ArticleBMC health services research2016
Pathways to potentially preventable hospitalizations for diabetes and heart failure: a qualitative analysis of patient perspectives.
Article in BMC health services research, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05456906 (Avoidable Hospitalizations/ Emergency Department Visits- Meta-synthesis of Qualitative Research), which is not on this map. Cited by 22 papers, 1 of them a synthesis that pooled it.
What it found
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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.
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.
Avoidable Hospitalizations/ Emergency Department Visits- Meta-synthesis of Qualitative Research
Who cites it
22 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Social determinants of ambulatory care sensitive conditions: a qualitative meta-synthesis based on patient perspectives.Frontiers in public health · 2023Pooled it
- Preventable hospitalizations through ED: does the number of hospital beds matter under the global budget in a single-payer system in Taiwan?Frontiers in public health · 2024Article
- Implementation of a Biopsychosocial History and Physical Exam Template in the Electronic Health Record: Mixed Methods Study.JMIR medical education · 2023Article
- Patients' Perspectives on Determinants Avoidable Hospitalizations: Development and Validation of a Questionnaire.International journal of environmental research and public health · 2022Article
- Influence of Literacy, Self-Efficacy, and Social Support on Diabetes-Related Outcomes Following Hospital Discharge.Diabetes, metabolic syndrome and obesity : targets and therapy · 2022Article
- Healthcare Providers' Perceptions of Potentially Preventable Rural Hospitalisations: A Qualitative Study.International journal of environmental research and public health · 2021Article
- Health Literate Hawai'i: A Blueprint to Empower Health and Wellbeing.Hawai'i journal of health & social welfare · 2021Article
- Readmission to the hospital: common, complex and time for a re-think.Journal of clinical nursing · 2021Article
- Defining ambulatory care sensitive conditions for adults in Portugal.BMC health services research · 2020Article
- Sharing the Patient Experience: A "Talk Story" Intervention for Heart Failure Management in Native Hawaiians.Journal of patient experience · 2020Article
- Considering Health Literacy, Health Decision Making, and Health Communication in the Social Networks of Vulnerable New Mothers in Hawai'i: A Pilot Feasibility Study.International journal of environmental research and public health · 2020Article
- Insights in Public Health: Outpatient Care Gaps for Patients Hospitalized with Ambulatory Care Sensitive Conditions in Hawai'i: Beyond Access and Continuity of Care.Hawai'i journal of health & social welfare · 2020Article
- The Healthy Hawai'i Initiative: insights from two decades of building a culture of health in a multicultural state.BMC public health · 2020Article
- Potentially Preventable Intensive Care Unit Admissions in the United States, 2006-2015.Annals of the American Thoracic Society · 2020Article
- Importance of Communication and Relationships: Addressing Disparities in Hospitalizations for African-American Patients in Academic Primary Care.Journal of general internal medicine · 2020Article
- "You Have to Keep a Roof Over Your Head": A Qualitative Study of Housing Needs Among Patients With Cancer in New York City.Journal of oncology practice · 2019Article
- Adding Social Determinants in the Electronic Health Record in Clinical Care in Hawai'i: Supporting Community-Clinical Linkages in Patient Care.Hawai'i journal of medicine & public health : a journal of Asia Pacific Medicine & Public Health · 2019Article
- "It starts with 'Aloha…'" Stories by the Patient Navigators ofHawai'i journal of medicine & public health : a journal of Asia Pacific Medicine & Public Health · 2019Article
- Hawai'i journal of medicine & public health : a journal of Asia Pacific Medicine & Public Health · 2019Article
- Adults with diabetes residing in "food swamps" have higher hospitalization rates.Health services research · 2019Article
Corrections and comments
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Authors and funding
7 authors.
Funding
Abstract
backgroundPotentially preventable hospitalizations (PPH) for heart failure (HF) and diabetes mellitus (DM) cost the United States over $14 billion annually. Studies about PPH typically lack patient perspectives, especially across diverse racial/ethnic groups with known PPH health disparities.
methodsEnglish-speaking individuals with a HF or DM-related PPH (n = 90) at the largest hospital in Hawai'i completed an in-person interview, including open-ended questions on precipitating factors to their PPH. Using the framework approach, two independent coders identified patient-reported factors and pathways to their PPH.
resultsSeventy-two percent of respondents were under 65 years, 30 % were female, 90 % had health insurance, and 66 % had previously been hospitalized for the same problem. Patients' stories identified immediate, precipitating, and underlying reasons for the admission. Underlying background factors were critical to understanding why patients had the acute problems necessitating their hospitalizations. Six, non-exclusive, underlying factors included: extreme social vulnerability (e.g., homeless, poverty, no social support, reported by 54 % of respondents); health system interaction issues (e.g., poor communication with providers, 44 %); limited health-related knowledge (42 %); behavioral health issues (e.g., substance abuse, mental illness, 36 %); denial of illness (27 %); and practical problems (e.g., too busy, 6 %). From these findings, we developed a model to understand an individual's pathways to a PPH through immediate, precipitating, and underlying factors, which could help identify potential intervention foci. We demonstrate the model's utility using five examples.
conclusionsIn a young, predominately insured population, factors well outside the traditional purview of the hospital, or even clinical medicine, critically influenced many PPH. Patient perspectives were vital to understanding this issue. Innovative partnerships and policies should address these issues, including linkages to social services and behavioral health.
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