Association Between Community Social Capital and Hospital Readmission Rates

Population Health Management
Amanda L BrewsterElizabeth H Bradley

Abstract

Hospital readmissions remain frequent, and are partly attributable to patients' social needs. The authors sought to examine whether local community levels of social capital are associated with hospital readmission rates. Social capital refers to the connections among members of a society that foster norms of reciprocity and trust, which may influence the availability of support for postdischarge recovery after hospitalization. Associations between hospital-wide, risk-stratified readmission rates for hospitals in the United States (n = 4298) and levels of social capital in the hospitals' service areas were examined. Social capital was measured by an index of participation in associational activities and civic affairs. A multivariate linear regression model was used to adjust for hospital and community factors such as hospital financial performance, race, income, and availability of heath care services. Results showed that higher social capital was significantly associated with lower readmission rates (P < .01), a finding that held across income-stratified analyses as well as sensitivity analyses that included hospital performance on process quality measures and hospital community engagement activities. A hospital is unlikely to ...Continue Reading

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Citations

Sep 24, 2020·Journal of Hospital Medicine : an Official Publication of the Society of Hospital Medicine·Bo ShiSean Shenghsiu Huang
May 5, 2020·The American Journal of Occupational Therapy : Official Publication of the American Occupational Therapy Association·Pamela RobertsChristina Metzler
Feb 5, 2021·SSM - Population Health·Cory E CroninSarah Garlington
Aug 11, 2021·Australian Critical Care : Official Journal of the Confederation of Australian Critical Care Nurses·Samuel GluckAdam M Deane

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