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. 2023 Aug 17;13(8):e073126. doi: 10.1136/bmjopen-2023-073126

Table 1.

Overview of the three patient journeys in the care pathway

Hospital-at-home treatment Presentation at the emergency department Temporary admission in a nursing home
Treatment location Home Three options:
  • Home (pathway)

  • Nursing home (pathway)

  • Hospital (regular care)

Nursing home
Treatment Possibilities:
  • Antimicrobials (oral or intramuscular)

  • Oxygen suppletion

  • Inhalation medication

  • Home care

Possibilities:
  • Antimicrobials (oral or intravenous)

  • Oxygen suppletion

  • Inhalation medication

  • Hospital care

Possibilities:
  • Antimicrobials (oral or intramuscular)

  • Oxygen suppletion

  • Inhalation medication

  • Multidisciplinary care

Treating physician General practitioner Treating physician at ED (and ward when admitted) Elderly care physician
Monitoring Home monitoring with monitoring kit and registration form (vitals three times a day) Depends on chosen treatment location* Monitoring conform the standard of care in the nursing home

*Hospitalised patients will receive the local standard of care.

ED, emergency department.