The Prevalence, Reasons, and Risk Factors for Hospital Readmissions Among Home Health Care Patients: A Systematic Review

Chenjuan Ma; Jingjing Shang; Sarah Miner; Lauren Lennox; Allison Squires

doi:10.1177/1084822317741622

The Prevalence, Reasons, and Risk Factors for Hospital Readmissions Among Home Health Care Patients: A Systematic Review

Chenjuan Ma, Jingjing Shang, Sarah Miner, Lauren Lennox, Allison Squires

Research output: Contribution to journal › Review article › peer-review

Abstract

Preventing hospital readmissions is one of the top priorities of the U.S. health care system. This systematic review examined the current evidence about hospital readmissions from home health care (HHC). Literature was searched in PubMed, CINAHL, PsycINFO, Scopus, and Web of Science. Eligible studies were reviewed and evaluated using a validated tool. Eighteen articles were reviewed. Reported readmission rates and risk factors varied dramatically between studies. Reasons for readmissions were understudied. Findings of reviewed studies were limited by small sample sizes, single data source, and methodological flaws. Future studies should use multiple national data sources across patients’ care spectrum and advanced statistical models to identify who among HHC patients are most likely to be readmitted to hospital and for what reason.

Original language	English (US)
Pages (from-to)	83-92
Number of pages	10
Journal	Home Health Care Management and Practice
Volume	30
Issue number	2
DOIs	https://doi.org/10.1177/1084822317741622
State	Published - May 1 2018

Keywords

home health care
hospital readmission
patient outcome
post–acute care
quality of care
risk factor

ASJC Scopus subject areas

Leadership and Management
Community and Home Care
Public Health, Environmental and Occupational Health

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10.1177/1084822317741622

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abstract = "Preventing hospital readmissions is one of the top priorities of the U.S. health care system. This systematic review examined the current evidence about hospital readmissions from home health care (HHC). Literature was searched in PubMed, CINAHL, PsycINFO, Scopus, and Web of Science. Eligible studies were reviewed and evaluated using a validated tool. Eighteen articles were reviewed. Reported readmission rates and risk factors varied dramatically between studies. Reasons for readmissions were understudied. Findings of reviewed studies were limited by small sample sizes, single data source, and methodological flaws. Future studies should use multiple national data sources across patients{\textquoteright} care spectrum and advanced statistical models to identify who among HHC patients are most likely to be readmitted to hospital and for what reason.",

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AU - Squires, Allison

N1 - Funding Information: The author(s) disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: This study was supported by the Agency for Healthcare Research and Quality (R01HS023593, Allison Squires, Principal Investigator). Publisher Copyright: © 2017, © The Author(s) 2017.

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N2 - Preventing hospital readmissions is one of the top priorities of the U.S. health care system. This systematic review examined the current evidence about hospital readmissions from home health care (HHC). Literature was searched in PubMed, CINAHL, PsycINFO, Scopus, and Web of Science. Eligible studies were reviewed and evaluated using a validated tool. Eighteen articles were reviewed. Reported readmission rates and risk factors varied dramatically between studies. Reasons for readmissions were understudied. Findings of reviewed studies were limited by small sample sizes, single data source, and methodological flaws. Future studies should use multiple national data sources across patients’ care spectrum and advanced statistical models to identify who among HHC patients are most likely to be readmitted to hospital and for what reason.

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The Prevalence, Reasons, and Risk Factors for Hospital Readmissions Among Home Health Care Patients: A Systematic Review

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Keywords

ASJC Scopus subject areas

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