Postdischarge care and readmissions

David M. Smith, Morris Weinberger, Barry P. Katz, Patricia S. Moore

Research output: Contribution to journalArticle

73 Scopus citations

Abstract

A multifaceted intervention was hypothesized to increase postdischarge ambulatory contacts and to reduce nonelective readmissions. Patients (N = 1, 001) discharged from the general medicine service were stratified by risk for nonelective readmission and randomized to the control or intervention group. Intervention patients received phone calls from nurses, mailings of appointment reminders and lists of early warning signs, and prompt rescheduling of visit failures. Patients were followed for 6 months, and the results were computed in units per patient per month. The intervention group had 10.4% more total office contacts (0.53 vs 0.48, P = 0.005) than the control group. Although the intervention group had 7.6% fewer nonelective readmission days (0.85 vs 0.92), this was not statistically significant IP = 0.5). Patients in the intervention group at high risk (N = 181) had 28.1% more office visits (0.73 vs 0.57, P < 0.01) and 31.9% fewer nonelective readmission days (1.13 vs 1.66), but this was also not statistically significant (P = 0.06). Thus, the intervention significantly increased postdischarge contacts, primarily in high-risk patients, but failed to reduce the incidence of nonelective readmission days significantly.

Original languageEnglish (US)
Pages (from-to)699-708
Number of pages10
JournalMedical care
Volume26
Issue number7
DOIs
StatePublished - Jul 1988

Keywords

  • Appointments and schedules
  • Hospitalization
  • Patient ambulatory care
  • Patient readmission

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health
  • Nursing(all)
  • Health(social science)
  • Health Professions(all)

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    Smith, D. M., Weinberger, M., Katz, B. P., & Moore, P. S. (1988). Postdischarge care and readmissions. Medical care, 26(7), 699-708. https://doi.org/10.1097/00005650-198807000-00005