ArticleJournal of general internal medicine2021
Health-Related Social Needs and Increased Readmission Rates: Findings from the Nationwide Readmissions Database.
Article in Journal of general internal medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 42 papers, 1 of them a synthesis that pooled it.
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Who cites it
42 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Screening Health-Related Social Needs in Hospitals: A Systematic Review of Health Care Professional and Patient Perspectives.Population health management · 2023Pooled it
- Clinical and economic effectiveness of a pharmacy and primary care collaborative transition of care program.Journal of the American Pharmacists Association : JAPhATrial
- Association of intervention fidelity and outcomes in implementation of the Thrive transitional care program for Medicaid-insured individuals.Journal of hospital medicine · 2026Article
- Analyzing pediatric department documentation of patient social needs with ICD-10 Z-codes.BMC health services research · 2026Article
- Unmet Health-Related Social Needs Among Black Adults Who Smoke.Journal of racial and ethnic health disparities · 2026Article
- Healthcare utilization following hip fractures based on social vulnerability status in the US: an analysis of 2016-2020 nationwide readmissions data.Archives of orthopaedic and trauma surgery · 2026Article
- Hospitalized patients' health-related social needs: A comparison of screenings conducted by hospital staff and research staff.Journal of hospital medicine · 2026Observational
- Health-Related Social Needs and Total Healthcare Cost: A Cross-Sectional Study in a Large Integrated Health System.Journal of general internal medicine · 2026Article
- Associations between readmission disparities and hospital equity efforts: an analysis of U.S. hospitals.BMC health services research · 2025Article
- Collaborative Care: The Importance of Community Partnerships in Hospital Medicine.Journal of general internal medicine · 2025Article
- Z-Code Health-Related Social Needs and Their Association with Post-Discharge Healthcare Utilization in Older Adults with Heart Failure and COPD.Journal of general internal medicine · 2025Article
- Social needs and hospital readmission in persons living with HIV.Scientific reports · 2025Article
- Social Risk and Acute Health Care Utilization Among Insured Adults.JAMA network open · 2025Article
- Racial Disparities in Hospitalization Rates During Long-Term Follow-Up After Deceased-Donor Kidney Transplantation.Journal of racial and ethnic health disparities · 2025Article
- Healthcare utilization patterns among migrant populations: Increased readmissions suggest poorer access. A population-wide retrospective cohort study.Journal of migration and health · 2025Article
- Association between governmental spending on social services and health care use among low-income older adults.Health affairs scholar · 2025Article
- Identifying and addressing health-related social needs: a Medicaid member perspective.BMC health services research · 2024Article
- Social Risk Factors and Racial and Ethnic Disparities in Health Care Resource Utilization Among Medicare Advantage Beneficiaries With Psychiatric Disorders.Medical care research and review : MCRR · 2024Article
- Article
- Missed Screening for Adverse Social Determinants of Health and Emergency Department Utilization.Annals of emergency medicine · 2024Article
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Authors and funding
3 authors.
Funding
Abstract
backgroundWhile health-related social needs (HRSN) are known to compromise health, work to date has not clearly demonstrated the relationship between clinically acknowledged social needs, via ICD-10 Z-codes, and readmission.
objectiveAssess the rate of 30-, 60-, and 90-day readmission by the level of ICD-10-identified social need. In addition, we examined the associations between demographics, social need, hospital characteristics, and comorbidities on 30-day readmission.
designRetrospective study using the 2017 Nationwide Readmission Database
participantsWe identified 5 domains of HRSN from ICD-10 diagnosis codes including employment, family, housing, psychosocial, and socioeconomic status (SES) and identified how many and which an individual was coded with during the year. MAIN MEASURES: The proportion of patients with 30-, 60-, and 90-day readmission stratified by the number of HRSN domains with a multivariable logistic regression to examine the relationship between the number/type of and readmission adjusting for sex, age, payer, hospital characteristics, functional limitations, and comorbidities. KEY
resultsFrom 13,217,506 patients, only 2.4% had at least one HRSN diagnosis. Among patients without HRSN, 11.5% had a 30-day readmission, compared to 27.0% of those with 1 domain, increasing to 63.5% for patients with codes in 5 domains. Similar trends were observed for 60- and 90-day readmission; 78.7% of patients with documented HRSN in all 5 domains were hospitalized again within 90 days. The adjusted odds ratio for readmission for individuals with all 5 domains was 12.55 (95% CI: 9.04, 17.43). Housing and employment emerged as two of the most commonly documented HRSN, as well as having the largest adjusted odds ratio.
conclusionsThere is a dose-response relationship between the number of HRSN diagnoses and hospital readmission. This work calls attention to the need to develop interventions to reduce readmissions for those at social risk and demonstrates the significance of ICD-10 Z-codes in health outcomes studies.
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