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Irrational Exuberance for Hospital-To-Home? Care About the Caregivers, the House, the Fridge.

Home, Sweet Hospital-At-Home?  It depends, I hedge in my latest essay for Medecision.           In our bullish and, on its face, compassionate and cost-rational embrace of the migration of acute care from hospital beds to peoples’ living and bedrooms, there are several guardrails to consider beyond sheer payment and reimbursement calculations. Consider, The caregivers for the folks heading home from hospital The state of the physical home — for safety, comfort, environmental health, and emotional security, and, Food security and nutritional access. On caregiving: I spend extra time detailing research in which Alexandra Drane, founder of

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