Social Factors and Patient Perceptions Associated With Preventable Hospital Readmissions

Journal of Patient Experience
Jocelyn CarterDeborah J Wexler

Abstract

Preventable hospital readmissions are costly and erode the quality of care delivery. Few efforts to incorporate the patient perspectives and social factors associated with readmission preventability exist. To identify patient perceptions and social barriers to care related to readmission. Prospective cohort study of 202 respondents readmitted within 30 days of hospital discharge from 2 inpatient adult medicine units at Massachusetts General Hospital, Boston, Massachusetts between January 2012 and January 2016. Few participants indicated that their readmission was due to unattainable health care after discharge. Almost half indicated that they needed more general assistance to stay well outside the hospital. Those reporting a barrier related to at least 2 measures of social determinants of health were more likely to have preventable readmissions (34% vs 17%, P = .006). Participants with a history of homelessness or substance use disorder were more likely to have preventable readmissions (44% vs 20%, P = .04 and 32% vs 18%, P = .03, respectively). Strengthening nonmedical support systems and general social policy may be required to reduce preventable readmissions.

References

Sep 27, 2006·Archives of Internal Medicine·Eric A ColemanSung-Joon Min
Jan 24, 2007·American Heart Journal·Susannah M BernheimHarlan M Krumholz
Oct 16, 2007·Journal of Hospital Medicine : an Official Publication of the Society of Hospital Medicine·Lee StruninBrian Jack
Feb 5, 2009·Annals of Internal Medicine·Brian W JackLarry Culpepper
Mar 31, 2011·BMJ Quality & Safety·Elizabeth H BradleyBrian Elbel
Oct 12, 2012·Journal of General Internal Medicine·Linda Calvillo-KingEthan A Halm
Dec 6, 2012·Journal of Hospital Medicine : an Official Publication of the Society of Hospital Medicine·Shreya KangoviJudith A Long
Mar 8, 2013·The New England Journal of Medicine·Karen E Joynt, Ashish K Jha
May 7, 2014·Health Affairs·Jianhui HuDavid R Nerenz
Jan 15, 2015·Social Work in Health Care·Holly C FelixM Kathryn Stewart
May 20, 2015·Circulation·Colleen K McIlvennanLarry A Allen
Mar 10, 2016·JAMA Internal Medicine·Andrew D AuerbachJeffrey L Schnipper
Aug 9, 2017·Journal for Healthcare Quality : Official Publication of the National Association for Healthcare Quality·Gregory J MiskyMark B Reid
Nov 16, 2017·Population Health Management·Kenneth E Thorpe, Peter Joski

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