26:45","slug":"naar-hospitalsbehandlingen-flytter-hjem-erfaringer-fra-2-511-patientforloeb","status":"publish","type":"post","link":"https:\/\/sygeplejevidenskab.dk\/index.php\/2026\/08\/14\/naar-hospitalsbehandlingen-flytter-hjem-erfaringer-fra-2-511-patientforloeb\/","title":{"rendered":"N\u00e5r hospitalsbehandlingen flytter hjem – erfaringer fra 2.511 patientforl\u00f8b"},"content":{"rendered":"

\"\"<\/p>\n

H\u00e4gi-Pedersen, MB., Blomberg, S.N., Hendriksen, O., Al-Janaby, I.I., Christensen, HC.: Safety and implementation of a regional hospital-at-home model: a retrospective observational study from Denmark. BMC Health Serv Res (2026). <\/span>https:\/\/doi.org\/10.1186\/s12913-026-15205-7<\/a><\/p>\n

Mai-Britt H\u00e4gi-Pedersen, intensivsygeplejerske, cand.cur ph.d. <\/span><\/em>Maiha@regionsjaelland.dk<\/a><\/p>\n

DOWNLOAD RESUM\u00c9<\/a><\/p>\n

Resum\u00e9
\n<\/span>Introduktion
\n<\/span><\/strong>Hospitalsbehandling i hjemmet (Hospital at Home) er en mulig vej til at flytte hospitalsbehandling t\u00e6ttere p\u00e5 borgeren. I Region Sj\u00e6lland er eHospitalet etableret som en regional model, hvor patienter kan modtage hospitalsbehandling i eget hjem som alternativ til indl\u00e6ggelse eller som tidligere udskrivelse fra hospital.<\/span><\/p>\n

Metode
\n<\/span><\/strong>Retrospektivt observationsstudie af 2.511 patienter behandlet i eHospitalet fra 2022 til 2024. Register- og aktivitetsdata blev anvendt til at beskrive patientpopulationen, behandlingsforl\u00f8b og sikkerhedsrelaterede outcomes.<\/span><\/p>\n

Resultater
\n<\/span><\/strong>Patienternes medianalder var 72 \u00e5r, og populationen omfattede patienter med betydelig komorbiditet og forskellige akutte sygdomstilstande. Antallet af \u00e5rlige forl\u00f8b steg fra 720 i 2022 til 1.002 i 2024. U-planlagte hospitalskontakter under behandlingen eller inden for 24 timer efter afslutning forekom hos 27,0\u201331,1 % af patienterne p\u00e5 tv\u00e6rs af studie\u00e5rene. Andelen af patienter med 30-dages genindl\u00e6ggelse varierede fra 7,0 % til 11,0 %, mens 30-dages overlevelsen var 91,6\u201392,4 %.<\/span><\/p>\n

Diskussion
\n<\/span><\/strong>Resultaterne viste, at en regional model for hospitalsbehandling i hjemmet kunne anvendes til en heterogen og komorbid patientpopulation og samtidig opskaleres over tid.<\/span> Variationer i studieperioden <\/span>skal dog fortolkes med varsomhed p\u00e5 grund af den relativt korte observationsperiode og studiets observationelle design uden kontrolgruppe.<\/span><\/p>\n

Konklusion
\n<\/span><\/strong>Hjemmebehandling p\u00e5 hospitalsniveau kunne implementeres regionalt i patienternes eget hjem med acceptable korttidsresultater i en klinisk kompleks og socialt sammensat patientpopulation, herunder patienter, der boede alene. Variation i outcomes mellem diagnosegrupper understreger betydningen af fleksible, diagnosetilpassede behandlingsforl\u00f8b og en struktureret tv\u00e6rsektoriel organisering i modeller for hospitalsbehandling i hjemmet.<\/span><\/p>\n

Implikationer for praksis
\n<\/span><\/strong>Hospitalsbehandling i hjemmet flytter ikke alene behandlingsstedet, men \u00e6ndrer ogs\u00e5 organiseringen af det kliniske arbejde. Modellen stiller krav til klinisk observation og vurdering i hjemmet, tv\u00e6rsektoriel koordinering og tydelige ansvars- og eskalationsveje. For sygeplejen peger studiet dermed p\u00e5 behovet for b\u00e5de kliniske kompetencer og organisatoriske rammer, n\u00e5r hospitalsbehandling flyttes t\u00e6ttere p\u00e5 patientens hverdag.<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"

H\u00e4gi-Pedersen, MB., Blomberg, S.N., Hendriksen, O., Al-Janaby, I.I., Christensen, HC.: Safety and implementation of a regional hospital-at-home model: a retrospective 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