Trial reportInternational journal for quality in health care : journal of the International Society for Quality in Health Care2014
Feasibility and evaluation of a pilot community health worker intervention to reduce hospital readmissions.
Trial report in International journal for quality in health care : journal of the International Society for Quality in Health Care, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 4 registered trials, which are not on this map. Cited by 20 papers, 2 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
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.
The trial behind it
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.
Enhancing Community Health Through Patient Navigation, Advocacy and Social Support (ENCOMPASS): Expansion Study A, A Randomized Controlled Trial With Waitlist Control
Enhancing Community Health Through Patient Navigation, Advocacy and Social Support (ENCOMPASS): Expansion Study B, A Randomized Controlled Trial
Enhancing Community Health Through Patient Navigation, Advocacy and Social Support (ENCOMPASS): Expansion Study C, A Randomized Controlled Trial With Waitlist Control
Assessing the Effect of Virtual Navigation Interventions to Improve Health Insurance Literacy and Decrease Financial Burden: A Childhood Cancer Survivor Study Randomized Trial (HINTII)
Who cites it
20 citing papers in PubMed, 2 syntheses or guidelines pooled it, 45 citations in OpenAlex.
- Patient- and family-centred care transition interventions for adults: a systematic review and meta-analysis of RCTs.International journal for quality in health care : journal of the International Society for Quality in Health Care · 2023Pooled it
- Effectiveness of quality improvement strategies for coordination of care to reduce use of health care services: a systematic review and meta-analysis.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2014Pooled it
- Pattern and Predictors of Hospital Readmission During the First Year After Lung Transplantation.American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons · 2017Trial
- A Patient Navigator Intervention to Reduce Hospital Readmissions among High-Risk Safety-Net Patients: A Randomized Controlled Trial.Journal of general internal medicine · 2015Trial
- Article
- Patients Living with Social Vulnerabilities Experience Reduced Access at Team-Based Primary Healthcare Clinics.Healthcare policy = Politiques de sante · 2023Article
- Community Health Worker Program Outcomes for Diabetes and Hypertension Control in West Bank Refugee Camps: A Retrospective Matched Cohort Study.Global health, science and practice · 2022Article
- Similar values, different expectations: How do patients and providers view 'health' and perceive the healthcare experience?Health expectations : an international journal of public participation in health care and health policy · 2022Article
- Community health worker team integration in Medicaid managed care: Insights from a national study.Frontiers in public health · 2022Article
- Oral community health worker-led interventions in households with average levels of psychosocial factors.Frontiers in oral health · 2022Article
- Expectations and needs of socially vulnerable patients for navigational support of primary health care services.BMC health services research · 2021Article
- A Cross-Sectional Survey on Professionals to Assess Health Needs of Newly Arrived Migrants in Spain.Frontiers in public health · 2021Article
- Patient Perspectives on Addressing Social Needs in Primary Care Using a Screening and Resource Referral Intervention.Journal of general internal medicine · 2020Article
- Reducing readmission rates through a discharge follow-up service.Future healthcare journal · 2019Article
- Roles and Functions of Community Health Workers in Primary Care.Annals of family medicine · 2018Review
- Community Health Worker Impact on Chronic Disease Outcomes Within Primary Care Examined Using Electronic Health Records.American journal of public health · 2017Article
- Sex differences in frequent ED use among those with multimorbid chronic diseases.The American journal of emergency medicine · 2016Article
- Top 10 Things You Need to Know to Run Community Health Worker Programs: Lessons Learned in the Field.Southern medical journal · 2016Article
- Community Health Workers as Support for Sickle Cell Care.American journal of preventive medicine · 2016Article
- Nurse staffing and the work environment linked to readmissions among older adults following elective total hip and knee replacement.International journal for quality in health care : journal of the International Society for Quality in Health Care · 2016Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors at 2 institutions in 1 country.
Funding
Abstract
objectiveTo pilot-test the feasibility and preliminary effect of a community health worker (CHW) intervention to reduce hospital readmissions.
designPatient-level randomized quality improvement intervention.
settingAn academic medical center serving a predominantly low-income population in the Boston, Massachusetts area and 10 affiliated primary care practices.
participantsMedical service patients with an in-network primary care physician who were discharged to home (n = 423) and had one of five risk factors for readmission within 30 days.
interventionInpatient introductory visit and weekly post-discharge telephonic support for 4 weeks to assist patient in coordinating medical visits, obtaining and using medications, and in self-management.
main outcome measuresNumber of completed CHW contacts; CHW-reported barriers and facilitators to assisting patients; primary care, emergency department and inpatient care use.
resultsRoughly 70% of patients received at least one post-discharge CHW call; only 38% of patients received at least four calls as intended. Hospital readmission rates were lower among CHW patients (15.4%) compared with usual care (17.9%); the difference was not statistically significant.
conclusionUnder performance-based payment systems, identifying cost-effective solutions for reducing hospital readmissions will be crucial to the economic survival of all hospitals, especially safety-net systems. This pilot study suggests that with appropriate supportive infrastructure, hospital-based CHWs may represent a feasible strategy for improving transitional care among vulnerable populations. An ongoing, randomized, controlled trial of a CHW intervention, developed according to the lessons of this pilot, will provide further insight into the utility of this approach to reducing readmissions.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.