A systematic literature review of the patient hotel model

Chesterton, LE; Stephens, M; Clark, AJ; Ahmed, A

Abstract

Background
The patient hotel model was developed in Northern Europe as a response to increased demand for health and wellbeing services. According to current literature the patient hotel model is a concept of care provision which combines non-acute hospital care with hospitality to afford patients/guests increased satisfaction and security whilst benefitting from evidenced based care.

Objective(s)
This paper evaluates the concept of the patient hotel model. It presents the findings of a systematic review of existing literature evaluating the benefits such a model can bring to healthcare services and reports on the efficacy in terms of cost to health service providers, and health outcomes to patients/guests. The review aimed to complete a meta-analysis of the data, but were unable to, due to the diversity in the descriptions, service provisions, and client group.

Design
The Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement was used to conduct and report this systematic review. In order to focus the research question, the PICO (Population; Intervention; Comparison and Outcome) framework was used to develop a strategy in literature searching, to ensure systematic rigour.
Data Sources/Review Methods Cochrane Database of Systematic Reviews, OVID MEDLINE, CINAHL, Embase, ScienceDirect, Web of Science, and Scopus databases were used to search for randomised controlled trials, quasi experimental studies, quantitative and qualitative studies conducted between January 1st 2008 and August 9th, 2018, published in a peer reviewed journal in English or which provided an abstract in English. Citation searches and hand searches were also conducted.

Results
8,693 papers were retrieved and from abstract screening 68 full-text articles were assessed for eligibility by applying an inclusion and exclusion criteria. Seven articles were retained for quality assessment. Methodological rigour was appraised using accepted criteria for the evaluation of research. On appraisal, one systematic review, one Randomised Clinical Trial, two qualitative studies, one quantitative survey, one retrospective analysis of services, and one comparative analysis paper were included for data synthesis. The functionality of the patient hotel model differed across the six countries that reported on them in the included studies, from oncology care, medical care, post-acute rehabilitation and perioperative care. The studies included in this review broadly focussed on the themes of patient experience and/or cost, with the intention of informing future service provision. Studies relating to cost efficacy looked at the potential financial savings which could be realised through adopting the patient hotel model. The appraised studies found positive benefits of adopting the patient hotel model, both in terms of cost and patient satisfaction. One study explored the role of nurses in a patient hotel.

Conclusions
The lack of consistent definition, diversity in the descriptions, service provisions, and client groups meant that the results could only be systematically reviewed and not synthesised into a meta-analysis. The inconsistencies in labelling and description also have implications for the review process, as studies adopting more abstract classification of the patient hotel model may not have been included in the review. On balance, the appraised evidence appears to suggest that there are positive benefits to patients, nurses and healthcare providers. However further research of greater rigour is needed to provide a better understanding of these outcome measures.

Keywords: Patient Hotel, Recovery Hotel, Healthcare Hotel, Hospital Hotel.

• Journal Article Type: Article
• Acceptance Date: Jun 3, 2019
• Online Publication Date: Jun 18, 2019
• Publication Date: Jan 31, 2021
• Deposit Date: Aug 12, 2019
• Publicly Available Date: Dec 18, 2020
• Journal: Disability and Rehabilitation
• Print ISSN: 0963-8288
• Electronic ISSN: 1464-5165
• Publisher: Taylor and Francis
• Volume: 43
• Issue: 3
• Pages: 317-323
• DOI: https://doi.org/10.1080/09638288.2019.1628314
• Publisher URL: https://doi.org/10.1080/09638288.2019.1628314
• Additional Information: Access Information : This is an Accepted Manuscript of an article published by Taylor & Francis in Disability and Rehabilitation on 18th June 2019, available online: http://www.tandfonline.com/10.1080/09638288.2019.1628314.