SynthesisJournal of general internal medicine2020
Patient Outcomes Following Interhospital Care Fragmentation: A Systematic Review.
Synthesis in Journal of general internal medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 45 papers, 2 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
45 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Fragmented care and chronic illness patient outcomes: A systematic review.Nursing open · 2023Pooled it
- Interventions at Hospital Discharge to Guide Caregivers in Medication Management for People Living with Dementia: a Systematic Review.Journal of general internal medicine · 2021Pooled it
- Hidden Structure of Care Coordination in Heart Failure Care Transitions: A Mixed-Method Network Analysis of Clinical Notes.Journal of cardiac failure · 2026Article
- Outpatient Care Fragmentation and Patient Satisfaction With Care.The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association · 2026Article
- Exploring unmet needs in patient engagement among cardiovascular disease patients: qualitative research in Italy.Frontiers in cardiovascular medicine · 2026Article
- Patterns and Consequences of Care Fragmentation in Post-Surgical Management of Upper Gastrointestinal and Hepatopancreatobiliary Cancers.Annals of surgical oncology · 2026Article
- Diagnostic Entropy as an Administrative Measure of Cross-System Diagnostic Dispersion in Noncommunicable Disease Inpatients: A Methodological Validation Study.Journal of nursing management · 2026Article
- Predictive Utility of Epic's Health Composite Score for Same-Day Cancellation in Cataract Surgery.Clinical ophthalmology (Auckland, N.Z.) · 2026Article
- Fragmentation in health system financing: a major challenge for improving effectiveness, efficiency, equity and choice within health systems.BMJ public health · 2026Review
- Organizational and financial challenges in care transitions: a qualitative study of long-term care systems in Germany, the Netherlands and Poland.BMC geriatrics · 2025Article
- Electronic connectivity between hospital pairs: impact on emergency department-related utilization.Journal of the American Medical Informatics Association : JAMIA · 2025Article
- Article
- Utilization of acute medical services in general practice: a retrospective routine data analysis.International journal of emergency medicine · 2025Article
- The Benefits of Integrating Electronic Medical Record Systems Between Primary and Specialist Care Institutions: Mixed Methods Cohort Study.Journal of medical Internet research · 2025Article
- Benralizumab and the integrated management of co-morbid severe eosinophilic asthma with chronic rhinosinusitis with nasal polyps.Clinical and translational allergy · 2025Review
- "We don't get that information right back to us unless it's a full-blown cancer": Challenges coordinating lung cancer screening across healthcare systems.Health services research · 2025Article
- Characterizing Physician Referral Networks with Ricci Curvature.Pediatric and lifespan data science : First International Conference, IPLDSC 2024, Anaheim, CA, USA, May 23-24, 2024, Revised Selected Papers. International Pediatric and Lifespan Data Science Conference (1st : 2024 : Anaheim, Calif.) · 2025Article
- Data-driven insights into interhospital care fragmentation: Implications for health policy and equity among older adults.PloS one · 2025Article
- Private-Sector Readmissions for Inpatient Surgery in Veterans Health Administration Hospitals.JAMA network open · 2024Article
- Fragmentation of care in breast cancer: greater than the sum of its parts.Breast cancer research and treatment · 2024Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionInterhospital fragmentation of care occurs when patients are admitted to different, disconnected hospitals. It has been hypothesized that this type of care fragmentation decreases the quality of care received and increases hospital costs and healthcare utilization. This systematic review aims to synthesize the existing literature exploring the association between interhospital fragmentation of care and patient outcomes.
methodsMEDLINE, the Cochrane Library, EMBASE, and the Science Citation Index were systematically searched for studies published up to April 30, 2018 reporting the association between interhospital fragmentation of care and patient outcomes. We included peer-reviewed observational studies conducted in adults that reported measures of association between interhospital care fragmentation and one or more of the following patient outcomes: mortality, hospital length of stay, cost, and subsequent hospital readmission.
resultsSeventy-nine full texts were reviewed and 22 met inclusion criteria. Nearly all studies defined fragmentation of care as a readmission to a different hospital than the patient was previously discharged from. The strongest association reported was that between a fragmented readmission and in-hospital or short-term mortality (adjusted odds ratio range 0.95-3.62). Over half of the studies reporting length-of-stay showed longer length of stay in fragmented readmissions. All three studies that investigated healthcare utilization suggested an association between fragmented care and odds of subsequent readmission. The study populations and exposures were too heterogenous to perform a meta-analysis. DISCUSSION: Our review suggests that fragmented hospital readmissions contribute to increased mortality, longer length-of-stay, and increased risk of readmission to the hospital.
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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.