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Updated: Dec 14, 2025

Assessment of Dependence in Activities of Daily Living Among Older Patients in an Acute Care Unit
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Readmissions on Teaching Versus Non-Teaching Services: Are They Any Different?

Jawaid A Shaw1, Asghar Ali2, Rabia Qaiser2

  • 1Internal Medicine, Virginia Commonwealth University, Richmond, USA.

Cureus
|July 16, 2020
PubMed
Summary

Teaching services (TS) and nonteaching services (NTS) had similar readmission rates, but differed in reasons for readmission. NTS had more new diagnoses and system issues, while TS had more clinician issues and disease progression.

Keywords:
comparisonsnon-teaching servicereadmissionsteaching serviceveteran affairs

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Area of Science:

  • Medical Research
  • Healthcare Management

Background:

  • Comparative data on patient readmissions between teaching services (TS) and nonteaching services (NTS) is limited.
  • Understanding these differences is crucial for improving patient care and reducing healthcare costs.

Purpose of the Study:

  • To compare readmission rates and reasons between TS and NTS.
  • To identify potential differences in patient demographics, comorbidities, and length of stay.

Main Methods:

  • Retrospective analysis of 384 readmissions over one year at a Veterans Medical Center.
  • Data extraction included patient demographics, baseline characteristics, comorbidities, length of stay, and reasons for 30-day readmission.
  • Comparison of readmission rates, length of stay, and Charlson Comorbid Index scores between TS and NTS.

Main Results:

  • No significant differences were found in overall readmission rates (8.2% vs. 10.2%, P = .135), length of stay (P = .712), or age-adjusted Charlson Comorbid Index Score (P = .037) between TS and NTS.
  • Statistically significant differences (P < .01) were observed in the reasons for readmission.
  • Nonteaching services (NTS) had higher rates of readmission due to new diagnoses and system issues, whereas teaching services (TS) had higher rates due to clinician issues and disease progression.

Conclusions:

  • While overall readmission rates are similar, the underlying reasons differ between TS and NTS.
  • These differences may stem from the distinct structures of teaching and nonteaching teams.
  • This insight can inform targeted strategies to reduce readmissions and improve patient outcomes.