The Influence of a Postdischarge Intervention on Reducing Hospital Readmissions in a Medicare Population
The Influence of a Postdischarge Intervention on Reducing Hospital Readmissions in a Medicare Population
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DOI：
10.1089/pop.2012.0084
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发表时间：
2013-10-01
影响因子：
2.5
通讯作者：
Painter, Philip
中科院分区：
文献类型：
--
作者：
Costantino, Mary E.;Frey, Beth;Painter, Philip
医疗保险人群的再入院可能与许多因素有关，包括疾病复发、不理解或不遵守医生的指示、或缺乏后续护理等。这些再入院大大增加了这一人群的成本和利用率，并预计将随着医疗保险登记人数的预计增长而增加。作者研究了与匹配的对照人群相比，出院后电话干预是否减少了患者30天的再入院率。出院后的电话是在病人出院后给他们打的。通过医疗索赔数据分析监测再入院情况。在接受干预的48,538名医疗保险成员中，4504名（9.3%）在30天内再次入院，而对照组为5598名(11.5%，P
Hospital readmissions in the Medicare population may be related to a number of factors, including reoccurrence of illness, failure to understand or follow physician direction, or lack of follow-up care, among others. These readmissions significantly increase cost and utilization in this population, and are expected to increase with the projected growth in Medicare enrollment. The authors examined whether a postdischarge telephonic intervention for patients reduced 30-day hospital readmissions as compared to a matched control population. Postdischarge telephone calls were placed to patients after discharge from a hospital. Readmissions were monitored through health care claims data analysis. Of 48,538 Medicare members who received the intervention, 4504 (9.3%) were readmitted to the hospital within 30 days, as compared to 5598 controls (11.5%, P