Patient vs provider perspectives of 30-day hospital readmissions
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Key result
Patients are ~2-fold more likely than providers to consider hospital readmissions preventable, citing system issues.
- P<0.0001
- n=178
Why the study?
Patients' and providers' views on contributors to 30-day hospital readmissions differ and need comparison to understand preventability perspectives.
Do patients and providers have differing views on the preventability and contributors to 30-day hospital readmissions?
Population
178 readmitted patients at a single tertiary care academic hospital
Comparison
Patient perspectives vs provider and RN case manager perspectives on readmission contributors
Design
Qualitative interview survey analysis
Follow-up
30-day readmission hospitalization period
Authors
Discussion
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Member takes
Implication
Patient-provider misalignment on readmission preventability may affect communication; hypothesis-generating and requires prospective validation before informing interventions.
Study Design
Type
Observational (n=178)
Multicenter
No
Structured PICO
Do patients and providers have differing views on the preventability and contributors to 30-day hospital readmissions?
P
Population
178 adult patients readmitted within 30 days of discharge at a single academic hospital, interviewed to compare their perspectives on readmission causes with those of their discharging providers.
E
Exposure
Patient perspective on contributors to 30-day hospital readmission
C
Comparator
Provider and RN case manager perspectives
O
Outcome
View that the readmission was preventablepatient reported
Main Result
Absolute Event Rate: 58% vs 29%
p-value: p=<0.0001
There is a significant disconnect between patients and providers regarding the causes of hospital readmissions, with patients frequently identifying hospital system issues that providers overlook.
Limitations
- Single institution study, limiting generalizability
- Small sample size
- Provider perspectives only available for a subset of the patient population (57%)
- Retrospective design
- Questions directed towards patients did not provide adequate opportunity for them to self-identify if their own actions contributed to readmission
Cite This Study
Smeraglio et al. (2019) conducted an observational in 30-day hospital readmissions (n=178). Patient perspective on readmission preventability vs. Provider perspective was evaluated on The view that the readmission was preventable (p=<0.0001). Patients were significantly more likely than discharging providers to view their 30-day hospital readmission as preventable (58% vs 29%, p<0.0001), frequently citing hospital system issues.
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