Research Article

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

Table 2

Organizational aspects of the HMO and hospital.

SWOTSubcategoryHMOHospital

SPatient-centered continuum of care; better communication between hospital and community. “The family doctor is involved during the hospitalization and does not just get a report at discharge”24
S + OEnhances reputation of the medical provider. “An opportunity to enhance community healthcare and conduct additional academic research in community care.” “This is how people are going to be treated in five years, this is the future”35
WHospitals are not well-integrated in AHaH policy. The healthcare system is not united behind the concept. “If they had an incentive, they would cooperate more.” “The Ministry of Health does not include hospitals in the equation”35
WNot enough on-site testing, imaging, specialists, and documentation. “If the patient needs a CT scan or lab work, we need to take them to the hospital.” “I may miss something because of limited testing”61
OService is now expanding. “More and more general practitioners are aware of the additional benefits and service options”32
TService might be misused. “The general physicians’ workload prevents them from making home visits or they cannot decide whether a patient needs hospitalization, so they refer them to AHaH”21
TAcutization of hospital patients. “In the long run, hospitals will benefit from clearing uncomplicated patients, saving beds for patients with more complex needs”2

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