ArticleHealth services research2017
Reducing Readmissions among Heart Failure Patients Discharged to Home Health Care: Effectiveness of Early and Intensive Nursing Services and Early Physician Follow-Up.
Article in Health services research, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 58 papers, 3 of them syntheses 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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
58 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Quality, Patient Experience, and Service Gaps in Home Healthcare in Saudi Arabia: A Systematic Review Aligned with Vision 2030.Saudi medical journal · 2026Pooled it
- Outpatient Follow-Up and 30-Day Readmissions: A Systematic Review and Meta-Analysis.JAMA network open · 2025Pooled it
- Associations Between Early Physician Follow-up and Post-discharge Outcomes: A Systematic Review and Meta-analysis.Journal of general internal medicine · 2025Pooled it
- Pilot of a novel patient-led intervention for postdischarge from hospital management of older patients' care in general practice.Family medicine and community health · 2026Article
- Institutionalization and home health care after acute hospitalizations of older persons in Norway.BMC health services research · 2025Article
- Factors that support home deaths for patients receiving at-home palliative and end-of-life care: a sequential mixed-methods explanatory study.BMC palliative care · 2025Article
- Association of Alzheimer's Disease and Related Dementias (ADRD) With Days at Home Among Medicare Beneficiaries After a Heart Failure Hospitalization.Circulation. Cardiovascular quality and outcomes · 2025Article
- Prediction of 90 day mortality in elderly patients with acute HF from e-health records using artificial intelligence.ESC heart failure · 2025Article
- Disparities in Infection Risk Among Home Health Care Patients: A Study Using Area Deprivation Index.Journal of the American Medical Directors Association · 2025Observational
- Care That Fits: Optimizing Value-Based Care for Acute Kidney Injury Survivors.Advances in kidney disease and health · 2025Review
- Prior authorization and utilization management for post-acute home health in Medicare Advantage: the motivations, players, processes, unique challenges, and impacts on patient care.Health affairs scholar · 2025Article
- Improving TRansitions ANd outcomeS for heart FailurE patients in home health CaRe (I-TRANSFER-HF): a type 1 hybrid effectiveness-implementation trial: study protocol.BMC health services research · 2024Article
- Home Health Care Use and Outcomes After Coronary Artery Bypass Grafting Among Medicare Beneficiaries.Circulation. Cardiovascular quality and outcomes · 2024Article
- 2024 Alzheimer's disease facts and figures.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2024Article
- Predicting emergency department visits and hospitalizations for patients with heart failure in home healthcare using a time series risk model.Journal of the American Medical Informatics Association : JAMIA · 2023Article
- Self-reported gaps in care coordination and preventable adverse outcomes among older adults receiving home health care.Journal of the American Geriatrics Society · 2023Article
- The effect of performance pay incentives on market frictions: evidence from medicare.International journal of health economics and management · 2023Article
- Article
- Risk of Rehospitalization or Emergency Department Visit is Significantly Higher for Patients who Receive Their First Home Health Care Nursing Visit Later than 2 Days After Hospital Discharge.Journal of the American Medical Directors Association · 2022Article
- Analysis of Functional Recovery in Older Adults Discharged to Skilled Nursing Facilities and Then Home.JAMA network open · 2022Article
Corrections and comments
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Authors and funding
11 authors.
Funding
Abstract
objectiveTo compare the effectiveness of two "treatments"-early, intensive home health nursing and physician follow-up within a week-versus less intense and later postacute care in reducing readmissions among heart failure (HF) patients discharged to home health care. DATA SOURCES: National Medicare administrative, claims, and patient assessment data. STUDY
designPatients with a full week of potential exposure to the treatments were followed for 30 days to determine exposure status, 30-day all-cause hospital readmission, other health care use, and mortality. An extension of instrumental variables methods for nonlinear statistical models corrects for nonrandom selection of patients into treatment categories. Our instruments are the index hospital's rate of early aftercare for non-HF patients and hospital discharge day of the week. DATA EXTRACTION
methodsAll hospitalizations for a HF principal diagnosis with discharge to home health care between July 2009 and June 2010 were identified from source files. PRINCIPAL
findingsNeither treatment by itself has a statistically significant effect on hospital readmission. In combination, however, they reduce the probability of readmission by roughly 8 percentage points (p < .001; confidence interval = -12.3, -4.1). Results are robust to changes in implementation of the nonlinear IV estimator, sample, outcome measure, and length of follow-up.
conclusionsOur results call for closer coordination between home health and medical providers in the clinical management of HF patients immediately after hospital discharge.
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Registered trials
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