Full metadata record
DC Field | Value | Language |
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dc.citation.endPage | 519 | - |
dc.citation.number | 6 | - |
dc.citation.startPage | 513 | - |
dc.citation.title | INTERNATIONAL JOURNAL FOR QUALITY IN HEALTH CARE | - |
dc.citation.volume | 27 | - |
dc.contributor.author | Kim, Hongsoo | - |
dc.contributor.author | Hung, William W. | - |
dc.contributor.author | Paik, Myunghee Cho | - |
dc.contributor.author | Ross, Joseph S. | - |
dc.contributor.author | Zhao, Zhonglin | - |
dc.contributor.author | Kim, Gi-Soo | - |
dc.contributor.author | Boockvar, Kenneth | - |
dc.date.accessioned | 2023-12-22T00:16:26Z | - |
dc.date.available | 2023-12-22T00:16:26Z | - |
dc.date.created | 2020-08-20 | - |
dc.date.issued | 2015-12 | - |
dc.description.abstract | Objectives: To examine patient, hospital and market factors and outcomes associated with readmission to a different hospital compared with the same hospital. Design: A population-based, secondary analysis using multilevel causal modeling. Setting: Acute care hospitals in California in the USA. Participants: In total, 509 775 patients aged 50 or older who were discharged alive from acute care hospitals (index hospitalizations), and 59 566 who had a rehospitalization within 30 days following their index discharge. Intervention: No intervention. Main Outcome Measures(s): Thirty-day unplanned readmissions to a different hospital compared with the same hospital and also the costs and health outcomes of the readmissions. Results: Twenty-one percent of patients with a rehospitalization had a different-hospital readmission. Compared with the same-hospital readmission group, the different-hospital readmission group was more likely to be younger, male and have a lower income. The index hospitals of the different-hospital readmission group were more likely to be smaller, for-profit hospitals, which were also more likely to be located in counties with higher competition. The different-hospital readmission group had higher odds for in-hospital death (8.1 vs. 6.7%; P < 0.0001) and greater readmission hospital costs ($15 671.8 vs. $14 286.4; P < 0.001) than the same-hospital readmission group. Conclusions: Patient, hospital and market characteristics predicted different-hospital readmissions compared with same-hospital readmissions. Mortality and cost outcomes were worse among patients with different-hospital readmissions. Strategies for better care coordination targeting people at risk for different-hospital readmissions are necessary. |
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dc.identifier.bibliographicCitation | INTERNATIONAL JOURNAL FOR QUALITY IN HEALTH CARE, v.27, no.6, pp.513 - 519 | - |
dc.identifier.doi | 10.1093/intqhc/mzv082 | - |
dc.identifier.issn | 1353-4505 | - |
dc.identifier.scopusid | 2-s2.0-84958677499 | - |
dc.identifier.uri | https://scholarworks.unist.ac.kr/handle/201301/47606 | - |
dc.identifier.url | https://academic.oup.com/intqhc/article/27/6/513/2357497 | - |
dc.identifier.wosid | 000368250400013 | - |
dc.language | 영어 | - |
dc.publisher | Oxford University Press | - |
dc.title | Predictors and outcomes of unplanned readmission to a different hospital | - |
dc.type | Article | - |
dc.description.isOpenAccess | TRUE | - |
dc.relation.journalWebOfScienceCategory | Health Care Sciences & Services; Health Policy & Services | - |
dc.relation.journalResearchArea | Health Care Sciences & Services | - |
dc.type.docType | Article | - |
dc.description.journalRegisteredClass | scie | - |
dc.description.journalRegisteredClass | ssci | - |
dc.description.journalRegisteredClass | scopus | - |
dc.subject.keywordAuthor | readmissions | - |
dc.subject.keywordAuthor | hospital care | - |
dc.subject.keywordAuthor | patient outcomes | - |
dc.subject.keywordAuthor | health policy | - |
dc.subject.keywordPlus | ADVERSE EVENTS | - |
dc.subject.keywordPlus | PREVALENCE | - |
dc.subject.keywordPlus | REHOSPITALIZATIONS | - |
dc.subject.keywordPlus | RECORDS | - |
dc.subject.keywordPlus | MODELS | - |
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