AimTo evaluate Sweden's first implementation of a 24/7 high-acuity virtual in-patient ward through a digi-physical in-patient care (DPIPC) program, a hospital-at-home care model combining a virtual hospital-based medical command centre and in-person ambulating medical services functioning as an extension of the Department of Medicine at a secondary-level hospital in Stockholm.MethodsA single-centre descriptive study where adult patients with acute medical illness requiring inpatient-level care were assessed for voluntary treatment in the DPIPC program as a substitute for traditional in-patient care. The primary outcome was patient satisfaction with care. Secondary outcomes included health care use, safety, and quality during the care episode.ResultsFrom October 2022 to June 2023 a total of 200 patients were treated within the DPIPC program. The program covered 63 unique medical conditions, with infectious disease (44%) and pulmonary disease (17%) being the most common. The median length of stay (LOS) in the DPIPC program was 3 days (IQR 3) with a median LOS of 2 days (IQR 3) in the physical hospital prior to inclusion. There were no incidents of patient mortality or hospital-related complications during the DPIPC period. A total of 11 (5.5%) patients were escalated to the traditional hospital, 4 (36.4%) of which required ambulance. The median DPIPC patient satisfaction was 10 (IQR 0) and Net Promotor Score was 88.ConclusionsImplementing a 24/7 high-acuity virtual in-patient ward is feasible and safe for selected patients with acute medical illnesses. Patient satisfaction and care quality within the program is high.

中文翻译：

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为高危患者实施瑞典首个数字物理医院家庭护理模式

目的评估瑞典首次通过数字物理住院护理 (DPIPC) 项目实施的 24/7 高敏锐度虚拟住院病房，这是一种结合了虚拟医院医疗指挥中心和家庭护理模式的医院家庭护理模式面对面的流动医疗服务，作为斯德哥尔摩一家二级医院医学部的延伸。方法一项单中心描述性研究，其中对需要住院护理的患有急性内科疾病的成年患者进行了 DPIPC 自愿治疗的评估计划作为传统住院护理的替代品。主要结果是患者对护理的满意度。次要结局包括护理期间的医疗保健使用、安全性和质量。结果从 2022 年 10 月到 2023 年 6 月，共有 200 名患者在 DPIPC 计划内接受治疗。该计划涵盖 63 种独特的医疗状况，其中传染病 (44%) 和肺部疾病 (17%) 是最常见的。DPIPC 计划中的中位住院时间 (LOS) 为 3 天 (IQR 3)，纳入前在实体医院的中位 LOS 为 2 天 (IQR 3)。DPIPC 期间没有发生患者死亡或医院相关并发症的事件。共有 11 名患者（5.5%）被升级至传统医院，其中 4 名患者（36.4%）需要救护车。DPIPC 患者满意度中位数为 10 (IQR 0)，净推荐分数为 88。 结论 对于选定的患有急性内科疾病的患者来说，实施 24/7 高敏锐度虚拟住院病房是可行且安全的。该计划的患者满意度和护理质量很高。