ArticleJournal of community hospital internal medicine perspectives2012
Tackling the readmission epidemic: a resident teaching service perspective.
Article in Journal of community hospital internal medicine perspectives, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
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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.
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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.
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Who cites it
3 citing papers in PubMed.
- Article
- Readmissions - a quality metric with financial penalties?Journal of community hospital internal medicine perspectives · 2013Article
- Journal of community hospital internal medicine perspectives second anniversary.Journal of community hospital internal medicine perspectives · 2012Article
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundReadmission rates are projected to serve as quality measures that have the potential to negatively impact hospital and physician reimbursement. Individual physicians and hospitals are developing plans to reduce readmission rates. Successful plans should be based on specific data obtained from each individual type of practice.
objectiveTo analyze the etiological factors responsible for readmissions to various teaching services in a community hospital. This will serve to identify potentially correctable factors that will be the basis for developing practice-specific plans to reduce readmissions.
designRetrospective detailed chart review.
settingCommunity teaching hospital affiliated with a large academic health care system.
participantsPatients admitted to teaching services at a community hospital. MEASUREMENTS: Data are presented as descriptive analysis.
resultsAdvanced chronic medical conditions (31%), patients' lifestyle choices (28%), and new unrelated diagnoses (21%) are the major causes of readmissions. The remaining small percentage of readmissions is attributed to premature discharge, poor discharge planning, poor post-discharge follow-up, medication errors, and failure to implement medical care guidelines. LIMITATIONS: Retrospective study from a single center.
conclusionsCauses of readmission are diverse. Although most are universal, the relative contribution of each factor is unique to each population. Institutions should generate their own data in order to direct their resources toward 'high return' areas. Current studies emphasize the role of physicians and health systems in reducing readmission rates. However, the area of readmissions related to patients' behaviors is not well explored. Our study identified the role of patients' lifestyle choices as a major cause of readmission.
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