دورية أكاديمية
Minimizing geriatric rehospitalizations: a successful model.
| العنوان: | Minimizing geriatric rehospitalizations: a successful model. |
|---|---|
| المؤلفون: | Oates DJ; Section of Geriatrics, Department of Medicine, Boston University School of Medicine, Boston Medical Center, Boston, MA 02118, USA. daniel.oates@bmc.org, Kornetsky D, Winter MR, Silliman RA, Caruso LB, Sharbaugh ME, Hardt EJ, Parker VA |
| المصدر: | American journal of medical quality : the official journal of the American College of Medical Quality [Am J Med Qual] 2013 Jan-Feb; Vol. 28 (1), pp. 8-15. Date of Electronic Publication: 2012 Jun 08. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Wolters Kluwer Health Country of Publication: Netherlands NLM ID: 9300756 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1555-824X (Electronic) Linking ISSN: 10628606 NLM ISO Abbreviation: Am J Med Qual Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: 2021- : [Alphen aan den Rijn, the Netherlands] : Wolters Kluwer Health Original Publication: Baltimore, MD : Williams & Wilkins, c1992- |
| مواضيع طبية MeSH: | Patient Readmission*/standards, Aged ; Aged, 80 and over ; Boston ; Female ; Health Services for the Aged/standards ; Humans ; Male ; Models, Organizational ; Practice Guidelines as Topic/standards ; Quality of Health Care/standards ; Retrospective Studies |
| مستخلص: | Rehospitalizations may indicate care quality problems. The authors conducted a retrospective cohort study of adults aged 65 years and older, comparing 30-day rehospitalization rates. Rates were compared for comprehensive geriatrics practice patients and for patients receiving usual general medical care. The unadjusted 30-day rehospitalization rate was 18% overall, 21% for geriatrics patients cared for on the geriatrics inpatient service, 22% for geriatrics practice patients on general medical services (GMSs), and 17% for older patients on GMS. Compared with older adults discharged from a GMS, geriatrics patients on the geriatrics service had an adjusted odds ratio for readmission of 1.00 (95% confidence interval = 0.88-1.13). Despite greater frailty, patients cared for in an interdisciplinary geriatrics practice were no more likely to be rehospitalized than adults receiving "usual care," when adjusted for age and disease burden. Incomplete adjustment may account for this finding, which did not confirm the hypothesis that comprehensive geriatrics care would yield fewer rehospitalizations. |
| تواريخ الأحداث: | Date Created: 20120612 Date Completed: 20131211 Latest Revision: 20130104 |
| رمز التحديث: | 20221213 |
| DOI: | 10.1177/1062860612445181 |
| PMID: | 22684011 |
| قاعدة البيانات: | MEDLINE |
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