The rate and cost of hospital readmissions for preventable conditions
The rate and cost of hospital readmissions for preventable conditions
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DOI：
10.1177/1077558704263799
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发表时间：
2004-06-01
影响因子：
2.5
通讯作者：
Basu, J
中科院分区：
文献类型：
--
作者：
Friedman, B;Basu, J
该研究估计了第一次可预防入院后6个月内可预防再入院的比率和费用，按年龄组、按付款人和年龄组内的种族分列。描述性结果与几个假设进行了对比。1999年纽约、宾夕法尼亚、田纳西和威斯康辛州居民的出院数据来自医疗保健研究和质量机构的医疗保健成本和利用项目档案。大约19%的最初可预防入院的人在6个月内至少有一次可预防的再入院率。6个月内可预防再入院的医院费用约为7.3亿美元。付款人组和种族在再入院率方面存在实质性差异。一些证据表明，可预防的再入院可能部分反映了潜在问题的复杂性。降低成本的干预措施可能侧重于在出院前识别高危患者并设计新的随访方法。
The study estimates the rate and cost of preventable readmissions within 6 months after a first preventable admission, by age-group, and by payer and race within age-group. The descriptive results are contrasted with several hypotheses. The hospital discharge data are for residents of New York, Pennsylvania, Tennessee, and Wisconsin in 1999,from files of the Healthcare Cost and Utilization Project of the Agency for Healthcare Research and Quality. About 19 percent of persons with an initial preventable admission had at least one preventable readmission rate within 6 months. Hospital cost for preventable readmissions during 6 months was about $730 million. There were substantial differences in readmission rates by payer group and by race. Some evidence suggests that preventable readmissions may partly reflect complexity of underlying problems. Interventions to reduce cost might focus on identifying high-risk patients before discharge and devising new approaches to follow-up.