background
It is a vulnerable period for a few days and a few weeks since I was admitted to the hospital, and sometimes re -entry is followed. The high hospital hospitalization rate in the area can be affected by the following factors: Socioeconomic status or shortage Community Support System. You can also fail a health system Contribute Re -entry patient. for example, gap Nursing after discharge, poor homes or nursing homes ManagementOr receive treatment Low -quality hospital All can increase the re -hospitalization rate for 30 days. Progress research emphasizes that it is important to solve social and health system imbalances in order to reduce the retirement rate.
New study
The evaluator of the partner’s evidence -based policy resource center (peprec)) And other partner institutions added to this literature. Recent papers By investigating the relationship between acute myocardial infarction (ie, heart attack), heart attack or pneumonia, local supply and hospital re -hospitalization rate.
Research methods and limitations
The author has integrated data (2013-2019) from the Medicare and Medicaid Service Center, the American Hospital Association, the Census Bureau and Health Resources and Service Management Center. Once condensed, the sample generally reflects the US hospital and includes more than 50,500 hospital conditions in more than 3,000 unique hospitals.
The author, who controls hospital characteristics, patient population statistics, and clinical trials, uses a multi -volume regression model to separate the influence of local discharge of local discharge on hospital re -hospitalization. The author gathered with three health conditions and analyzed each condition individually.
There were some limitations in the study. For example, the author depended on the auxiliary data and could not identify the specific reasons for the certain post -management options to generate more re -hospitalization. In addition, the data did not distinguish the re -hospitalization that can be potentially prevented through improved treatment quality.
result
From 2013 to 2019, the population level of the post -occupancy options varies greatly for each county. When controlling the difference between hospital characteristics, patient population statistics, and clinical trials, hospitals in areas with more primary care doctors and nursing homes were low in hospitalization. Although hospitals in areas where relaxation and skilled nursing beds may be highly available have been reduced, they are not only when there are three conditions for individual conditions.
On the other hand, hospitals in areas with more home health institution services had a high re -hospitalization rate for heart failure patients. Similarly, when the conditions are solved or only heart failure or pneumonia, the area with more nurses has been found to have increased hospitalization. The authors pointed out that household health institutions often experience employees’ changes, and areas with high levels of nurses tend to have greater vision of patients, which can explain these results.
The figure below shows the results visually.
conclusion
After reviewing the findings, the author insisted that improving the continuity of treatment for patients after discharge would improve the patient’s results. In addition, for the high re -hospitalization rate, the federal system, designed as a high -end hospital, proposed to be punished more accurately in consideration of these local health system characteristics.
It is not the experience of most people who have recently returned to the hospital after being discharged. It is expensive and inefficient. This study explains the importance of the availability of post -discharge nursing services to prevent the experience, and provides a better way to policymakers.
PEPREC is a team of health economists, public health researchers and policy analysts who support VA efforts to improve the lives of Veterans by using advanced quantum methods that are mostly funded by QUERI in the Veterans Health Bureau.
