What question did this study set out to answer?

To assess how individual patient characteristics and neighborhood socioeconomic factors influence the risk of thirty-day hospital readmission within a single hospital environment.

May 1, 2014Health Affairs

Socioeconomic Status And Readmissions: Evidence From An Urban Teaching Hospital

View Full Paper

Ask AI

Bookmark

Why the study?

Do socioeconomic factors such as neighborhood poverty and marital status influence the likelihood of 30-day hospital readmission?

Population

Inpatients at an urban teaching hospital

Comparison

High-poverty neighborhood residence and marital… vs Lower-poverty neighborhood residence and…

Design

Cohort

Follow-up

30 days

Authors

JHJianhui HuHenry Ford Health System MGMeredith D. GonsahnHealth Services Research & Development DNDavid R. NerenzHenry Ford Health System

Discussion

Member takes

Implication

Hypothesis-generating for socioeconomic risk adjustment in readmission penalties; prospective studies needed before policy adoption.

Key Points

To assess how individual patient characteristics and neighborhood socioeconomic factors influence the risk of thirty-day hospital readmission within a single hospital environment.
Analyzed inpatient electronic records from an urban teaching hospital operating under a single fixed organizational and staffing structure.
Adjusted statistical models for patient demographic characteristics and baseline clinical conditions.
Patients residing in high-poverty neighborhoods had a 24 percent higher risk of thirty-day readmission relative to peers after adjusting for demographics and clinical conditions.
Married status was associated with a significantly reduced risk of thirty-day readmission compared to unmarried status.

Structured PICO

Do socioeconomic factors such as neighborhood poverty and marital status influence the likelihood of 30-day hospital readmission?

Population

Inpatients at an urban teaching hospital

Intervention

High-poverty neighborhood residence and marital status (socioeconomic factors)

Comparator

Lower-poverty neighborhood residence and unmarried status

Outcome

30-day readmissionhard clinical

Socioeconomic factors such as neighborhood poverty and marital status significantly influence 30-day readmission risk, suggesting that readmission penalties should account for factors beyond hospital control.

Cite This Study

Hu et al. (2014) studied this question.

synapsesocial.com/papers/69d56c4e75589c71d767cd63 https://doi.org/10.1377/hlthaff.2013.0816

View Full Paper

Ask AI

Bookmark

Socioeconomic Status And Readmissions: Evidence From An Urban Teaching Hospital

Discussion

Member takes

Implication

Key Points

Structured PICO

Cite This Study

Socioeconomic Status And Readmissions: Evidence From An Urban Teaching Hospital

Discussion

Member takes

Implication

Key Points

Structured PICO

Cite This Study

Also Consider

Also Consider