"Because I was sick": seriously ill veterans' perspectives on reason for 30-day readmissions

Journal of the American Geriatrics Society
Susan EnguidanosKarl Lorenz

Abstract

To determine the perspectives of seriously ill individuals on reasons for 30-day hospital readmission. A prospective qualitative study was conducted employing individual interviews conducted at bedside. Department of Veterans Affairs Greater Los Angeles Healthcare System. Seriously ill individuals with heart failure or cancer receiving inpatient palliative care and readmitted to the hospital within 30 days of hospital discharge were recruited to participate. Nine were interviewed. A semistructured interview protocol was used to elicit participant perspectives on readmission causes. All participants were male and had a mean age of 70.1±9.5. Participants were ethnically diverse (three African Americans, three Caucasians, three Hispanic or mixed ethnic background). Six lived alone, and four did not have caregiver support. Qualitative analysis of transcripts revealed three themes relating to reasons for hospital readmission: lack of caregiver support and motivation to provide self-care, acceptance of condition and desire for aggressive care, and access to care and poor quality of care. Participants identified potentially avoidable reasons for hospital readmission as well as causes that require rethinking regarding how community sup...Continue Reading

References

Aug 1, 1993·Journal of the American Geriatrics Society·C BoultH Krulewitch
Jan 16, 2002·The American Journal of Medicine·V DudasS Z Pantilat
Apr 4, 2002·Journal of General Internal Medicine·Carl van WalravenAndreas Laupacis
Aug 13, 2003·Journal of General Internal Medicine·Carlton MooreThomas McGinn
May 25, 2004·Medical Care Research and Review : MCRR·Bernard Friedman, Jayasree Basu
Oct 7, 2004·Annals of Internal Medicine·Eric A Coleman, Robert A Berenson
Sep 15, 2005·Archives of Internal Medicine·Eric A ColemanSung-joon Min
Aug 17, 2006·Journal of Palliative Medicine·Erik K FrommeMolly L Osborne
Jul 5, 2007·Journal of the American Geriatrics Society·Richard BrumleyJorge Gonzalez
Apr 9, 2008·European Journal of Cardiovascular Prevention and Rehabilitation : Official Journal of the European Society of Cardiology, Working Groups on Epidemiology & Prevention and Cardiac Rehabilitation and Exercise Physiology·Barbara M MurphyMarian U C Worcester
Sep 10, 2008·Archives of Internal Medicine·R Sean MorrisonUNKNOWN Palliative Care Leadership Centers' Outcomes Group
Feb 18, 2011·JAMA : the Journal of the American Medical Association·Karen E JoyntAshish K Jha
Mar 30, 2012·The New England Journal of Medicine·Karen E Joynt, Ashish K Jha
Oct 11, 2012·Journal of Palliative Medicine·Susan EnguidanosKarl Lorenz
Dec 6, 2012·Health Affairs·Melissa D Aldridge CarlsonElizabeth H Bradley
Jan 12, 2013·Journal of Palliative Medicine·Lou LukasHannah Paxton
Jan 24, 2013·JAMA : the Journal of the American Medical Association·Jane BrockUNKNOWN Care Transitions Project Team
Jan 24, 2013·JAMA : the Journal of the American Medical Association·Mark V Williams

❮ Previous
Next ❯

Citations

Feb 20, 2016·Journal of Hospital Medicine : an Official Publication of the Society of Hospital Medicine·Jessica Howard-AndersonNasim Afsar-Manesh
Jul 7, 2017·Gerontology & Geriatric Medicine·Sumayya AttaallahFaith Pratt Hopp
Jun 30, 2016·Medical Care Research and Review : MCRR·Lorraine JensenArlene S Bierman
Sep 9, 2017·Medical Care Research and Review : MCRR·Tetine SentellDeborah A Taira
Dec 9, 2016·The Gerontologist·J Mary Lou JacobsenSandra F Simmons
Oct 22, 2020·The American Journal of Hospice & Palliative Care·Cara L McDermottJ Randall Curtis
Aug 3, 2020·Journal of the American Association of Nurse Practitioners·Elaine J Charteris, Bunny Pounds
Dec 7, 2021·Journal of Clinical Nursing·Beth E SchultzNathaniel Bell

❮ Previous
Next ❯

Related Concepts

Related Feeds

Cancer Disparities

Cancer disparities refers to differences in cancer outcomes (e.g., number of cancer cases, related health complications) across population groups.