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April 24, 2000Archives of Internal Medicine

Hospital Readmissions as a Measure of Quality of Health Care

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Why the study?

Are global hospital readmission rates a useful indicator of quality of health care?

Population

Patients with hospital readmissions

Design

Review

Key result

Global hospital readmission rates are not a useful indicator of quality of care, despite evidence that 9% to 48% of readmissions are preventable and 12% to 75% can be prevented by targeted care.

Authors

JBJochanan BenbassatMTMark I. Taragin

Discussion

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Overview

Global readmission rates should not guide quality assessments; leaves open whether condition-specific metrics better reflect care.

Structured PICO

Are global hospital readmission rates a useful indicator of quality of health care?

P
Population
Patients with hospital readmissions
I
Intervention
Patient education, predischarge assessment, and domiciliary aftercare
O
Outcome
Hospital readmissions

Global hospital readmission rates are not a reliable measure of overall healthcare quality due to confounding by unmodifiable patient factors, though condition-specific rates may identify quality issues.

Limitations

  • Lack of an agreed-on method to adjust for confounders

Cite This Study

Benbassat et al. (2000) conducted a review in Hospital readmissions. Global hospital readmission rates are not a useful indicator of quality of care, despite evidence that 9% to 48% of readmissions are preventable and 12% to 75% can be prevented by targeted care.

synapsesocial.com/papers/6a09748f36c3abab5045beedhttps://doi.org/10.1001/archinte.160.8.1074
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