Key result
Home health care referrals after U.S. hospital discharges increased from 8.6% in 2001 to 14.1% in 2012, with heart failure discharges showing the most rapid growth (14.3% to 24.0%).
Why the study?
Did home health care referrals at hospital discharge change from 2001 to 2012 in the United States, overall and for specific Medicare readmission penalty conditions?
Observational
Yes
Did home health care referrals at hospital discharge change from 2001 to 2012 in the United States, overall and for specific Medicare readmission penalty conditions?
Effect estimate: β 0.529 (95% CI 0.449-609)
Absolute Event Rate: 14.1% vs 8.6%
p-value: p=<.001
Home health care referrals at hospital discharge increased significantly from 2001 to 2012 in the US, with the most rapid growth seen among patients with heart failure.
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Rising post-discharge HHC referrals, especially in HF, may signal shifting care patterns; observational data leaves open effects on readmissions and outcomes.
Jones et al. (2015) conducted an observational in Hospitalization. Hospital discharge in 2012 vs. Hospital discharge in 2001 was evaluated on Home health care referral rates (β 0.529, 95% CI 0.449-609, p=<.001). Home health care referrals after U.S. hospital discharges increased from 8.6% in 2001 to 14.1% in 2012, with heart failure discharges showing the most rapid growth (14.3% to 24.0%).
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