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What accounts for hospital readmission?
Frances K Y Wong1, Moon Fai Chan, Susan Chow
1School of Nursing, Hong Kong Polytechnic University, Hong Kong SAR, China. hsfwong@inet.polyu.edu.hk
Journal of Clinical Nursing
|October 30, 2010
Summary
Patient perception of health significantly impacts hospital readmissions, influencing factors like age and satisfaction. Empowering patients in health management can reduce unnecessary hospital use.
Area of Science:
- Healthcare Management
- Patient Outcomes Research
- Health Services Research
Background:
- Repeated hospital admissions pose a significant challenge for healthcare providers.
- While multiple factors contribute to hospital readmissions, their direct and indirect effects remain underexplored.
Purpose of the Study:
- To investigate the factors contributing to hospital readmission.
- To analyze the direct and indirect effects of various variables on readmission rates.
Main Methods:
- A survey was conducted in three Hong Kong hospitals between 2003 and 2005.
- Data were collected from patients readmitted within 28 days using structured interviews.
- A structural equation model was utilized to analyze contributing factors.
Main Results:
- Subjective health outcome was the sole significant direct predictor of hospital readmission.
- Age, income, and satisfaction with care indirectly influenced readmission by mediating the effect of subjective health outcome.
Conclusions:
- Patients' subjective appraisal of their health is a critical, previously unrecognized predictor of hospital readmission.
- Transitional care programs should integrate patients' self-assessment of health for effective intervention and outcome measurement.
- Recognizing patients as active agents in healthcare seeking is crucial for optimizing service utilization.
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