دورية أكاديمية
Effectiveness of home health care in reducing return to hospital: Evidence from a multi-hospital study in the US.
| العنوان: | Effectiveness of home health care in reducing return to hospital: Evidence from a multi-hospital study in the US. |
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| المؤلفون: | Siclovan DM; Froedtert Hospital, 9200 W. Wisconsin Ave., Milwaukee, WI, 53226, USA. Electronic address: danielle.siclovan@froedtert.com., Bang JT; Department of Economics, St. Ambrose University, McMullen Hall 124A 518 W. Locust St.Davenport, IA 52803, USA. Electronic address: BangJamesT@sau.edu., Yakusheva O; University of Michigan School of Nursing, 400 North Ingalls Building, Ann Arbor, MI 48109-5482, USA. Electronic address: yakush@med.umich.edu., Hamilton M; Abt Associates, 5001 S Miami Blvd #210, Durham, NC 27703, USA. Electronic address: morris_hamilton@abtassoc.com., Bobay KL; Marcella Niehoff School of Nursing, Loyola University Chicago, 2160 S. 1st Ave., Maywood, Illinois, 60153, USA. Electronic address: kbobay@luc.edu., Costa LL; University of Maryland School of Nursing, 655 W. Lombard St., Baltimore, MD, 21201, USA., Hughes RG; University of South Carolina College of Nursing, 1601 Greene Street, Room 405, Columbia, SC, 29208, USA. Electronic address: hughesrg@mailbox.sc.edu., Miles J; Marquette University College of Nursing, PO Box 1881, Milwaukee, WI, 53201-1881, USA. Electronic address: jane.miles@marquette.edu., Bahr SJ; Marquette University College of Nursing, PO Box 1881, Milwaukee, WI, 53201-1881, USA. Electronic address: sjbahrcns@aol.com., Weiss ME; Marquette University College of Nursing, PO Box 1881, Milwaukee, WI, 53201-1881, USA. Electronic address: Marianne.weiss@marquette.edu. |
| المصدر: | International journal of nursing studies [Int J Nurs Stud] 2021 Jul; Vol. 119, pp. 103946. Date of Electronic Publication: 2021 Apr 20. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Pergamon Press Country of Publication: England NLM ID: 0400675 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1873-491X (Electronic) Linking ISSN: 00207489 NLM ISO Abbreviation: Int J Nurs Stud Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: Oxford ; New York : Pergamon Press Original Publication: Oxford. |
| مواضيع طبية MeSH: | Aftercare* , Home Care Services*, Emergency Service, Hospital ; Hospitals ; Humans ; Patient Discharge ; Patient Readmission ; United States |
| مستخلص: | Background: Home health care, a commonly used bridge strategy for transitioning from hospital to home-based care, is expected to contribute to readmission avoidance efforts. However, in studies using disease-specific samples, evidence about the effectiveness of home health care in reducing readmissions is mixed. Objective: To examine the effectiveness of home health care in reducing return to hospital across a diverse sample of patients discharged home following acute care hospitalization. Research Design: Secondary analysis of a multi-site dataset from a study of discharge readiness assessment and post-discharge return to hospital, comparing matched samples of patients referred and not referred for home health care at the time of hospital discharge. Setting: Acute care, Magnet-designated hospitals in the United States PARTICIPANTS: The available sample (n = 18,555) included hospitalized patients discharged from medical-surgical units who were referred (n = 3,579) and not referred (n = 14,976) to home health care. The matched sample included 2767 pairs of home health care and non- home health care patients matched on patient and hospitalization characteristics using exact and Mahalanobis distance matching. Methods: Unadjusted t-tests and adjusted multinomial logit regression analyses to compare the occurrence of readmissions and Emergency Department/Observation visits within 30 and 60-days post-discharge. Results: No statistically significant differences in readmissions or Emergency Department /Observation visits between home health care and non-home health care patients were observed. Conclusions: Home health care referral was not associated with lower rates of return to hospital within 30 and 60 days in this US sample matched on patient and clinical condition characteristics. This result raises the question of why home health care services did not produce evidence of lower post-discharge return to hospital rates. Focused attention by home health care programs on strategies to reduce readmissions is needed. Competing Interests: Declaration of Competing Interest None (Copyright © 2021. Published by Elsevier Ltd.) |
| فهرسة مساهمة: | Keywords: Effectiveness; Emergency Department visits; Home health care; Readmission; Utilization |
| تواريخ الأحداث: | Date Created: 20210506 Date Completed: 20210728 Latest Revision: 20210728 |
| رمز التحديث: | 20221213 |
| DOI: | 10.1016/j.ijnurstu.2021.103946 |
| PMID: | 33957500 |
| قاعدة البيانات: | MEDLINE |
Full Text via ClinicalKey 
Full Text Finder | تدمد: | 1873-491X |
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| DOI: | 10.1016/j.ijnurstu.2021.103946 |