Factors Contributing to Readmission of Seniors into Acute Care Hospitals

Autor/inn/en	DeCoster, Vaughn; Ehlman, Katie; Conners, Carolyn
Titel	Factors Contributing to Readmission of Seniors into Acute Care Hospitals
Quelle	In: Educational Gerontology, 39 (2013) 12, S.878-887 (10 Seiten)Infoseite zur Zeitschrift PDF als Volltext Verfügbarkeit
Sprache	englisch
Dokumenttyp	gedruckt; online; Zeitschriftenaufsatz
ISSN	0360-1277
DOI	10.1080/03601277.2013.767615
Schlagwörter	Performance Factors; Incidence; Older Adults; Health Services; Data Analysis; Focus Groups; Case Records; Medical Care Evaluation; Cohort Analysis; Likert Scales; Client Characteristics (Human Services); Respite Care; Hospitals; Surveys; Indiana + Suchen Sie Ihr Suchwort? Leistungsindikator; Vorkommen; Älterer Erwachsener; Health service; Gesundheitsdienst; Gesundheitswesen; Auswertung; Case reports; Fallsammlung; Kohortenanalyse; Likert-Skala; Krankengymnast; Krankenhaus; Survey; Umfrage; Befragung
Abstract	Medicare spending is expected to increase by 79% between the years 2010 and 2020, caused, in-part, by hospital readmissions within 30 days of discharge. This study identified factors contributing to hospital readmissions in a midwest heath service area (HSA), using Coleman's Transition Care Model as the theoretical framework. The researchers analyzed data from the Centers for Medicaid and Medicare Services and findings from a survey of seniors and a focus group of health professionals. The targeted HSA had a lower overall readmission rate than the national average, yet higher for surgical discharges in particular. Analysis of survey and focus data showed that factors centered around the area of patient-provider and provider-provider communication processes, patient adherence, and health literacy. The study's convenience sample limits its generalizability. However, findings are consistent with the theoretical framework and past research, demonstrating that the solution to the rising health care costs may be less high tech or pharmaceutical interventions per se but more fundamental communication among providers as well as with patients and caregivers. (As Provided).
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Erfasst von	ERIC (Education Resources Information Center), Washington, DC
Update	2017/4/10