Understanding patient-centred readmission factors: a multi-site, mixed-methods study.

BMJ Quality & Safety
S Ryan GreysenAndrew D Auerbach

Abstract

Patient concerns at or before discharge inform many transitional care interventions; few studies examine patients' perceptions of self-care and other factors related to readmission. To characterise patient-reported or caregiver-reported factors contributing to readmission. Cross-sectional, national study of general medicine patients readmitted within 30 days at 12 US hospitals. Interviews included multiple-choice survey and open-ended survey questions of patients or their caregivers. Multiple-choice survey quantified post-discharge difficulty in seven domains of self-care: medication use, contacting providers, transportation, basic needs (eg, food and shelter), diet, social support and substance abuse. Open-ended responses were coded into themes that added depth to the domains above or captured additional patient-centred concerns. We interviewed 1066 readmitted patients. 91% reported understanding their discharge plan; however, only 37% reported that providers asked about barriers to carrying out the plan. 52% reported experiencing difficulty in ≥1 self-care domains ranging in frequency from 22% (diet) to 7% (substance use); 26% experienced difficulty in two or more domains. Among 508 patients (48% overall) who reported no diff...Continue Reading

Associated Clinical Trials

References

Feb 22, 2005·Patient Education and Counseling·Hana KerzmanOrly Toren
Aug 12, 2005·Mayo Clinic Proceedings·Amgad N Makaryus, Eli A Friedman
Feb 9, 2007·Health Services Research·Elizabeth H BradleyKelly J Devers
May 11, 2007·Health Services Research·Anita L StewartJasmine Santoyo-Olsson
Oct 16, 2007·Journal of Hospital Medicine : an Official Publication of the Society of Hospital Medicine·Lee StruninBrian Jack
May 3, 2008·Mayo Clinic Proceedings·Michael J ManiaciNancy L Dawson
Apr 3, 2009·The New England Journal of Medicine·Stephen F JencksEric A Coleman
Jul 17, 2009·The New England Journal of Medicine·Eric C Rackow
Oct 15, 2010·Journal of Hospital Medicine : an Official Publication of the Society of Hospital Medicine·Nazima AllaudeenAndrew Auerbach
Oct 19, 2011·Annals of Internal Medicine·Luke O HansenMark V Williams
Oct 20, 2011·JAMA : the Journal of the American Medical Association·Devan KansagaraSunil Kripalani
Oct 4, 2012·Journal of Health Communication·Courtney CawthonSunil Kripalani
Nov 28, 2012·Journal of Hospital Medicine : an Official Publication of the Society of Hospital Medicine·Robert E BurkeJeffrey L Schnipper
Dec 6, 2012·Journal of Hospital Medicine : an Official Publication of the Society of Hospital Medicine·Shreya KangoviJudith A Long
Jan 11, 2013·The New England Journal of Medicine·Harlan M Krumholz
Mar 6, 2013·Annals of Internal Medicine·Stephanie RennkeSumant R Ranji
Apr 6, 2013·American Journal of Medical Quality : the Official Journal of the American College of Medical Quality·Antony M GrigonisAmanda M Dawson
Aug 7, 2013·Journal of General Internal Medicine·Shreya KangoviDavid Grande
Jan 23, 2014·Academic Medicine : Journal of the Association of American Medical Colleges·Andrew D AuerbachPeter K Lindenauer
May 14, 2014·JAMA Internal Medicine·Aaron L LeppinVictor M Montori
Sep 30, 2014·JAMA Internal Medicine·Jessica Howard-AndersonNasim Afsar-Manesh
Oct 1, 2014·JAMA : the Journal of the American Medical Association·Irfan A DhallaAndreas Laupacis
Oct 7, 2014·Annals of Internal Medicine·L Elizabeth GoldmanMargot Kushel
Feb 3, 2015·JAMA Internal Medicine·S Ryan GreysenKenneth E Covinsky
May 20, 2015·JAMA Internal Medicine·S Ryan Greysen, Allan S Detsky
Sep 1, 2015·Journal of Hospital Medicine : an Official Publication of the Society of Hospital Medicine·S Ryan Greysen, Allan S Detsky
Sep 8, 2015·The American Journal of Medicine·Darren LauFinlay A McAlister

❮ Previous
Next ❯

Citations

Mar 10, 2016·BMJ Quality & Safety·Leora I Horwitz
Jan 4, 2017·Journal of Clinical Nursing·Gianfranco SansonFabio D'Agostino
Sep 17, 2016·Clinical Nursing Research·Andrea S WallaceNicole L Bohr
Nov 29, 2017·BMC Health Services Research·Roger K KhouriChad Ellimoottil
Mar 8, 2018·BMJ Quality & Safety·Andrew S Boozary, Kaveh G Shojania
Feb 6, 2019·The Journals of Gerontology. Series A, Biological Sciences and Medical Sciences·Anne-Marie HillAmanda Boudville
Jul 14, 2019·Health Expectations : an International Journal of Public Participation in Health Care and Health Policy·Jenni MurrayRebecca Lawton
Jul 3, 2019·Journal of the American Geriatrics Society·Chiara NaseriAnne-Marie Hill
Dec 9, 2016·The Gerontologist·J Mary Lou JacobsenSandra F Simmons
Oct 23, 2018·Journal of the American Medical Informatics Association : JAMIA·S Ryan GreysenAndrew D Auerbach
Jul 22, 2019·BMC Health Services Research·Eirini OikonomouCharles Vincent
Feb 8, 2019·Preventing Chronic Disease·Emiline LaWallTetine Sentell
Sep 28, 2020·Journal of Psychiatric and Mental Health Nursing·Mengmeng WangXiaolin Li
Jul 16, 2018·JMIR Perioperative Medicine·Aline C Stolk-VosDirk F de Korne
Jan 19, 2021·Journal of Patient Experience·James D HarrisonAndrew D Auerbach
Apr 10, 2021·Journal of General Internal Medicine·S Ryan GreysenUNKNOWN HOMERuN collaborative working group
Nov 25, 2020·Journal of the American Medical Directors Association·Thomas GilbertUNKNOWN PROUST Study Group
Jul 3, 2021·International Journal of Environmental Research and Public Health·Paulina HydzikBartosz Uchmanowicz
Jul 30, 2021·International Journal of Older People Nursing·Jo-Aine HangAnne-Marie Hill
Dec 30, 2021·The American Surgeon·Andrew T DippreAndrea M Abbott

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

Journal of Child and Adolescent Psychiatric and Mental Health Nursing
P A GorzkaL Escallier
Journal of Substance Abuse Treatment
Maria C RavenMarc N Gourevitch
Journal of the American College of Surgeons
Alexandra W AcherSharon M Weber
© 2022 Meta ULC. All rights reserved