March 20, 2019Journal of Hospital MedicineOpen Access

Frequently Hospitalized Patients' Perceptions of Factors Contributing to High Hospital Use

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Why the study?

A small proportion of patients accounts for a large proportion of hospitalizations, but their perspectives on factors associated with high hospital use needed exploration.

Population

26 frequently hospitalized patients at a single urban academic hospital

Design

Single-center qualitative semi-structured interview study

Authors

KOKevin J. O’LearyNorthwestern University MCMargaret M. ChapmanHarvard University SFShandu Foster

Discussion

Member takes

Implication

Supports exploring psychosocial factors in frequent hospitalizations; leaves open whether targeted interventions reduce readmissions.

Structured PICO

Population

26 patients with two unplanned 30-day readmissions within 12 months and one or more of the following: ≥1 readmission in the last six months, a referral from a clinician, or ≥3 observation visits at a single urban academic hospital.

Outcome

Patients' perspectives of factors associated with the onset and continuation of high hospital usepatient reported

Frequently hospitalized patients perceive their high hospital use as driven by uncontrollable illness episodes, psychological, social, and economic factors, and typically seek care only after self-management fails.

Cite This Study

O’Leary et al. (2019) studied this question.

synapsesocial.com/papers/6a83ce3eb0b8dfdc4c62d78b https://doi.org/10.12788/jhm.3175

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Frequently Hospitalized Patients' Perceptions of Factors Contributing to High Hospital Use

Discussion

Member takes

Implication

Structured PICO

Cite This Study

Frequently Hospitalized Patients' Perceptions of Factors Contributing to High Hospital Use

Discussion

Member takes

Implication

Structured PICO

Cite This Study

Also Consider

Also Consider