Evidence map›Paper›PMID 29130267›Full record

Trial reportHealth services research2017

Long-Term Impact of a Postdischarge Community Health Worker Intervention on Health Care Costs in a Safety-Net System.

Alison A Galbraith, David J Meyers, Dennis Ross-Degnan, Marguerite E Burns, Catherine E Vialle-Valentin, Marc R Larochelle, Sharon Touw, Fang Zhang, Meredith Rosenthal, Richard B Balaban

Open access · greenAbstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report 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 12 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 2 pooled it
10.6field-weighted citation impact, top 2% of its field
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 2 syntheses or guidelines pooled it, 28 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 7 institutions in 1 country.

Alison A GalbraithCenter for Healthcare Research in Pediatrics, Harvard Medical School and Harvard Pilgrim Health Care Institute, Boston, MA.ORCID 0000-0002-7309-5915
David J MeyersDepartment of Health Services, Policy, and Practice, Brown University School of Public Health, Providence, RI.
Dennis Ross-DegnanDepartment of Population Medicine, Harvard Medical School and Harvard Pilgrim Health Care Institute, Boston, MA.
Marguerite E BurnsDepartment of Population Health Sciences, University of Wisconsin School of Medicine and Public Health, Madison, WI.
Catherine E Vialle-ValentinDepartment of Population Medicine, Harvard Medical School and Harvard Pilgrim Health Care Institute, Boston, MA.
Marc R LarochelleBoston University School of Medicine and Boston Medical Center, Boston, MA.
Sharon TouwInstitute for Community Health, Malden, MA.
Fang ZhangDepartment of Population Medicine, Harvard Medical School and Harvard Pilgrim Health Care Institute, Boston, MA.
Meredith RosenthalDepartment of Health Services, Policy, and Practice, Brown University School of Public Health, Providence, RI.
Richard B BalabanSomerville Hospital Primary Care, Cambridge Health Alliance, Somerville, MA.
Harvard University · USBoston Children's Hospital · USBoston University · USBrown University · USCambridge Health Alliance · USInstitute for Community Health · USUniversity of Wisconsin–Madison · US

Funding

Evaluating Sequential Strategies to Reduce Readmission in a Diverse PopulationR01HS020628 · AHRQ · HARVARD PILGRIM HEALTH CARE, INC. · PI ROSS-DEGNAN, DENNIS · 2012 to 2014
$1.4M
AHRQ HHS R01 HS020628
6 · The paper itself

Abstract

objectivePatient navigators (PNs) may represent a cost-effective strategy to improve transitional care and reduce hospital readmissions. We evaluated the impact of a PN intervention on health system costs in the 180 days after discharge for high-risk patients in a safety-net system. DATA SOURCE/

settingPrimary and secondary data from an academic safety-net health system. STUDY

designWe compared per-patient utilization and costs, overall and by age, for high-risk, medical service patients randomized to the PN intervention relative to usual care between October 2011 and April 2013. Intervention patients received hospital visits and telephone outreach from PNs for 30 days after every qualifying discharge. DATA COLLECTION/EXTRACTION

methodsWe used administrative and electronic encounter data, and a survey of nurses; costs were imputed from the Medicare fee schedule. PRINCIPAL

findingsTotal costs per patient over the 180 days postindex discharge for those aged ≥60 years were significantly lower for PN patients compared to controls ($5,676 vs. $7,640, p = .03); differences for patients aged <60 ($9,942 vs. $9,046, p = .58) or for the entire cohort ($7,092 vs. $7,953, p = .27) were not significant.

conclusionsPatient navigator interventions may be useful strategies for specific groups of patients in safety-net systems to improve transitional care while containing costs.

Indexed as

Patient SatisfactionAdultAgedAge FactorsContinuity of Patient CareFemaleHeart FailureHumansLength of StayMaleMiddle AgedPatient DischargePatient NavigationPatient ReadmissionPulmonary Disease, Chronic ObstructiveRisk Factorscommunity health workercost analysisHospital readmissionpatient navigatorsafety net

Identifiers

PMID29130267
PMCPMC5682134
OpenAlexW2767586930

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.