Key result
Post-acute informal and formal home care services showed no evidence of impact on hospital readmission, which was instead associated with longer CHF history and medication noncompliance.
Why the study?
Does post-acute home care from informal and formal services reduce hospital readmission in elderly patients with congestive heart failure?
Observational
Does post-acute home care from informal and formal services reduce hospital readmission in elderly patients with congestive heart failure?
Post-acute informal and formal home care services did not reduce hospital readmissions in elderly CHF patients, highlighting the importance of medication compliance and disease history.
After inpatient hospitalization, many elderly patients with congestive heart failure (CHF) are discharged home and receive post-acute home care from informal (family) caregivers and formal service providers. Hospital readmission rates are high among elderly patients with CHF, and it is thought that use of informal and formal services may reduce hospital readmission during the post-acute period. Using proportional Cox regression analysis, the authors examined the independent and joint effects of post-acute informal and formal services on hospital readmission. No evidence of service impact was found. Rather, hospital readmission was associated with a longer length of CHF history and noncompliance with medication regimes. Research, policy, and practice implications are discussed.
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Li et al. (2004) conducted an observational in Congestive heart failure. Post-acute informal and formal home care services was evaluated on Hospital readmission. Post-acute informal and formal home care services showed no evidence of impact on hospital readmission, which was instead associated with longer CHF history and medication noncompliance.
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