The Association between the Quality of Inpatient Care and Early Readmission a Meta-Analysis of the Evidence

Medical Care

Volumn 35, Issue 10, 1997, Pages 1044-1059

  Ashton, Carol M ^a,b   Del Junco, Deborah J ^a,b   Souchek, Julianne ^a,b   Wray, Nelda P ^a,b   Mansyur, Carol L ^a,b  

^a MICHAEL E DEBAKEY VETERANS AFFAIRS MEDICAL CENTER   (United States)

^b BAYLOR COLLEGE OF MEDICINE   (United States)

Author keywords

Hospital utilization; Meta analysis; Quality assessment; Quality of care; Readmission

Indexed keywords

ADULT; ANALYSIS OF VARIANCE; ARTICLE; CLINICAL TRIAL; EPIDEMIOLOGY; HEALTH CARE QUALITY; HOSPITAL; HOSPITAL READMISSION; HUMAN; META ANALYSIS; METHODOLOGY; PATIENT CARE; REGRESSION ANALYSIS; REPRODUCIBILITY; RISK; STANDARD; STATISTICS; TIME; TREATMENT OUTCOME; UTILIZATION REVIEW;

ADULT; ANALYSIS OF VARIANCE; CONFOUNDING FACTORS (EPIDEMIOLOGY); HOSPITALS; HUMANS; ODDS RATIO; OUTCOME AND PROCESS ASSESSMENT (HEALTH CARE); PATIENT READMISSION; PATIENT-CENTERED CARE; QUALITY OF HEALTH CARE; REGRESSION ANALYSIS; REPRODUCIBILITY OF RESULTS; RESEARCH DESIGN; TIME FACTORS;

EID: 0031254003     PISSN: 00257079     EISSN: None     Source Type: Journal    
DOI: 10.1097/00005650-199710000-00006     Document Type: Article

References (42)

1. Thomas JW, Holloway JJ. Investigating early readmission as an indicator for quality of care studies. Med Care 1991;29:377.
2. DesHarnais S, Chesney J, Fleming S. Trends and regional variations in hospital utilization and quality during the first two years of the prospective payment system. Inquiry 1988;25:374.
3. Wray NP, Petersen NJ, Ashton CM, Murphree DW, Yu HJ. Development of predictive models of readmission using the VA Patient Treatment File. Final report of IIR 87-161, VA Health Services Research and Development Service. Boston, MA: VA Management Decision Research Center, VA Medical Center, 1993.
4. Anderson GF, Steinberg EP. Hospital readmissions in the Medicare population. N Engl J Med 1984;311:1349.
5. Evans RL, Hendricks RD. Evaluating hospital discharge planning: a randomized clinical trial. Med Care 1993;31:358.
6. Kennedy L, Neidlinger S, Scroggins K. Effective comprehensive discharge planning for the hospitalized elderly. Gerontologist 1987;27:577.
7. McPhee SJ, Frank DH, Lewis C, Bush DE, Smith CR. Influence of a "discharge interview" on patient knowledge, compliance, and functional status after hospitalization. Med Care 1983;21:755.
8. Ashton CM, Wray NP, Dunn JK, Scheurich JW, DeBehnke RD, Friedland JA. Predicting readmission in veterans with chronic disease: Development and validation of discharge criteria. Med Care 1987;25:1184.
9. Ashton CM, Wray NP, Friedland JA, Zollo AJ, Scheurich JW. The association between residents' work rounds styles and the process and outcome of medical care. J Gen Intern Med 1994;9:208.
10. Reed RL, Pearlman RA, Buchner DM. Risk factors for early unplanned readmission in the elderly. J Gen Intern Med 1991;6:223.
11. Ashton CM, Kuykendall DH, Johnson ML, Wray NP, Wu L. The association between the process of inpatient care and early readmission. Ann Intern Med 1995;122:415.
12. Ludke RL, Booth BM, Lewis-Beck JA. Relationship between early readmission and hospital quality of care indicators. Inquiry 1993;30:95.
13. Hayward RA, Bernard AM, Rosevear JS, Anderson JE, MacMahon LF. An evaluation of generic screens for poor quality of hospital care on a general medicine service. Med Care 1993;31:394.
14. Ashton CM, Wray NP. A conceptual framework for the study of early readmission as an indicator of quality of care. Soc Sci Med 1996;43:1533.
15. Wray NP, DeBehnke RD, Ashton CM, Dunn JK. Characteristics of the recurrently admitted patient: An information synthesis. Med Care 1988;26:1046.
16. Chambers M, Clarke A. Measuring readmission rates. BMJ 1990;301:1134.
17. Henderson J, Graveney MT, Goldacre MJ. Should emergency readmissions be used as health service indicators and in medical audit? Health Serv Management Res 1993;6:109.
18. Topol EJ, Burek K, O'Neill WW, et al. A randomized trial of hospital discharge three days after myocardial infarction in the era of reperfusion. N Engl J Med 1988;318:1083.
19. Williams EI, Fitton F. Factors affecting early unplanned readmission of elderly patients to hospital. BMJ 1988;297:784.
20. Manheim LM, Feinglass J, Hughes R, Martin GJ, Conrad K, Hughes EFX. Training house officers to be cost conscious: Effects of an intervention on length of stay and hospital charges. Med Care 1990;28:29.
21. Feinglass J, Martin GJ, Sen A. The effect of physician practice style on hospital resource use. Health Serv Res 1991;26:183.
22. Simmer TL, Nerenz DR, Rutt WM, Newcomb CS, Benfer DW. A randomized, controlled trial of an attending staff service in general internal medicine. Med Care 1991;29:JS31.
23. Platt R, Zaleznik DF, Hopkins CC, et al. Perioperative antibiotic prophylaxis for herniorrhaphy and breast surgery. N Engl J Med 1990;322:153.
24. Moher D, Weinberg A, Hanlon R, Runnalls K. Effects of a medical team coordinator on length of hospital stay. Can Med Assoc J 1992;146:511
25. Jackson MF. Geriatric versus general medical wards: Comparison of patients' behaviors following discharge from an acute care hospital. J Adv Nurs 1989;14:906.
26. Naylor MD. Comprehensive discharge planning for the hospitalized elderly: A pilot study. Nurs Res 1990;39:156.
27. Schneider JK, Hornberger S, Booker J, Davis A, Kralicek R. A medication discharge planning program: Measuring the effect on readmissions. Clin Nurs Res 1993;2:41.
28. Roos LL, Roos NP, Sharp SM. Monitoring adverse outcomes of surgery using administrative data. Health Care Financing Rev 1987(suppl):5.
29. DesHarnais S, Hogan AJ, MacMahon LF, Fleming S. Changes in rates of unscheduled hospital readmissions and changes in efficiency following the introduction of the Medicare prospective payment system. Eval Health Prof 1991;14:228.
30. Epstein AM, Bogen J, Dreyer P, Thorpe KE. Trends in length of stay and readmission in Massachusetts: Implications for monitoring quality of care. Inquiry 1991;28:19.
31. Noether M. Prospective Payment System evaluation studies - readmissions and transfers: the effects of PPS. Working paper. Rockville, MD: Health Care Financing Administration. November 8, 1988. HCFA 500-85-0015.
32. Welch HG, Larson EH, Hart LG, Rosenblatt RA. Readmission after surgery in Washington state rural hospitals. Am J Public Health 1992;82:407.
33. Rich EC, Gifford G, Luxenberg M, Dowd B. The relationship of house staff experience to the cost and quality of medical care. JAMA 1990;263:953.
34. McDowell NM, Black DM. Inpatient resource use: A comparison of family medicine and internal medicine physicians. J Fam Pract 1992;34:306.
35. Leibson CL, Naessens JM, Campion ME, Krishan I, Ballard DJ. Trends in elderly hospitalization and readmission rates for a geographically defined population: Pre- and post-prospective payment. J Am Geriatr Soc 1991;39:895.
36. Eddy DM, Hassleblad V, Shachter R. Meta-analysis by the confidence profile methods: The statistical analysis of evidence. San Diego, CA: Academic Press, 1992.
37. Eddy DM, Hassleblad V. Fast*Pro: Software for meta-analysis by the confidence profile method. San Diego, CA: Academic Press, 1992.
38. Breslow NE, Day NE. Statistical methods in cancer research. Volume 1: The analysis of case-control studies. Lyon: International Agency for Research on Cancer, 1980.
39. Yusuf S, Peto R, Lewis J, Collins R, Sleight P. Betablockade during and after myocardial infarction: An overview of the randomized trials. Prog Cardiovasc Dis 1985;27:335.
40. DerSimonian R, Laird N. Meta-analysis in clinical trials. Controlled Clinical Trials 1986;7:177.
41. Hedges LV, Olkin I. Statistical methods for metaanalysis. Boston, MA: Academic Press; 1985:167.
42. Pittsburgh Business Group on Health. An analysis of readmissions using Pittsburgh Business Group on Health hospital claims data. Pittsburgh, PA: The Pittsburgh Research Institute, 1989.