Research Article

A SWOT Analysis of Hospitals’ and HMO Representatives’ Opinions regarding Hospital at Home in Israel

Table 1

SWOT of patient clinical and care aspects.

SWOTSubcategoryHMOHospital

S + OComfort and satisfaction of patient and family, more active in recovery. “Patients stay in their normal environment,” “Treatment is provided on their schedule,” “I do not remember a violent incident, I have more time, I am a guest, I am respected”77
SAvoidance of infections, delirium, falls, quicker recovery, less rehospitalization. “Same standard of care, better quality of service”76
WBurden on family/caretaker/mostly wives. “Family member becomes part of the treatment staff,” “We need someone dedicated to home care,” and “Caregivers at home should be compensated”32
WChallenging to refer patients appropriately. “It is difficult to understand whether someone is suitable for AHaH,” “Patients may demand the service when they are not suited for it,” “Patient may behave inappropriately (leave house/go to work)”55
WExclusivity, inequitable access. “The stipulation of 30 km distance from hospital, and limiting AHaH to adults, might cause many potential clients to be lost”33
TRisk management, quality control, and standardization. “A patient who is not in the hospital is not covered 24/7 and is at a higher risk level” and “Risk and quality aspects need development”23

S, strengths; W, weaknesses; O, opportunities; T, threats.