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Updated: Apr 20, 2026

Assessment of Dependence in Activities of Daily Living Among Older Patients in an Acute Care Unit
Published on: September 30, 2020
Psychosocial and nonclinical factors predicting hospital utilization in patients of a chronic disease management
Mark W Tran1, Tracey J Weiland, Georgina A Phillips
1St Vincent's Hospital Melbourne, Fitzroy (Mr Tran, Dr Weiland, and Ms Phillips), and University of Melbourne, Parkville (Dr Weiland and Ms Phillips), Victoria, Australia.
Abstract:
Psychosocial factors such as marital status (odds ratio, 3.52; 95% confidence interval, 1.43-8.69; P = .006) and nonclinical factors such as outpatient nonattendances (odds ratio, 2.52; 95% confidence interval, 1.22-5.23; P = .013) and referrals made (odds ratio, 1.20; 95% confidence interval, 1.06-1.35; P = .003) predict hospital utilization for patients in a chronic disease management program. Along with optimizing patients' clinical condition by prescribed medical guidelines and supporting patient self-management, addressing psychosocial and nonclinical issues are important in attempting to avoid hospital utilization for people with chronic illnesses.
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