دورية أكاديمية
أعرض في EDS

Patients' and providers' perspectives on medication relatedness and potential preventability of hospital readmissions within 30 days of discharge.

التفاصيل البيبلوغرافية
العنوان: Patients' and providers' perspectives on medication relatedness and potential preventability of hospital readmissions within 30 days of discharge.
المؤلفون: Uitvlugt EB; Department of Hospital Pharmacy, OLVG, Amsterdam, The Netherlands., Janssen MJA; Department of Hospital Pharmacy, OLVG, Amsterdam, The Netherlands., Siegert CEH; Department of Internal Medicine, OLVG, Amsterdam, The Netherlands., Leenders AJA; Department of Hospital Pharmacy, OLVG, Amsterdam, The Netherlands., van den Bemt BJF; Department of Pharmacy, Sint Maartenskliniek, Nijmegen, The Netherlands.; Department of Pharmacy, Radboud University Medical Centre, Nijmegen, The Netherlands., van den Bemt PMLA; Department of Hospital Pharmacy, Erasmus MC, University Medical Center Rotterdam, Rotterdam, The Netherlands., Karapinar-Çarkit F; Department of Hospital Pharmacy, OLVG, Amsterdam, The Netherlands.
المصدر: Health expectations : an international journal of public participation in health care and health policy [Health Expect] 2020 Feb; Vol. 23 (1), pp. 212-219. Date of Electronic Publication: 2019 Nov 16.
نوع المنشور: Journal Article; Observational Study; Research Support, Non-U.S. Gov't
اللغة: English
بيانات الدورية: Publisher: Wiley Country of Publication: England NLM ID: 9815926 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1369-7625 (Electronic) Linking ISSN: 13696513 NLM ISO Abbreviation: Health Expect Subsets: MEDLINE
أسماء مطبوعة: Original Publication: Oxford, UK : Wiley, c1998-
مواضيع طبية MeSH: Polypharmacy*, Inpatients/*statistics & numerical data , Patient Readmission/*statistics & numerical data, Cross-Sectional Studies ; Female ; Hospitalization ; Humans ; Male ; Middle Aged ; Netherlands ; Patient Discharge ; Risk Factors ; Time Factors
مستخلص: Background: Hospital readmissions are increasingly used as an indicator of quality in health care. One potential risk factor of readmissions is polypharmacy. No studies have explored the patients' perspectives on the medication relatedness and potential preventability of their readmissions.
Objective: To compare the patients' perspectives on the medication relatedness and potential preventability of their readmissions with the providers' perspectives.
Methods: Patients unplanned readmitted within 30 days after discharge at one of the participating departments of OLVG Hospital in Amsterdam were interviewed during their readmission. Patients' perspectives regarding medication relatedness of their readmissions, the potential preventability, possible preventable interventions, and satisfaction with medication information were examined. Health-care providers also reviewed files of these readmitted patients. Primary outcome was the percentage of medication-related and potentially preventable readmissions according to the patient vs the provider. Descriptive data analysis was used.
Results: According to patients, 36 of 172 (21%) readmissions were medication-related, and of these, 21 (58%) were potentially preventable. According to providers, 26 (15%) readmissions were medication-related and 6 (23%) of these were potentially preventable. Patients and providers agreed on the medication relatedness in 11 of the 172 readmissions, and in two of these, agreement on the potential preventability existed. According to patients, preventive interventions belonged mostly to the hospital level, followed by the primary care level and patient level.
Conclusion: Patients and providers differ substantially on their perspectives regarding the medication relatedness and preventability of readmissions. Patients were more likely to view medication-related readmissions as preventable.
(© 2019 The Authors Health Expectations published by John Wiley & Sons Ltd.)
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فهرسة مساهمة: Keywords: hospital readmissions; medication; patients’ perspectives; preventability; providers’ perspective
تواريخ الأحداث: Date Created: 20191117 Date Completed: 20210422 Latest Revision: 20210422
رمز التحديث: 20231215
مُعرف محوري في PubMed: PMC6978863
DOI: 10.1111/hex.12993
PMID: 31733100
قاعدة البيانات: MEDLINE
الوصف
تدمد:1369-7625
DOI:10.1111/hex.12993