Evidence map›Paper›PMID 42035034›Full record

ArticleBMC health services research2026

Caring beyond hospital walls: Informal caregivers' experiences in a virtual and in-person hybrid hospital-at-home.

Karoline Uldbjerg, Signe Hellung Schønning, Tatjana Sandreva Dreisig, Susanne Grøn Nielsen, Maria Normand Larsen, Thyge Lynghøj Nielsen, Charlotte Demuth von Sydow, Thea Kølsen Fischer, Mette Linnet Olesen

Registry-linked trialAbstract read
In one paragraph

Article in BMC health services research, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05087082 (Early Transfer of Hospitalized Patients Including COVID-19 Patients to a Virtual Hospital at Home), which is not on this map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT05087082 nacompletednot on this map

Early Transfer of Hospitalized Patients Including COVID-19 Patients to a Virtual Hospital at Home(vHaH)Model -a Clinical Feasibility Study.

TypeinterventionalSponsorNordsjaellands HospitalRan2022 to 2023Enrolled19ConditionsTelemedicine, Epidemic DiseaseArmsVirtual Hospital at Home - Home admission of epidemic patients
3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Karoline UldbjergDepartment of Clinical Research, Copenhagen University Hospital - North Zealand, Hillerød, Denmark. karoline.uldbjerg@regionh.dk.
Signe Hellung SchønningDepartment of Clinical Research, Copenhagen University Hospital - North Zealand, Hillerød, Denmark.
Tatjana Sandreva DreisigDepartment of Clinical Research, Copenhagen University Hospital - North Zealand, Hillerød, Denmark.
Susanne Grøn NielsenDepartment of Clinical Research, Copenhagen University Hospital - North Zealand, Hillerød, Denmark.
Maria Normand LarsenDepartment of Clinical Research, Copenhagen University Hospital - North Zealand, Hillerød, Denmark.
Thyge Lynghøj NielsenDepartment of Clinical Research, Copenhagen University Hospital - North Zealand, Hillerød, Denmark.
Charlotte Demuth von SydowDepartment of Clinical Research, Copenhagen University Hospital - North Zealand, Hillerød, Denmark.
Thea Kølsen Fischer *Department of Clinical Research, Copenhagen University Hospital - North Zealand, Hillerød, Denmark.
Mette Linnet Olesen *Department of Gynecology, Fertility and Births & The Interdisciplinary Research Unit of Women's Children's and Families' Health, Copenhagen University Hospital - Rigshospitalet, Copenhagen, Denmark.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHospital-at-Home (HaH) models deliver hospital-level care in patients’ homes, with some models relying on informal caregivers for support. While HaH might improve patient experience, excessive family involvement may lead to unintentional stress and unmet needs for both patients and their informal caregivers. Understanding user experiences is essential for designing person-centered HaH models. This study explored informal caregivers’ experiences with Influenzer, a hybrid HaH program combining telemedicine and in-person home visits.

methodsWe conducted a qualitative study using semi-structured interviews with 16 participants recruited during the feasibility phase of the Influenzer program at Copenhagen University Hospital – North Zealand in Denmark. Interviews were analyzed inductively using reflexive thematic analysis, informed by phenomenological principles.

resultsTwo overarching themes were generated: (1) Being the primary informal caregiver supporting a home hospitalized patient was an experience of ambivalent feelings, (2) Informal caregivers were individuals with different relationships, roles, experiences, and needs – some of which were unmet. Many caregivers reported insufficient involvement in decision making and limited guidance on symptom observation and response.

conclusionsThe Influenzer program was generally preferred over hospital admission, yet informal caregivers experienced insecurity linked to unclear roles and responsibilities. Future HaH models should integrate early involvement, tailored information, and structured support to reduce caregiver burden.

trial registrationClinicalTrials.gov NCT05087082, Date: 2021-10-08.

Indexed as

CaregiversHome Care Services, Hospital-BasedTelemedicineAdultAgedAged, 80 and overDenmarkFemaleHumansInterviews as TopicMaleMiddle AgedQualitative ResearchComplex interventionEarly supported dischargeFamilyFeasibility studyHospital-at-HomeInformal caregiverQualitative studyTelemedicine

Identifiers

PMID42035034
PMCPMC13270751

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.