Link between redemption of a medical food pantry voucher and reduced hospital readmissions.
Link between redemption of a medical food pantry voucher and reduced hospital readmissions.
复制标题
DOI：
10.1016/j.pmedr.2021.101400
复制
发表时间：
2021-09
影响因子：
2.8
通讯作者：
Jacobs M
中科院分区：
文献类型：
--
作者：
Sastre L;Wynn D;Roupe M;Jacobs M
本研究调查了在北卡罗来纳州格林维尔市医院所属的医疗食品救济站（MFP）兑换代金券与再次入院之间的关系。维丹特医疗中心将代金券提供给被认定为食物无保障的入院患者，让他们到MFP领取食品。一项回顾性病历审查确定了2018年6月21日至2019年7月1日期间所有收到代金券（n = 542）的患者的人口统计信息、保险类型、代金券提供情况和兑换日期、食品袋类型以及后续再次入院的次数。负二项回归分析评估了再次入院与代金券兑换之间的关系。收到代金券的患者中有60%是少数族裔（非裔美国人），平均年龄为55岁。近一半（48%）有医疗保险。发放的代金券中有38%被兑换，通常在五天内。回归结果表明，样本中的女性和非白人再次入院的次数相对于男性和白人更高。那些兑换了食品代金券的患者再次入院的可能性降低了7%（置信区间为0.05 - 0.27）。兑换了MFP代金券的食物无保障患者后续再次入院的可能性相对较低。这些研究结果表明，针对像食物无保障这类可改变的健康社会决定因素的项目可以改善健康状况，并减少医疗保健系统的使用。
This study investigated the relationship between redeeming a voucher at hospital-based Medical Food Pantry (MFP) and hospital readmissions in Greenville, NC. Admitted patients at Vidant Medical Center identified as food insecure were given a voucher to the MFP. A retrospective chart review identified demographic information, type of insurance, voucher provision, and redemption dates, food bag type and number of subsequent hospital readmissions for all patients issued a voucher (n = 542) between June 21, 2018 and July 1, 2019. Negative binomial regression analysis assessed the relationship between readmissions and voucher redemption. Sixty percent of patients receiving a voucher were minority (African American) with an average age of 55. Nearly half (48 percent) had Medicare. Thirty-eight percent of those vouchers that were issued were redeemed, usually within five days. Regression results indicate that the number of readmissions was higher among women and non-whites in the sample relative to men and whites. Those patients who redeemed a food voucher had a seven percent lower likelihood of being readmitted (CI, 0.05–0.27). Food insecure patients who redeemed MFP vouchers had a comparatively lower likelihood of subsequent readmissions. These findings suggest that programs targeting modifiable social determinants of health like food insecurity could improve health outcomes and reduce utilization of the healthcare system.
登录
查看更多内容
影响因子：
8.8
作者：
Baldwin MR;Sell JL;Heyden N;Javaid A;Berlin DA;Gonzalez WC;Bach PB;Maurer MS;Lovasi GS;Lederer DJ
通讯作者：
Lederer DJ
影响因子：
39
作者：
Berkowitz, Seth A.;Terranova, Jean;Hsu, John
通讯作者：
Hsu, John
影响因子：
2.5
作者：
Phipps, Etienne J.;Singletary, S. Brook;Braitman, Leonard E.
通讯作者：
Braitman, Leonard E.
影响因子：
3
作者：
Sonmez, Halis;Kambo, Varinder;Poretsky, Leonid
通讯作者：
Poretsky, Leonid
DOI：
10.1016/j.jand.2016.11.005
发表时间：
2017-04-01
影响因子：
4.8
作者：
Buys, David R.;Campbell, Anthony D.;Locher, Julie L.
通讯作者：
Locher, Julie L.