Key result
The county in which a hospital was located explained 58% of the national variation in 30-day hospital readmission rates, with access to care showing the strongest association.
Why the study?
Do community factors explain variation in 30-day hospital readmission rates for patients with AMI, HF, or pneumonia?
Population
4,073 hospitals with publicly reported 30-day readmission rates for patients discharged during July 1, 2007…
Design
Cross-sectional
Follow-up
30-day
Authors
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County-level access to care was associated with readmission variation; hypothesis-generating and should not yet change hospital-focused policies.
Observational (n=4,073)
Yes
Do community factors explain variation in 30-day hospital readmission rates for patients with AMI, HF, or pneumonia?
Community factors, particularly access to care, explain a substantial amount of variation in hospital readmission rates for AMI, HF, and pneumonia.
Herrin et al. (2014) conducted an observational in Acute myocardial infarction, heart failure, or pneumonia (n=4,073). Community factors (county characteristics) was evaluated on Pooled 30-day risk-standardized readmission rate. The county in which a hospital was located explained 58% of the national variation in 30-day hospital readmission rates, with access to care showing the strongest association.