Lack of patient involvement in care decisions and not receiving written discharge instructions are associated with unplanned readmissions up to one year

This retrospective, cross-sectional study examined the relationship between aspects of inpatient communication and discharge instructions and unplanned, all-cause readmissions using individual-level data up to one-year post-discharge. Patients completed the Hospital Consumer Assessment of Healthcare...

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Autores principales:	Kyle Kemp, Hude Quan, Maria Santana
Formato:	article
Lenguaje:	EN
Publicado:	The Beryl Institute 2017
Materias:	patient experience unplanned readmissions hcahps communication discharge Medicine (General) R5-920 Public aspects of medicine RA1-1270
Acceso en línea:	https://doaj.org/article/9033d1cc19b54cfda8162d49849c9fc0
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spelling	oai:doaj.org-article:9033d1cc19b54cfda8162d49849c9fc02021-11-15T04:22:04ZLack of patient involvement in care decisions and not receiving written discharge instructions are associated with unplanned readmissions up to one year2372-0247https://doaj.org/article/9033d1cc19b54cfda8162d49849c9fc02017-07-01T00:00:00Zhttps://pxjournal.org/journal/vol4/iss2/4https://doaj.org/toc/2372-0247This retrospective, cross-sectional study examined the relationship between aspects of inpatient communication and discharge instructions and unplanned, all-cause readmissions using individual-level data up to one-year post-discharge. Patients completed the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) telephone survey within 6 weeks of hospital discharge in Alberta, Canada. Survey data were linked to corresponding inpatient records. Independent variables included selected demographic characteristics, clinical variables, and five survey questions: a) patient involvement in care decisions, b) receiving written information at discharge, c) understanding the purpose of taking medications, d) understanding responsibility for one’s health, and e) discussing help needed when returning home. From April 2011 to March 2014, 24,869 patients with a mean age of 52.8±19.8 years (range=18-100) were included. 18.6% of patients (n=4,821) experienced an unplanned hospital readmission within 43 to 365 days post-discharge. In adjusted, logistic regression models, patients who felt they were not involved in care decisions were more likely to be readmitted (OR=1.34; 95%CI: 1.17-1.53), as were patients who reported not receiving written information about signs and symptoms to watch out for post-discharge (OR=1.24; 95%CI: 1.15-1.35). Odds of readmission did not differ according to understanding of medications, understanding responsibility for one’s health, or discussion of help needed when returning home. This study provides objective data, showing that specific hospital actions are associated with unplanned readmissions. It is an example of how patient-reported measures may be linked to administrative data to drive quality improvement initiatives.Kyle KempHude QuanMaria SantanaThe Beryl Institutearticlepatient experienceunplanned readmissionshcahpscommunicationdischargeMedicine (General)R5-920Public aspects of medicineRA1-1270ENPatient Experience Journal (2017)
institution	DOAJ
collection	DOAJ
language	EN
topic	patient experience unplanned readmissions hcahps communication discharge Medicine (General) R5-920 Public aspects of medicine RA1-1270
spellingShingle	patient experience unplanned readmissions hcahps communication discharge Medicine (General) R5-920 Public aspects of medicine RA1-1270 Kyle Kemp Hude Quan Maria Santana Lack of patient involvement in care decisions and not receiving written discharge instructions are associated with unplanned readmissions up to one year
description	This retrospective, cross-sectional study examined the relationship between aspects of inpatient communication and discharge instructions and unplanned, all-cause readmissions using individual-level data up to one-year post-discharge. Patients completed the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) telephone survey within 6 weeks of hospital discharge in Alberta, Canada. Survey data were linked to corresponding inpatient records. Independent variables included selected demographic characteristics, clinical variables, and five survey questions: a) patient involvement in care decisions, b) receiving written information at discharge, c) understanding the purpose of taking medications, d) understanding responsibility for one’s health, and e) discussing help needed when returning home. From April 2011 to March 2014, 24,869 patients with a mean age of 52.8±19.8 years (range=18-100) were included. 18.6% of patients (n=4,821) experienced an unplanned hospital readmission within 43 to 365 days post-discharge. In adjusted, logistic regression models, patients who felt they were not involved in care decisions were more likely to be readmitted (OR=1.34; 95%CI: 1.17-1.53), as were patients who reported not receiving written information about signs and symptoms to watch out for post-discharge (OR=1.24; 95%CI: 1.15-1.35). Odds of readmission did not differ according to understanding of medications, understanding responsibility for one’s health, or discussion of help needed when returning home. This study provides objective data, showing that specific hospital actions are associated with unplanned readmissions. It is an example of how patient-reported measures may be linked to administrative data to drive quality improvement initiatives.
format	article
author	Kyle Kemp Hude Quan Maria Santana
author_facet	Kyle Kemp Hude Quan Maria Santana
author_sort	Kyle Kemp
title	Lack of patient involvement in care decisions and not receiving written discharge instructions are associated with unplanned readmissions up to one year
title_short	Lack of patient involvement in care decisions and not receiving written discharge instructions are associated with unplanned readmissions up to one year
title_full	Lack of patient involvement in care decisions and not receiving written discharge instructions are associated with unplanned readmissions up to one year
title_fullStr	Lack of patient involvement in care decisions and not receiving written discharge instructions are associated with unplanned readmissions up to one year
title_full_unstemmed	Lack of patient involvement in care decisions and not receiving written discharge instructions are associated with unplanned readmissions up to one year
title_sort	lack of patient involvement in care decisions and not receiving written discharge instructions are associated with unplanned readmissions up to one year
publisher	The Beryl Institute
publishDate	2017
url	https://doaj.org/article/9033d1cc19b54cfda8162d49849c9fc0
work_keys_str_mv	AT kylekemp lackofpatientinvolvementincaredecisionsandnotreceivingwrittendischargeinstructionsareassociatedwithunplannedreadmissionsuptooneyear AT hudequan lackofpatientinvolvementincaredecisionsandnotreceivingwrittendischargeinstructionsareassociatedwithunplannedreadmissionsuptooneyear AT mariasantana lackofpatientinvolvementincaredecisionsandnotreceivingwrittendischargeinstructionsareassociatedwithunplannedreadmissionsuptooneyear
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Lack of patient involvement in care decisions and not receiving written discharge instructions are associated with unplanned readmissions up to one year

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