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Designing Care Beyond the Hospital: Revealing Hidden Care Demands in Hospital-At-Home Services.

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Title: Designing Care Beyond the Hospital: Revealing Hidden Care Demands in Hospital-At-Home Services.
Authors: Rai, Ranvir S.1 (AUTHOR) ranvir.rai@kristiania.no
Source: Inquiry (00469580). 7/3/2026, Vol. 63, p1-11. 11p.
Subject Terms: *Occupational roles, *Qualitative research, *Diffusion of innovations, *Decision making, *Research methodology, *Caregiver attitudes, Home care services, Health literacy, Digital health, Interviewing, Judgment sampling, Thematic analysis, Burden of care, Patient-centered care, Videoconferencing, Attitudes of medical personnel, Medical needs assessment, Patients' attitudes
Geographic Terms: Norway
Abstract: Background: Hospital-at-home (HaH) services are increasingly implemented as digitally supported alternatives to inpatient care. While these models promise efficiency, continuity, and patient-centredness, they also redistribute responsibility from healthcare organisations to patients and family caregivers. This shift introduces health literacy demands related to timing, role clarity, and digitally mediated decision-making, which remain underexplored in digital health research. Methods: This qualitative study draws on ten in-depth interviews with patients, family caregivers, and healthcare professionals involved in hospital-at-home services in Norway. Interviews examined experiences of decision-making, remote monitoring, coordination, and follow-up in digitally supported home-based care. Following inductive thematic analysis, a service blueprint was developed as an analytical synthesis to examine how care demands and responsibilities were distributed across the service trajectory. Results: Caregiver burden was shaped less by individual capability than by service configurations that assumed high levels of availability, confidence, and digital competence. Family caregivers frequently assumed quasi-clinical and coordinative roles without adequate preparation or support. Health literacy demands clustered at key transitions, including decision-making, at-home monitoring, and discharge, where digital tools mediated responsibility and risk. These demands accumulated over time, generating vulnerabilities related to equity and sustainability. Conclusion: Digitally supported HaH services rely on implicit assumptions about patients' and caregivers' capacity to manage care at home. Design-informed analysis can reveal transition-located health literacy demands and digitally mediated responsibility shifts, supporting more inclusive and resilient digital health service models. [ABSTRACT FROM AUTHOR]
Copyright of Inquiry (00469580) is the property of Sage Publications Inc. and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Education Research Complete
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  Data: Designing Care Beyond the Hospital: Revealing Hidden Care Demands in Hospital-At-Home Services.
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  Data: <searchLink fieldCode="JN" term="%22Inquiry+%2800469580%29%22">Inquiry (00469580)</searchLink>. 7/3/2026, Vol. 63, p1-11. 11p.
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  Data: Background: Hospital-at-home (HaH) services are increasingly implemented as digitally supported alternatives to inpatient care. While these models promise efficiency, continuity, and patient-centredness, they also redistribute responsibility from healthcare organisations to patients and family caregivers. This shift introduces health literacy demands related to timing, role clarity, and digitally mediated decision-making, which remain underexplored in digital health research. Methods: This qualitative study draws on ten in-depth interviews with patients, family caregivers, and healthcare professionals involved in hospital-at-home services in Norway. Interviews examined experiences of decision-making, remote monitoring, coordination, and follow-up in digitally supported home-based care. Following inductive thematic analysis, a service blueprint was developed as an analytical synthesis to examine how care demands and responsibilities were distributed across the service trajectory. Results: Caregiver burden was shaped less by individual capability than by service configurations that assumed high levels of availability, confidence, and digital competence. Family caregivers frequently assumed quasi-clinical and coordinative roles without adequate preparation or support. Health literacy demands clustered at key transitions, including decision-making, at-home monitoring, and discharge, where digital tools mediated responsibility and risk. These demands accumulated over time, generating vulnerabilities related to equity and sustainability. Conclusion: Digitally supported HaH services rely on implicit assumptions about patients' and caregivers' capacity to manage care at home. Design-informed analysis can reveal transition-located health literacy demands and digitally mediated responsibility shifts, supporting more inclusive and resilient digital health service models. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of Inquiry (00469580) is the property of Sage Publications Inc. and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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        Value: 10.1177/00469580261466643
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      – Code: eng
        Text: English
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      – SubjectFull: Occupational roles
        Type: general
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      – SubjectFull: Diffusion of innovations
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      – SubjectFull: Decision making
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      – SubjectFull: Research methodology
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      – SubjectFull: Caregiver attitudes
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      – SubjectFull: Home care services
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      – SubjectFull: Health literacy
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      – SubjectFull: Digital health
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      – SubjectFull: Interviewing
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      – SubjectFull: Burden of care
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      – SubjectFull: Patient-centered care
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      – SubjectFull: Videoconferencing
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      – SubjectFull: Attitudes of medical personnel
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      – SubjectFull: Medical needs assessment
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      – SubjectFull: Patients' attitudes
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      – SubjectFull: Norway
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      – TitleFull: Designing Care Beyond the Hospital: Revealing Hidden Care Demands in Hospital-At-Home Services.
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              M: 07
              Text: 7/3/2026
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              Y: 2026
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