Key result
Home Health Care was associated with higher readmission rates than no home health services, though effectiveness evaluations are confounded by practice variation and noncomparable control groups.
Why the study?
Does Home Health Care (HHC) reduce readmissions compared to not receiving home health services?
Does Home Health Care (HHC) reduce readmissions compared to not receiving home health services?
Effectiveness evaluations of HHC in reducing readmissions require attention to sample comparability and control for mediating variables due to confounding factors.
Current evidence does not support altering HHC practices; leaves open true effectiveness pending comparable controls and confounder adjustment.
This integrative review analyzes research on the relationship of Home Health Care (HHC) to readmissions, specifically, identifying moderating and mediating factors and measurement constraints influencing effectiveness evaluations of HHC in reducing readmissions. HHC patients' readmission rates are higher than patients not receiving home health services but measurement of effectiveness is confounded by both practice variation and comparisons using noncomparable control groups. Effectiveness evaluations of HHC in reducing readmission requires attention to sample comparability and control for mediating variables. Establishing evidence of effectiveness clarifies the utility of HHC as a strategy to reduce readmissions.
No takes yet. Share an insight, caveat, or question.
Danielle M. Siclovan (2018) conducted a review in Readmissions. Home Health Care (HHC) vs. No home health services was evaluated on Readmissions. Home Health Care was associated with higher readmission rates than no home health services, though effectiveness evaluations are confounded by practice variation and noncomparable control groups.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: