[Continuity of hospital care at home]. / Continuité des soins hospitaliers à domicile.

Born in 1945 in the United States, the activity of home hospitalization (HH) did not stop developing in France after the 1950s. However, it was not recognized by the regulatory authorities and supervisory bodies until 1970. HH allows patients suffering from serious acute or chronic pathologies to continue to benefit seven days a week, twenty-four hours a day, at home, from technical and complex, frequent and coordinated care, inaccessible to city care. It is a central health policy issue in patient care.

[Clinical research in the home as a tool for improving practice]. / La recherche clinique au domicile comme outil d'amélioration des pratiques.

The quality of life in hospital at home has been very little described. In the "Feel'HAD" study, 488 patients completed an EQ-5D-3L questionnaire during a nursing visit. Neurological and geriatric pathologies were found to be the most degraded, even if there were strong disparities within the different types of conditions. This work has shown that beyond technical care, some people need more support, psychological care, comfort or social support. It led to concrete improvements in our practices and demonstrated that large-scale research is possible in the home.

["All forms of violence against health professionals are an offence"]. / « Toute forme de violence contre des professionnels de santé est un délit ¼.

The law sanctions all forms of violence when there is an impact on the physical and psychological integrity of the person who is subjected to it. This principle also applies in health care facilities. In the event of violence a legal process is launched in order to both sanction the behaviour and compensate the victim. Interview with Gilles Devers, a lawyer at the Lyon bar.

[Aggression in hospital or home-based care: similar psychological sequelae]. / Agression à l'hôpital ou à domicile : des séquelles psychologiques similaires.

Whether it occurs in emergency departments or in private practice, violence can have a significant and long-term psychological impact on caregivers. Between doubt, fear, guilt and incomprehension, two nurses from the Ile de France share their experience.

Chronique de la certification d'un établissement d'hospitalisation à domicile.

CERTIFICATION PROCESS OF A HOSPITAL AT HOME FACILITY: The certification visit by the French National Health Authority requires a high level of commitment and collaboration on the part of the teams of the healthcare facility concerned. Professionals from a hospital at home unit having obtained its Level A certification describe the process and explain how the approach helped to give meaning to collective action when caring for patients in their home.

[The coordination of caregivers in the patient's home]. / La coordination des intervenants au domicile du patient.

Home care is provided by different partners who may be self-employed in private practice, part of an association or employed by the hospital. For optimal patient management, all these caregivers, whatever their role, must collaborate while respecting the work of each individual. This collective consciousness requires the reorganisation of our care system to improve efficiency. Communication between everyone is essential.

[Quality of care and risk management in hospital at home services]. / Qualité des soins et gestion des risques en HAD.

Hospital at home structures are healthcare institutions in their own right, with the same obligations in terms of governance with regard to quality of care and risk management. However, hospital at home services are characterised by the remote management of the activity and the nursing staff, with specific constraints.