Hospital Readmission of Patients with Diabetes
Hospital Readmission of Patients with Diabetes
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DOI：
10.1007/s11892-015-0584-7
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发表时间：
2015-04-01
影响因子：
4.2
通讯作者：
Rubin, Daniel J.
中科院分区：
文献类型：
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作者：
Rubin, Daniel J.
医院再入院是一项高度优先的医疗质量措施和降低成本的目标。尽管对再入院有广泛的兴趣，但相对较少的研究集中在糖尿病患者身上。然而，住院患者的糖尿病负担是巨大的、不断增长的和昂贵的，并且再入院贡献了该负担的显著部分。降低糖尿病患者的再入院率有可能大大降低医疗保健成本，同时改善护理。该人群再入院的风险因素包括较低的社会经济地位、种族/少数民族、合并症负担、公共保险、急诊或紧急入院以及近期既往住院史。糖尿病住院患者再入院的风险可能高于非糖尿病患者。降低再入院风险的潜在方法是住院教育、专科护理、更好的出院指导、护理协调和出院后支持。需要更多的研究来测试这些干预措施对糖尿病患者再入院率的影响。
Hospital readmission is a high-priority health care quality measure and target for cost reduction. Despite broad interest in readmission, relatively little research has focused on patients with diabetes. The burden of diabetes among hospitalized patients, however, is substantial, growing, and costly, and readmissions contribute a significant portion of this burden. Reducing readmission rates of diabetic patients has the potential to greatly reduce health care costs while simultaneously improving care. Risk factors for readmission in this population include lower socioeconomic status, racial/ethnic minority, comorbidity burden, public insurance, emergent or urgent admission, and a history of recent prior hospitalization. Hospitalized patients with diabetes may be at higher risk of readmission than those without diabetes. Potential ways to reduce readmission risk are inpatient education, specialty care, better discharge instructions, coordination of care, and post-discharge support. More studies are needed to test the effect of these interventions on the readmission rates of patients with diabetes.